Which is not true about Tardive Dyskinesia (TD):
Ans. D. Combining anticholinergics with antipsychotics prevents TDTardive dyskinesia (abnormal movements): wide variety of movements:* Lip smacking or chewing* Tongue protrusion (fly catching)* Choreiform hand movements (pill rolling or piano playing)* Pelvic thrustingSevere orofacial movements can lead to difficulty speaking, eating or breathing.Worse under stressONSET: Months to years, 50% of cases are reversibleTREATMENT:Stop anticholinergic if prescribed* Reduce dose of antipsychotic* Change to an atypical drug* Clozapine is antipsychotic most likely to be associated with resolution of symptoms
Clozapine is useful
Dopaminergic super sensitivity is the cause
Usually seen in perioral area
Combining anticholinergics with antipsychotics Prevents TD
Pharmacotherapy In Psychiatry