Psychotropic Drug Sales in Warangal

Sir, Gada (1997) while reporting case of Rabbit Syndrome describes it as first in Indian literature. But to my knowledge at least two more cases have been reported earlier. Gangadhar et al. (1981) and I myself (Jain, 1993) have reported these cases in Journals none other then the official publications of I.P.S. itself. Gangadhar et al. (1981) reported this movement disorder in his patient while he was given a high potency neuroleptic in injectable form in addition to antipsychotics he earlier received. They also noted that there was patchy disappearance of movement during stage I of NREM sleep. My case suffered with this movement disorder when she was admitted for her manic episode and received a high potency neuroleptic in injectable form. This happened just after a week of receiving the injectable preparation. She was receiving no anticholinergic medication as no E.P.S. was obvious. This case differed from previously reported cases in two ways(i) she was suffering from bipolar affective disorder while earlier reported cases were schizophrenics; (ii) the duration of exposure to neuroleptics was quite brief in this case while this syndrome is known to occur only after prolonged use.