Treatments for Tourette Syndrome
Treatments for Tourette Syndrome
The list of treatments mentioned in various sources
for Tourette Syndrome
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Tourette Syndrome: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Tourette Syndrome may include:
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Drugs and Medications used to treat Tourette Syndrome:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Tourette Syndrome include:
Unlabeled Drugs and Medications to treat Tourette Syndrome:
Unlabelled alternative drug treatments for Tourette Syndrome include:
- Chlorpromazine
- Chlorpromanyl
- Largactil
- Novochlorpromazine
- Ormazine
- Thora-Dex
- Thorazine
- Thorazine SR
- Clonazepam
- Apo-Clonazepam
- Klonopin
- Med-Klonazepam
- Novo-Clonazepam
- Rhoxal-Clonazepam
- Rivotril
- Clonidine
- Apo-Clonidine
- Catapres
- Catapres-TTS
- Combipres
- Dixarit
- Duraclon
- Novo-Clonidine
- Nu-Clonidine
- Risperidone
- Risperdal
- Verapamil
- Alti-Verapamil
- Apo-Verap
- Calan
- Calan SR
- Chronovera
- Covera-HS
- Dom-Verapamil SR
- Gen-Verapamil
- Isoptin
- Isoptin SR
- Med-Verapamil
- Nu-Verap
- PMS-Verapamil
- Tarka
- Verelan
- Verelan PM
- Ziprasidone
- Geodon
Medical news summaries about treatments for Tourette Syndrome:
The following medical news items
are relevant to treatment of Tourette Syndrome:
Discussion of treatments for Tourette Syndrome:
The majority of people with TS require no medication,
but medication is available to help when symptoms interfere with
functioning. TS medications are only able to help reduce specific
symptoms. Neuroleptic and antihypertensive drugs can have long- and
short-term side effects, and use of stimulants is controversial.
Relaxation techniques and biofeedback may be useful in alleviating stress.
(Source: excerpt from
NINDS Tourette Syndrome Information Page: NINDS)
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Book Excerpts: Treatment of Tourette Syndrome
Treatments of Tourette Syndrome: Online Medical Books
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for more information about the treatments of Tourette Syndrome.
Chorea:
Treatment
(In a Page: Signs and Symptoms)
-
Huntington's disease: Antidepressants may reduce depressive symptoms; neuroleptics (e.g., haloperidol, clozapine) may suppress choreic movements; disease is progressive and fatal; genetic counseling is suggested
-
Sydenham's chorea is usually self-limited with symptom resolution within 15 weeks
-
Acute rheumatic fever: Corticosteroids may shorten course of chorea; antibiotic therapy with penicillin for at least 10 days
-
Drug-induced chorea: Discontinue or reduce dosage of implicated medications; atypical neuroleptics are associated with decreased risk of involuntary movements
-
Chorea gravidarum may require delivery
-
Wilson's disease: Copper-chelating agents
-
Neuroacanthocytosis: Usually fatal within 9 years of symptom onset
-
Specific therapy for lupus, hyperthyroidism, AIDS
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Chorea:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Treatment should be reserved for patients in whom chorea severity interferes with function
–Simple measures such as rest and avoidance of stress often alleviate symptoms
–Anti-epilepsy medications are used for paroxysmal choreas
–Dopamine blockers such as haloperidol and pimozide are used to decrease the movement disorder
-
Sydenham chorea
–May be treated with valproate or pimozide
–Immunosuppression with steroids, intravenous immunoglobulin or plasmapheresis have been used
–Secondary prophylaxis with penicillin is required
-
Wilson disease: Treat with penicillamine, trientene chelation, or zinc
-
In cases of toxin-induced chorea, removal of the offending agent is usually sufficient
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Myoclonus:
Emergency Interventions
(Handbook of Signs & Symptoms (Third Edition))
If you observe myoclonus, check for seizure activity. Take the patient’s vital signs to rule out arrhythmias or a blocked airway. Have resuscitation equipment on hand.
If the patient has a seizure, gently help him lie down. Place a pillow or a rolled-up towel under his head to prevent concussion. Loosen constrictive clothing, especially around the neck, and turn his head (gently, if possible) to one side to prevent airway occlusion or aspiration of secretions.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Seizures, generalized tonic-clonic:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If you witness the beginning of the seizure, first check the patient’s airway, breathing, and circulation, and ensure that the cause isn’t asystole or a blocked airway. Stay with the patient and ensure a patent airway. Focus your care on observing the seizure and protecting the patient. Place a towel under his head to prevent injury, loosen his clothing, and move any sharp or hard objects out of his way. Never try to restrain the patient or force a hard object into his mouth; you might chip his teeth or fracture his jaw. Only at the start of the ictal phase can you safely insert a soft object into his mouth.
