Psychiatrymiddle twist
A 78-year-old man admitted a fortnight ago with a first psychotic illness had his risperidone increased from 1 mg to 3 mg daily seven days ago. Since then he has walked the corridor almost continuously, cannot stay seated through a meal, says he feels he has to keep moving, and this morning he punched a door when a nurse asked him to sit down. He is thin and unsteady and fell in the bathroom last week. He uses inhaled budesonide for asthma and was catheterised for urinary retention a month ago. Which one of the following is the most appropriate management of his restlessness?