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Re: Suggestions on treating Tardive Dyskinesia TD? ed_uk2010

Posted by SLS on November 9, 2020, at 20:56:49

In reply to Re: Suggestions on treating Tardive Dyskinesia TD? SLS, posted by ed_uk2010 on November 9, 2020, at 16:17:09

> Hi Scott,
>
> It doesn't sound like your friend suffers from psychosis or mania. As a result, I would suggest avoidance of all antipsychotics completely.
>
> Reason: mild TD often resolves eventually... at least in those who are not elderly.
>
> I do not recommend any medication aimed at treating the symptoms, because the meds which can suppress the symptoms (eg. other antipsychotics) risk worsening the course of TD.
>
> Anticholingergics can (at times) aggravate TD so are usually avoided.
>
> Hopefully, it's possible to treat her depression without antipsychotics. This could resolve the situation in time.

Thanks, Ed. I didn't know that mild TD can resolve on its own over time. I'll let her know what everyone has said here. Her depression appears to me to be double-depression, but her dysthymia is pretty bad. She has no quality of life. Her previous doctor began giving her Abilify. She was on it for several years. More recently, she tried Latuda. The tongue movements began afterwards, but there had been a number of years separating the two treatments.

What do you think of the VMAT2 inhibitors for treating TD?

I hate watching anyone suffer, but particularly people who live in the torturous altered state of consciousness that we call mental illness.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.

 

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