Nicaraguan President Daniel Ortega accused his US counterpart Donald Trump of being mentally unstable for his military offensive against Iran that has roiled the Middle East and the global economy, AFP reports.

Ortega has a fraught relationship with Washington, which has branded the Nicaraguan government a dictatorship, accusing its leaders of seizing total power with a constitutional rewrite and crushing dissent.

“The war being waged in the way the current US president is waging it is typical of someone who has lost their mind and thinks they can do whatever they want, any kind of cruelty,” Ortega said during an event in Managua broadcast by state-run media.