Do antipsychotics cause tardive dyskinesia in elderly women?

Hello,

Welcome to icliniq.com.

I can understand your concern.

Your concern is very valid. The involuntary facial and hand movements you are noticing in your mother could indeed be tardive dyskinesia (TD), a condition that can develop after long-term use of certain antipsychotic medications, particularly the older or "typical" types. TD is characterized by repetitive, involuntary movements such as lip smacking, grimacing, blinking, or hand twitching.

While TD can be persistent and, in some cases, permanent, there are treatment options that can significantly improve symptoms. The first step is to consult her psychiatrist promptly. They will assess whether her current medication is contributing to these symptoms and may consider either reducing the dose, switching to a newer antipsychotic with a lower risk of TD (such as Clozapine or Quetiapine), or adding a specific medication that treats TD, such as Valbenazine or Deutetrabenazine, both FDA-approved for managing tardive dyskinesia.

It is important not to stop her antipsychotic medication abruptly, as this could lead to a relapse of her schizophrenia. Any changes should be made under close medical supervision.

In the meantime, supportive care, like physical therapy or occupational therapy, can sometimes help manage functional difficulties. Addressing her emotional well-being is also key, as TD can take a toll on confidence and social interactions.

Early intervention tends to yield better outcomes, so I encourage you to schedule a thorough review with her healthcare provider as soon as possible. You are doing the right thing by advocating for her.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.