essential tremor, chorea, tics and related disorders Flashcards
treatment with this can be considered after an acquired non-progressive brain injury if rapid onset spasticity causes postural or functional difficulties
botulinum toxin type A
which drug is mainly used to control movement disorders in Huntington’s chorea and related disorders?
tetrabenazine
tetrabenazine is mainly used to …
control movement disorders in Huntington’s chorea and related disorders
which drug can be prescribed for the treatment of tardive dyskinesia (involuntary movements of face and jaw) if switching or withdrawing the causative antipsychotic drug is not effective?
tetrabenazine
how does tetrabenazine work?
depletes nerve endings of dopamine
tetrabenazine is only effective in a proportion of patients and its use may be limited by development of …
depression
these 4 antipsychotics, unlicensed indications, can be used to suppress chorea in Huntington’s disease
haloperidol
olanzapine
risperidone
quetiapine
HORQ
what is chorea
symptom that causes involuntary, irregular or unpredictable muscle movements. It affects your arms, legs and facial muscles
this antipsychotic can improve motor tics and symptoms of Tourette syndrome and related choreas
haloperidol
Haloperidol can also improve motor tics and symptoms of Tourette syndrome and related choreas. Other treatments for Tourette syndrome include …. (3)
pimozide (unlicensed indication) - ECG monitoring required
clonidine (unlicensed)
sulpiride (unlicensed)
trihexylphenydil in high dosage can also improve some movement disorders but sometimes it is necessary to ..
build the dose up over many weeks
these 2 antipsychotics are used to relieve intractable hiccup
roCHni
- chlorpromazine
- haloperidol
this drug is used to extend life in pt with motor neurone disease who have amyotrophic lateral sclerosis
riluzole
this drug is used as an adjunctive treatment for myoclonus of cortical origin. after an acute episode, attempts should be made every ….. to decrease or discontinue treatment
piracetam
every 6 months
This drug in some cases provides relief from benign essential tremor; the dose is increased slowly to reduce side-effects.
primidone (AED)
propranolol or another b-adrenoceptor blocking drug may be useful in ….
treating essential tremor or tremors associated with anxiety or thyrotoxicosis