What must be done prior to treatment of tardive dyskinesia (TD)?

Updated: Oct 17, 2018
  • Author: James Robert Brasic, MD, MPH; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Answer

Before administering any treatment that may block dopamine receptors, obtain informed written consent. In addition, all patients currently treated with dopamine antagonists, even those with schizophrenia treated with traditional neuroleptics for many years, merit reevaluation for possible change of medication. Atypical antipsychotics, such as risperidone and clozapine, appear to have a lower risk of tardive dyskinesia (TD).

Obtain written informed consent to acknowledge the risk of possible TD from patients treated with dopamine antagonists for any diagnosis including migraine, hiccups, and gastroesophageal reflux. Movement disorders may be aggravated by the administration of dopamine-receptor blocking drugs. Throughout the course of therapy, reevaluate the need for continuation of neuroleptics. [42, 43, 41, 35, 37, 38] Patients with TD who require continued treatment with a neuroleptic may benefit from atypical neuroleptics.


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