Which condition may lead to increased fall risk in patients on D2 antagonists?

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The condition that may lead to increased fall risk in patients on D2 antagonists is dizziness from neurolepsis. D2 antagonists, such as antipsychotic medications, can cause various side effects, with dizziness being particularly concerning. Neuroleptic medications affect dopamine pathways in the central nervous system, which can lead to side effects such as sedation and orthostatic hypotension, resulting in dizziness and an increased risk of falls.

While esophageal dysmotility can impact swallowing, it does not directly contribute to an increased risk of falls. Severe mood swings are also a consequence of psychiatric conditions rather than a specific side effect of D2 antagonists, and they may not have a direct influence on physical stability or balance. Hallucinations may complicate a patient's perception of reality but do not inherently affect their physical coordination or balance to the extent that dizziness can. Therefore, dizziness from neurolepsis is a critical concern for fall risk in patients receiving D2 antagonist therapy.

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