Tardive Dyskinesia(TD)
by
Cynthia M. Johnson, MA DefinitionTardive dyskinesia (TD) is a movement disorder. It results from using medicines used to treat psychiatric problems, like schizophrenia. TD causes repeating movements you can’t control. They may affect the face, limbs, or trunk. CausesTD is caused by chronic use of certain antipsychotic medicines. It is not known why TD happens. Not all people who take these drugs get TD. Risk FactorsTD is more common in women. It is also more common in older adults. Other things that may raise your risk are:
SymptomsMovements may be once and a while or all of the time. They may or may not be noticed by others. Symptoms may start while on the medicine or within weeks of stopping it. You may have:
DiagnosisThe doctor will ask about your symptoms and health history. A physical exam will be done. There is no specific test for TD. It is suspected if you are taking these medicines and have movements you can’t control. Tests to rule out other disorders may include:
TreatmentTo treat TD, your doctor may:
Symptoms may get better over time even if you keep taking the medicine. Younger people tend to do better. MedicationSome medicines may help lower symptoms, such as:
SurgeryDeep Brain Stimulation (DBS) may be used on people who do not respond to medicine. PreventionTo help reduce your chances of TD from an antipsychotic drug:
RESOURCES:National Alliance on Mental Illness http://www.nami.org National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov CANADIAN RESOURCES:Canadian Mental Health Association http://www.cmha.ca Mental Health Canada http://www.mentalhealthcanada.com References:Bai YM, Yu SC, Linn CC.
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2008;9(9):1285-1306. Last reviewed May 2018 by
EBSCO Medical Review Board
Rimas Lukas, MD Last Updated: 6/13/2018 |
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