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Re: swallowing excessive from clozapine TD » Jeroen

Posted by SLS on June 2, 2008, at 7:16:44

In reply to swallowing excessive from clozapine TD, posted by Jeroen on June 2, 2008, at 4:45:49

> swallowing excessive from clozapine
>
> day 3 :(
>
> also my pillow is wet and the feeling to swallow is strange,
>
> is this TD

It is not TD because it is not latent (tardive). Clozapine will usually hide these dyskinesias, anyway. It occurs much later in treatment. It may be some initial startup EPS that will disappear in a week or two. However, if you have had true TD in the past, you may have to take a second look at the swallowing problem.

It is rare (0.5%), but trouble swallowing is a symptom of neuroleptic malignant symdrome (NMS). It could happen at any time during treatment with antipsychotics. There are reports in the medical literature of NMS occurring with clozapine. Check your temperature. If it is significantly elevated, please call your doctor.

I guess what I am trying to say is that you have very little to worry about. If you have any doubts, I recommend that you speak to your doctor rather than rely on PB to act as a physician for you. You might suggest to him that you would like him to administer an Abbreviated Dyskinesia Rating Scale (ADRS).


- Scott

 

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