Posted by novelagent on February 19, 2012, at 0:08:33
In reply to tardive akathisia, posted by Doc49 on February 15, 2012, at 12:49:34
> I have a patient with treatment refractory depression who has tardive akathisia from adjunctive aripiprazole. She has been off ari for several months and I have tried B blocker artane even reserpine without effect. She got the akathisia during her treatment for depression so a hair of the dog that bit you approach seems futile. Ideas?
>>>>>>>>A dopamine agonist should work, but if it doesn't, one sure fire way to solve the problem is a botox injection into the arch of the foot. It is the joint of the primary (starting) foot in which the sensation to move is focused in. If these nerve endings are paralyized, so is the akathisia. There is research of this in tardive dykensia, yet not likely in tardive akathisia. Yet if it's bad, I suspect the patient will be welcoming of any hope.
Fortunately, the dopamine agnoists (Aricept, etc.) should do the trick.
poster:novelagent
thread:1010334
URL: http://www.dr-bob.org/babble/20120212/msgs/1010775.html