When you go and see your doctor about TS, always bring your medication or prescription with you so that the doctor knows what you are taking. This means that you can look back and work out which treatment or combination worked best for you with the fewest side-effects. It can be useful to keep a diary of how you feel on each dose of medication or medication type. This should only be done in consultation with your doctor. if a person gets an acute reaction to a treatment). Stopping treatments suddenly is usually not a good idea, however sometimes, this has to be done (e.g.
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If too many changes are made quickly and the TS improves or gets worse, it is hard to know why.
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It is also advisable to make just one change at a time. This means that side-effects, if they do occur, can be more easily recognised and controlled. start at a low dose and increase the dose slowly). Treatments in TS usually follow the ‘start low, go slow’ rule (i.e. This requires discussion and agreement before treatment is started. Sometimes there can be different views about which symptoms are the main problem for example a child with TS may think the tics are the biggest problem, whilst the parents may be more concerned about behaviour in school. General rules for using medication to treat TS and related symptoms Sometimes therapies appear to be working well but this may be a period in which tics are naturally less severe. whether a combination of medications is necessary to treat the different symptoms.Īssessing the effectiveness of treatment is complicated by the fact that tics naturally ‘wax and wane’, meaning that periodically they get better and worse over time.which symptoms to treat - tics or the other conditions such as ADHD or OCD.The decisions that need to be made include: Clinicians need to work closely with patients and their families when deciding on the most appropriate medication, in order to balance potential risks and benefits of treatment with medication. Selecting treatment for TS is an individual process due to the wide range and severity of symptoms and the occurrence of associated conditions such as attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD) and depression. In some patients medication can be highly effective and a better solution than behavioural options. Unfortunately specialised therapists are often not available which increases the likelihood of medication being offered. In an ideal world behavioural treatments would more often be a first choice. Unfortunately side effects of the treatments are not uncommon and their effectiveness varies from person to person, so they are not beneficial for everyone who tries them. Medication can reduce symptoms and improve quality of life of people with TS when needed. Information about side effects given here is not intended to be comprehensive.
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If you have questions about medication for Tourette Syndrome (TS), you should discuss them with a specialist who can take into account individual factors.