Unusual reaction to trifluoperazine.

A 19-year-old woman, recently discharged from the hospital and being treated for schizophrenia, presented with an unusual reaction to trifluoperazine. She complained of nausea and vomiting and experienced bilateral swelling of the tongue. Symptoms subsided when the medication was discontinued. Although dystonic reactions to high doses of phenothiazines are not uncommon, we postulate that this case represented an unusual allergic reaction to the medication.