Psychiatry

Answer 7 Discontinue risperidone. Treatment of tardive tic disorder should (when possible) begin with cessation of the offending agent, in this case risperidone.3 However, cessation of an antipsychotic will not always lead to an attenuation of the movement disorder. Little is known about the optimal treatment of persistent tardive tic disorder; however, case reports suggest that clonazepam and clozapine may be effective.3 In this case, clonazepam would only be considered if tics persisted after the cessation of risperidone. REFERENCE 3. Cummings JL, Mega MS. Neuropsychiatry and behavioral neuroscience. New York: Oxford University Press; 2003. Click here to return to the questions

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