Tardive dyskinesia

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Background

  • orofacial involuntary movements
    • Described as grimacing, writhing and choreathetoid
    • Grimacing, Tongue movements, Lip smacking, Excessive eye blinking
  • Often occurs after years of treatment with neuroleptic agents

Management

  • Mild Symptoms: Cessation of the neuroleptic drug or decreasing the dose
  • Moderate to Severe Symptoms: Reserpine and tetrabenazine

Source

  • Hockberger RS, Richards JR: Thought Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 110: p 1460-1466