What symptom is NOT typically associated with Neuroleptic Malignant Syndrome (NMS)?

Neuroleptic Malignant Syndrome (NMS) is a life-threatening reaction to antipsychotic medications characterized by a combination of symptoms. Hyperthermia, diaphoresis, and tachycardia are all common symptoms associated with this condition.

Hyperthermia is a hallmark sign of NMS, with patients often experiencing significantly elevated body temperatures due to disruption in thermoregulation. Diaphoresis, or excessive sweating, also frequently occurs as part of the body's response to the severe stress of the syndrome. Tachycardia refers to an increased heart rate, which can happen as a compensatory mechanism in response to the stress and increased metabolic demands that hyperthermia and other symptoms create.

Hypotension, however, is not a typical symptom of NMS. While changes in blood pressure can occur in some patients, NMS is more often associated with hypertension or a stable blood pressure rather than hypotension. The combination of rigidity, altered mental status, and autonomic instability characterizes NMS, making hypotension less characteristic compared to the other symptoms listed.