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Bromocriptine in tardive dyskinesia.

J E Häggström, U Andersson, L M Gunne

    Pharmacopsychiatria
    |September 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Bromocriptine showed mixed effects on tardive dyskinesia in schizophrenic patients. While it did not affect symptoms during neuroleptic treatment, it later improved or worsened dyskinesia after neuroleptic withdrawal.

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    Area of Science:

    • Neuroscience
    • Psychiatry
    • Pharmacology

    Background:

    • Tardive dyskinesia is a potential side effect of neuroleptic treatment.
    • The dopamine agonist bromocriptine's effect on tardive dyskinesia is not fully understood.

    Purpose of the Study:

    • To investigate the efficacy of bromocriptine in treating tardive dyskinesia in patients with schizophrenia.
    • To assess bromocriptine's impact on psychotic symptoms during and after neuroleptic treatment.

    Main Methods:

    • A two-period, 8-week study involving six patients (five schizophrenic, one alcoholic) with tardive dyskinesia.
    • Bromocriptine was administered during neuroleptic treatment and again after a 3-week neuroleptic washout period.

    Main Results:

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  • Bromocriptine had no significant effect on tardive dyskinesia during concurrent neuroleptic treatment.
  • After neuroleptic withdrawal, bromocriptine led to amelioration of dyskinesia in three patients and aggravation in two.
  • Schizophrenic patients experienced psychotic symptom deterioration during bromocriptine treatment post-neuroleptic withdrawal, which resolved upon discontinuation.
  • Conclusions:

    • Bromocriptine's effect on tardive dyskinesia appears dependent on the presence of neuroleptic medication.
    • Bromocriptine may exacerbate psychotic symptoms in schizophrenic patients when neuroleptics are withdrawn.