- Abnormal twisting movements
- Abnormal postures due to sustained muscle contractions
Use of neuroleptic drugs, especially if the drugs:
- Are taken in high doses for longer than 6 months
- Are first generation drugs, which are the first drugs developed to treat a condition
- Use of metoclopramide and prochlorperazine—These medications are used to treat gastrointestinal problems, like nausea, vomiting, delayed bowel emptying, and gastroesophageal reflux disease (GERD), especially if taken more than 3 months
- Possible genetic factor
Having a disease that may require using neuroleptic drugs, such as:
- Mood or other psychiatric disorders
- Behavior problems that occur with psychiatric or neurologic disorders, such as agitation in Alzheimer’s disease
- Digestive disorders
- Sticking out the tongue
- Twisting the tongue
- Smacking lips
- Puckering lips
- Blinking eyes
- Facial tics
- Foot tapping
- Moving fingers as if playing the piano
- Rapidly moving arms, legs, or body
- Writhing movements
- Pelvic thrusts
- Noisy breathing
- Moving other parts of the body
- Taking certain drugs
- Purposely moving the affected body part
- Blood tests
- Imaging tests can evaluate the brain and surrounding structures. They may include:
|CT Scan of the Head|
|Copyright © Nucleus Medical Media, Inc.|
- Stop the neuroleptic medication
- Lower the dose
- Switch you to a different medication
- Recommend vitamin B6 or vitamin E, which may reduce the risk of worsening symptoms
- Antiseizure drugs
- Antipsychotic drugs that may help with movement disorders
Talk with your doctor about:
- Risks and benefits of the medication
- Whether the dose is right for you and how well the drug is working
- Other medications you can try that have less risk of TD
- Whether you can take a drug holiday to take a break from using the medication
- Even a small symptom of TD that you have—early treatment works best
- Do not stop taking your medication without first talking to your doctor. If you stop the drug right away, it may trigger TD.
- See your doctor on a regular basis as advised.
National Alliance on Mental Illness http://www.nami.org
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov
Canadian Mental Health Association http://www.ontario.cmha.ca
Mental Health Canada http://www.mentalhealthcanada.com
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Tardive dyskinesia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 23, 2011. Accessed July 29, 2013.
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- Reviewer: Rimas Lukas, MD
- Review Date: 06/2015 -
- Update Date: 06/02/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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