What are effective treatment options for tardive dyskinesia?

Question

Hello doctor,

I am reaching out to discuss some ongoing health concerns that have been significantly impacting my personal and professional life.

Approximately 18 months ago, I was prescribed antipsychotic medication to manage postpartum psychosis. Since then, I have developed involuntary facial movements, including constant tongue protrusion, lip smacking, and jaw movements. These symptoms have persisted even after discontinuation of the medication and seem to have worsened over time. As a teacher, these involuntary movements have made it challenging to perform my duties effectively. They have drawn unwanted attention from students and concerns from parents, leading me to take medical leave. This situation has been distressing and has taken a toll on my self-esteem and personal relationships.

I have come across information suggesting that these symptoms may be indicative of tardive dyskinesia, a condition that can sometimes be permanent. I am particularly concerned about the potential permanence of these symptoms and the impact they may have on my ability to return to work and support my family.

I would like to understand more about the treatment options available, especially those suitable for women who have experienced hormonal changes due to pregnancy and breastfeeding. Additionally, I am interested in consulting with specialists who have expertise in managing such conditions. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

It appears that you might be experiencing symptoms consistent with tardive dyskinesia (TD), a movement disorder often associated with prolonged use of certain antipsychotic medications. Regrettably, TD can sometimes persist even after discontinuing the causative medicines, and in some cases, it may become long-lasting or permanent.

Hormonal changes during pregnancy and breastfeeding can influence brain chemistry and may potentially affect the susceptibility or severity of TD. However, it is important to note that TD is primarily linked to medication exposure.

On a positive note, there are FDA-approved treatments available, such as Valbenazine and Deutetrabenazine , which have demonstrated efficacy in reducing TD symptoms. These medications are considered safe and effective options for managing TD symptoms, with fewer side effects and requiring less frequent dosing than older treatments.

Consulting a neurologist or a specialist in movement disorders is crucial, as they possess the expertise to assess your condition comprehensively and tailor an appropriate treatment plan.

Additionally, support groups and counseling services can provide emotional support, helping you cope with the challenges TD may present to your quality of life and self-esteem.

Recovery from TD can be gradual, and while complete resolution is not guaranteed, significant symptom improvement is achievable with proper care. Remember, you are not alone; there are healthcare professionals and support networks dedicated to assisting individuals managing TD.

Please consider seeking a referral to a movement disorder clinic or neurologist for a thorough evaluation and to explore suitable treatment options.

I hope this helps.

Please revert in case of further queries.

Thank you.