Posted by Christ_empowered on January 8, 2021, at 18:03:44
In reply to Re: Neuroleptic weight gain dose dependend? Linearly?, posted by Lamdage22 on January 8, 2021, at 5:54:35
I think there are a couple of more or less standardized examinations for TD. The AIMS test is the big one, I think. I don't think it has to be a doctor who does it...nurses can, with appropriate training. -if- someone has movements that meet the criteria for TD, etc. there's also an AIMS scale, so then both the treatment provider and the person being treated have any idea of how severe the movement disorder is at the moment, compared to other cases.
problem: neuroleptics both cause TD and suppress the movements. Way back when, common 'treatment' for both TD and what doctors would now recognize as drug-induced akathisia involved increasing the dosage, often to massive amounts. With TD, this -did- suppress movements (not just TD, either), but often led to the development of severe, sometimes crippling TD. and with akathisia...well, that just shut people up, so they stopped pacing and complaining. psychiatry...-sigh-
the fda has approved...2 new drugs for TD, I think. both are (as one would expect) ridiculously expensive in the US. I don't know anything about adverse effects, long term anything, etc. sorry about that.
as neuroleptics are tapered and discontinued, movements can show up that were suppressed. sometimes, it -is- true TD and that will require some sort of treatment (the 'alternative' health people still recommend E, I think also B6, melatonin...honestly, it seems that every antioxidant, ever, could potentially help). Some cases of withdrawal-emergent movement disorders just...go away, or at least get better, over time.
sorry about all this. i had tics and such...I think it was part drug-induced (all "atypicals," btw) and also part severe anxiety...combined, it was just...rough, let's put it that way. now, I'm facial tic free and still stuck on an 'atypical,' so...maybe all the antioxidants, etc. do help?
ok. I hope things get better for you. :-)
poster:Christ_empowered
thread:1113209
URL: http://www.dr-bob.org/babble/20201025/msgs/1113292.html