Alternatives to Benztropine

I am so excited that Ontario Drug Benefits will finally cover the 1mg strength of Benztropine, starting Aug 30 2018. It’s about time that we have options for patients.


Benztropine (Cogentin) is an anticholinergic that is commonly prescribed for the management of extrapyrimidal symptoms in patients on long term antipsychotics.  Recently, there is a drug shortage with this medication which has prompted me to look closer at what are some of the alternatives.

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My name is Cynthia Leung and I am a practicing pharmacist in Kingston Ontario, Canada. This blog is for me to share my ideas, opinions and perspectives on how medications are used in our health care system. Note that these posts are my own opinions and do not represent the opinions of my current or former employers and / or organizations that I may belong to. Any possible case scenarios described in my posts would be modified to maintain patient confidentiality. This blog is not a platform for professional advise for patients or health care providers and the content is not meant to support any clinical decisions or replace professional opinions. Also the images are either taken or created by the author, or adapted with permission. I hope you will enjoy reading my posts!

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