{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:18:33Z","timestamp":1790983113214,"version":"4.1.0"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Duloxetine, a serotonin-norepinephrine reuptake inhibitor, has been associated with extrapyramidal symptoms and tardive syndromes; however, such adverse reactions are rare and remain sparsely documented, particularly in the setting of non-psychiatric use. Case Report: A young, healthy, active-duty military service member developed acute extrapyramidal symptoms\u2014restlessness, dystonic movements, and acute dystonia\u2014shortly after initiating duloxetine for postsurgical neuropathic pain. Conclusion: This case highlights the need for vigilance regarding movement disorders in patients prescribed duloxetine, even in the absence of psychiatric comorbidity or antipsychotic exposure.<\/p>","DOI":"10.5811\/cpcem.56947","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:52:46Z","timestamp":1783741966000},"source":"Crossref","is-referenced-by-count":1,"title":["Emergency Department Presentation of Duloxetine-induced Acute Extrapyramidal Symptoms: A Case Report"],"prefix":"10.5811","volume":"10","author":[{"given":"Michael W.","family":"Shulby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2026,7,10]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt4c5952n2\/qt4c5952n2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T04:55:28Z","timestamp":1786596928000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/4c5952n2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,8,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.56947","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,10]]}}}