If possible, turn the patient to one side during the seizure to allow secretions to drain and to prevent aspiration. Otherwise, do this at the end of the clonic phase when respirations return. (If they fail to return, check for airway obstruction and suction the patient if necessary. Cardiopulmonary resuscitation, intubation, and mechanical ventilation may be needed.)
Protect the patient after the seizure by providing a safe area in which he can rest. As he awakens, reassure and reorient him. Check his vital signs and neurologic status. Make sure to carefully record these data and your observations during the seizure.
If the seizure lasts longer than 4 minutes or if a second seizure occurs before full recovery from the first, suspect status epilepticus. Establish an airway, start an I.V. line, give supplemental oxygen, and begin cardiac monitoring. Draw blood for appropriate studies. Turn the patient on his side, with his head in a semi-dependent position, to drain secretions and prevent aspiration. Periodically turn him to the opposite side, check his arterial blood gas levels for hypoxemia, and administer oxygen by mask, increasing the flow rate if necessary. Administer diazepam or lorazepam by slow I.V. push, repeated two or three times at 10- to 20-minute intervals, to stop the seizures. If the patient isn’t known to have epilepsy, an I.V. bolus of dextrose 50% (50 ml) with thiamine (100 mg) may be ordered. Dextrose may stop the seizures if the patient has hypoglycemia. If his thiamine level is low, also give thiamine to guard against further damage.
If the patient is intubated, expect to insert a nasogastric (NG) tube to prevent vomiting and aspiration. Be aware that if the patient hasn’t been intubated, the NG tube itself can trigger the gag reflex and cause vomiting. Make sure to record your observations and the intervals between seizures.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Tic disorders:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Behavior modification and operant conditioning can help treat certain tic disorders. Psychotherapy can help the patient uncover underlying conflicts and issues as well as deal with the problems caused by the tics. Tourette syndrome is best treated with medications and psychotherapy.
No medications are helpful in treating transient tics. Haloperidol is the drug of choice for treating Tourette syndrome. Pimozide (an oral dopamine-blocking drug) and clonidine are alternative choices. Tetrabenazine has been used but is associated with depression of movement. Antianxiety agents may be useful in dealing with secondary anxiety, but they don’t reduce the severity or frequency of the tics.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Myoclonus:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you observe myoclonus, check for seizure activity. Take vital signs to rule out arrhythmias or a blocked airway. Have resuscitation equipment on hand.
If the patient has a seizure, gently help him lie down. Place a pillow or a rolled-up towel under his head to prevent concussion. Loosen any constrictive clothing, especially around the neck, and turn his head (gently, if possible) to one side to prevent airway occlusion or aspiration of secretions.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Seizures, generalized tonic-clonic:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you witness the beginning of the seizure, first check the patient’s airway, breathing, and circulation, and ensure that the cause isn’t asystole or a blocked airway. Stay with the patient and ensure a patent airway. Focus your care on observing the seizure and protecting the patient. Place a towel under his head to prevent injury, loosen his clothing, and move any sharp or hard objects out of his way. Never try to restrain the patient or force a hard object into his mouth; you might chip his teeth or fracture his jaw. Only at the start of the ictal phase can you safely insert a soft object into his mouth.
If possible, turn the patient to one side during the seizure to allow secretions to drain and to prevent aspiration. Otherwise, do this at the end of the clonic phase when respirations return. (If they fail to return, check for airway obstruction and suction the patient if necessary. Cardiopulmonary resuscitation, intubation, and mechanical ventilation may be needed.)
Protect the patient after the seizure by providing a safe area in which he can rest. As he awakens, reassure and reorient him. Check his vital signs and neurologic status. Be sure to carefully record these data and your observations during the seizure.
If the seizure lasts longer than 4 minutes or if a second seizure occurs before full recovery from the first, suspect status epilepticus. Establish an airway, start an I.V. line, give supplemental oxygen, and begin cardiac monitoring. Draw blood for appropriate studies. Turn the patient on his side, with his head in a semi-dependent position, to drain secretions and prevent aspiration. Periodically turn him to the opposite side, check his arterial blood gas levels for hypoxemia, and administer oxygen by mask, increasing the flow rate if necessary. Administer diazepam or lorazepam by slow I.V. push, repeated two or three times at 10- to 20-minute intervals, to stop the seizures. If the patient isn’t known to have epilepsy, an I.V. bolus of dextrose 50% (50 ml) with thiamine (100 mg) may be ordered. Dextrose may stop the seizures if the patient has hypoglycemia. If his thiamine level is low, also give thiamine to guard against further damage.
If the patient is intubated, expect to insert a nasogastric (NG) tube to prevent vomiting and aspiration. Be aware that if the patient hasn’t been intubated, the NG tube itself can trigger the gag reflex and cause vomiting. Be sure to record your observations and the intervals between seizures.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Tic disorders:
Treatment
(Handbook of Diseases)
Behavior modification and operant conditioning help treat some tic disorders. Psychotherapy can help the patient uncover underlying conflicts and issues as well as deal with the problems caused by the tics. Tourette syndrome is best treated with medications and psychotherapy.
