DYSKINESIA MANAGEMENT
Explore Effective Dyskinesia Management Strategies: From Clonazepam for Paroxysmal Non-Kinesiogenic Dyskinesia to Tegretol and Dilantin for Paroxysmal Kinesiogenic Dyskinesia, this article delves into targeted pharmaceutical interventions.
2023-12-20 10:01:03 - Editor
DYSKINESIA MANAGEMENT
Paroxysmal Non-Kinesiogenic Dyskinesia
- Clonazepam
Paroxysmal Exertion Induced Dyskinesia
- Tegretol
Paroxysmal Hypnogogic Dyskinesia
- Tegretol
Paroxysmal Kinesiogenic Dyskinesia
- Tegretol
- Dilantin
- Acetazolamide (may be combined with tegretol)
Tardive Dyskinesia
Do not use trihexyphenidyl
Use GABA agonists:
- Clonazepam
- Keppra
- Gabapentin
Dopaminergic agents
- Amantadine
Alpha agonists
- Clonidine
0.1 mg po bid starting dose, OR 0.1 mg a day transdermal weekly patch
Remember to taper, danger of rebound hypertension when stopping.
Slowly taper off the offending neuroleptic if possible
Taper off any Anticholinergics
Neuroprotective agents such as Vitamin E may be added.
If all else fails: DBS to globus pallidus interna