Tardive dyskinesia

Stressed young man sitting on stairs outdoors

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Tardive dyskinesia

A friend of mine put her kid on Abilify — an antipsychotic treatment — on the counselor’s recommendation.

Much to her horror, her kid started displaying tics and involuntary body movements.

This is a condition called tardive dyskinesia and it can be permanent.

And it actually affects many men who are on different things…it’s not just about kids.

These movements most commonly involve the mouth, tongue, facial muscles, and upper extremities. Axial dyskinesias may also occur.

To make matters worse, nobody told her about this potential common side-effect. Not the counselor, not her doctor.

My friend got lucky. Her kid’s symptoms of tardive dyskinesia disappeared when she went off abilify…

…but not everyone gets that lucky. 

And you should KNOW about this potential side effect before you go on one of the treatments that can cause it.

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Before I go further into this, it’s very important that you know to never go off of an antipsychotic med like abilify without consulting with your doctor.

Many antipsychotic meds require stepping down gradually under a doctor’s supervision.

Tardive Dyskinesia (TD) is a COMMON Side Effect of Antipsychotics

1 of the things that BLOWS me aways is how common of a side effect that this potentially permanent muscle tic is.

Recent reports state that the prevalence of tardive dyskinesia (TD) is 32% with typical antipsychotics, and 13% with atypical antipsychotics.

With nearly 1 out of 3 people who take treatments like Thorazine, Haldol, and Prolixin getting TD…

…and over 1 out of 10 people on the highly hyped Abilify getting it…

…you would think that doctors would MAKE SURE people know this is a potential side-effect and that it’s common.

Here are the treatments that commonly cause tardive dyskinesia:

  • Chlorpromazine
  • Fluphenazine
  • Haloperidol
  • Perphenazine
  • Prochlorperazine
  • Thioridazine
  • Trifluoperazine

And here are treatments where it’s a known side-effect, but  where TD is less common:

  • Metoclopramide (for stomach problems)
  • Antidepressants
    • Amitriptyline
    • Phenelzine
    • Sertraline
    • Trazodone
  • Levodopa (for Parkinson’s)
  • Anti-seizure treatments
    • Phenobarbital 
    • Phenytoin

Chemical-Induced Tardive Dyskinesia Can Be Permanent!

To make all of this SO MUCH WORSE. TD can be permanent — even AFTER you go off the treatment that caused it!

Neuroleptic-induced tardive dyskinesia (TD) that persists for 1 year or more following withdrawal of neuroleptics is usually said to be permanent. 

Before you go on any of the treatments listed above make sure you discuss the risks and rewards with your doctor.

I am personally not willing to go on a treatment that can cause TD unless there is absolutely no other alternative. And even then I would think long and carefully about it.

If you have to go on one of these treatments and start experiencing involuntary movements, make SURE that you talk to your doctor immediately.

Withdrawing from the treatment is often the best option, but with most of these treatments withdrawal needs to be under doctor supervision.

It’s extremely frustrating that a symptom as serious at tardive dyskinesia is not often better disclosed. 

It’s really up to you to know about it, because you might not be told otherwise.

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———-


Matt Cook is editor-in-chief of Daily Medical Discoveries. Matt has been a full time health researcher for 26 years. ABC News interviewed Matt on sexual health issues not long ago. Matt is widely quoted on over 1,000,000 websites. He has over 300,000 daily newsletter readers. Daily Medical Discoveries finds hidden, buried or ignored medical studies through the lens of 100 years of proven science. Matt heads up the editorial team of scientists and health researchers. Each discovery is based upon primary studies from peer reviewed science sources following the Daily Medical Discoveries 7 Step Process to ensure accuracy.