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Sir: Ziprasidone is an atypical antipsychotic with higheraffinity for human serotonin-2A (5-HT2A) receptors thandopamine-2 (D2) receptors. It is reported to have minimal extrapyramidalside effects similar to that of placebo.1 However,there are reports of acute dystonia with ziprasidone.2,3 AMEDLINE/PubMed search using keywords dystonia and ziprasidonerevealed no published reports of tardive dystonia withziprasidone.