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Tourette’s

  • History of both Motor and Vocal tics, though may not be concurrent
  • Numerous times/day
  • Present for > 1 year; never more than 3 months tic-free 
  • Not due to a medical condition or substance use

Management

  • Psychosocial Interventions
  • Typical Antipsychotics (dopamine antagonists)
    • Haloperidol
    • Pimozide (Orap)
  • Atypical Antipsychotics
    • Risperidone 
  • Adrenergic agonists
    • Clonidine 
    • Others (co-morbidities)
    • ADHD
      • Stimulants
      • Atomoxetine 
    • Mood and anxiety disorders
      • SSRI’s

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