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Tardive dyskinesia: managing a common neuroleptic side effect
D V Jeste1, A J Krull, K Kilbourn
1University of California, San Diego.
Geriatrics
|December 1, 1990
Summary
Neuroleptics effectively treat psychosis in the elderly but carry a high risk of tardive dyskinesia (TD). Careful neuroleptic use assessment and close monitoring are crucial for managing TD risks in older patients.
Area of Science:
- Geriatric Medicine
- Psychopharmacology
- Neurology
Background:
- Neuroleptics are commonly prescribed for psychosis and behavioral disturbances in elderly patients.
- Elderly individuals face an elevated risk of adverse effects from neuroleptic medications.
Observation:
- Persistent tardive dyskinesia (TD) is a significant and potentially irreversible side effect in older patients using neuroleptics.
- This review covers the diagnosis, risk factors, etiology, and management strategies for tardive dyskinesia.
Findings:
- Careful assessment of neuroleptic indications is paramount before initiating treatment.
- Close monitoring for TD and other side effects is essential during neuroleptic therapy.
- Collaborative decision-making with patients and families is vital for safe neuroleptic management.
Implications:
- Optimizing neuroleptic use in the elderly requires a balanced approach, weighing benefits against the risk of TD.
- Enhanced awareness and proactive management can mitigate the incidence and severity of tardive dyskinesia.
- Future research should focus on developing safer alternatives or improved management protocols for neuroleptic-induced movement disorders.