No medications are helpful in treating transient tics. Haloperidol is the drug of choice for Tourette syndrome.
Pimozide (an oral dopamine-blocking drug) and clonidine are alternative choices. Antianxiety agents may be useful in dealing with secondary anxiety but do not reduce the severity or frequency of the tics.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Myoclonus:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
If your patient’s myoclonus is progressive, institute seizure precautions. Keep oral airway and suction equipment at his bedside, and pad the side rails of the bed. As needed, administer drugs that suppress myoclonus: ethosuximide, L-5-hydroxytryptophan, phenobarbital, clonazepam, or carbidopa. An electroencephalogram may be needed to evaluate myoclonus and related brain activity.
Because myoclonus may cause falls, remove potentially harmful objects from the patient’s environment, and remain with him while he walks. Be sure to instruct the patient and his family about the need for safety precautions in the home.
Patient teaching
Inform the patient about safety measures and seizure precautions. Discuss the importance of following the prescribed medication regimen and the need for drug level monitoring, as indicated. Refer him to social service or community resources, if appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Seizures, generalized tonic-clonic:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Closely monitor the patient for recurring seizure activity. Prepare him for a computed tomography scan or magnetic resonance imaging and EEG. Monitor therapeutic drug levels. Provide a safe environment and institute seizure precautions. Continue to monitor the patient’s vital signs and respiratory status. Provide supplemental oxygen, as indicated.
Patient teaching
Advise the patient’s family to observe and record his seizure activity to ensure proper treatment. Emphasize the importance of strict compliance with the drug regimen and warn the patient about its possible adverse effects. Stress the importance of regular follow-up appointments for blood studies. Provide information on alcohol or drug cessation programs if the seizure was related to withdrawal or abuse.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Chorea:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient and his family safety measures to reduce the risk of falls and poisoning. Discuss genetic counseling if Huntington’s disease is the cause of the patient’s chorea because each child of a parent with the disease has a 50% chance of inheriting it.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Myoclonus:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If you observe myoclonus, check for seizure activity. Take vital signs to rule out arrhythmias or a blocked airway. Have resuscitation equipment on hand. If the patient has a seizure, gently help him lie down. Place a pillow or a rolled-up towel under his head to prevent concussion. Loosen any constrictive clothing, especially around the neck, and turn his head (gently, if possible) to one side to prevent airway occlusion or aspiration of secretions.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Seizures, generalized tonic-clonic:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise the patient’s family to observe and record his seizure activity to ensure proper treatment. Emphasize the importance of strict compliance with the drug regimen, and warn the patient about adverse reactions. Also, stress the importance of regular follow-up appointments for blood studies.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Myoclonus:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If the patient's myoclonus is progressive, institute seizure precautions.
▪ Keep an oral airway and suction equipment at his bedside, and pad the bed's side rails.
▪ Because myoclonus may cause falls, remove potentially harmful objects from the patient's environment, and remain with him while he walks.
▪ As needed, administer drugs that suppress myoclonus: ethosuximide, L-5-hydroxytryptophan, phenobarbital, clonazepam, or carbidopa.
▪ Prepare the patient for an electroencephalogram, as indicated, to evaluate myoclonus and related brain activity.
Patient teaching
▪ Instruct the patient and his family about the need for safety precautions.
▪ Talk with the patient and family about seizure precautions.
▪ Refer the patient to social service or community resources, as needed.
▪ Explain the cause of myoclonic movement and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Tics:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Administer drugs, as indicated, to control tics.
▪ Provide referrals for psychotherapy, as indicated.
Patient teaching
▪ Explain the disorder and treatment plan.
▪ Help the patient identify and eliminate any avoidable stress.
▪ Discuss with the patient positive ways to deal with his anxiety.
▪ Offer emotional support to the patient and family.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Seizures, generalized tonic-clonic:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Institute seizure precautions.
▪ Closely monitor the patient after the seizure for recurring seizure activity.
▪ Prepare him for a computed tomography scan or magnetic resonance imaging and EEG.
▪ Administer anticonvulsants, as ordered, and monitor drug levels.
Patient teaching
▪ Explain the disorder and treatment plan.
▪ Teach the family how to observe and record seizure activity.
▪ Emphasize the importance of compliance with drug therapy and follow-up appointments.
▪ Tell the patient to carry medical identification.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Tics:
Tics - TREATMENT
(The 5-Minute Pediatric Consult)
Many tics do not interfere with the child’s life and do not require specific treatment. Thus, educating the child and the family about tics is often sufficient. Treatment decisions must take comorbid symptoms into account: Aim at the most bothersome symptoms. The waxing and waning nature of tics confounds treatment. It may take weeks to identify benefits of the medication.
» READ BOOK EXCERPT ONLINE »
Source: The 5-Minute Pediatric Consult, 2008
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