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Re: Suggestions on treating Tardive Dyskinesia TD? » SLS

Posted by ed_uk2010 on November 13, 2020, at 18:45:22

In reply to Re: Suggestions on treating Tardive Dyskinesia TD? » ed_uk2010, posted by SLS on November 9, 2020, at 20:56:49

>>I didn't know that mild TD can resolve on its own over time.

Yes it can :) Especially in younger people. It often gets temporarily worse when antipsychotics are stopped completely, but then gradually better over time.

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

I've seen tetrabenazine used but no one stayed on it. It tends to cause depression. I can't imagine it having a use in mild TD.

Most of those with TD who need an ongoing antipsychotic for psychotic illness tend to end up on quetiapine... or if severely unwell, clozapine. But those who aren't psychotic are probably best using alternative meds rather than APs.

 

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