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Kaplan Qbank USMLE



Author2 Posts
  #1

What causes TD?

Is the following correct:?
Neuroleptics (which decrease dopamine) cause Tardive Dyskinesias (tongue protrusion, tremors and spasms of body). I have read that TDs are Parkinson like Effects (which makes sense because both neuroleptics and parkinsons have decreased dopamine in common.
In Kaplan Behav. its written "Anti-Parkinson drugs aggravate TD"
I was wondering why this is because Anti-Parkinson drugs increase dopamine, whereas Neuroleptics decrease dopamine, so how can they both be responsible for the same side effects?
Even if you give Anti-muscarinics for Parkinsons, this decreases Ach; what does this have to do with TD?
Please explain. Very confused.
Thanks.

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  #2

Dr.Virgo I explained this in the pharm forum.








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