Abstract
Three cases of tardive dyskinesia with psychotic symptoms (one presenile psychosis; two schizophrenia) were successfully treated with both clonidine and neuroleptics for 3 years. The dyskinesia abolished or reduced by clonidine returned several months after discontinvation of clonidine. During the follow-up study, it was observed that combining neuroleptics with clonidine was superior to thioridazine, levomepromazine, or sulpiride for controlling the dyskinesia. These findings suggest that noradrenergic involvement is important in tardive dyskinesia and that other subtypes of dyskinesia might exist.
References
Andén N-E, Grabowska M, Strömbom U (1976) Different alphaadrenoreceptors in the central nervous system mediating biochemical and functional effects of clonidine and receptor blocking agents. Naunyn-Schmiedeberg's Arch Pharmacol 292:43–52
Ferre RC (1982) Tourette's disorder and the use of clonidine. J Am Acad Child Psychiatry 21:294–297
Freedman R, Kirch D, Bell J, Adler LE, Pecevich M, Pachtman E, Denver P (1982) Clonidine treatment of schizophrenia — doubleblind comparison to placebo and neuroleptic drugs. Acta Psychiatr Scand 65:35–45
Gold ME, Redmond DC, Kleber HD (1978) Clonidine blocks acute opiate-withdrawal symptoms. Lancet ii:599–602
Jeste DV, Linnoila M, Fordis CM, Phelps BH, Wagner RL, Wyatt RJ (1982) Enzyme studies in tardive dyskinesia. III. Noradrenergic hyperactivity in a subgroup of dyskinetic patients. J Clin Psychopharmacol 2:318–320
Jimerson DC, Post RM, Stoddard FJ, Gillin JC, Bunney WEJr (1980) Preliminary trial of the noradrenergic agonist clonidine in psychiatric patients. Biol Psychiatry 15:45–57
Nishikawa T, Tanaka M, Koga I, Uchida Y (1980) Tardive dyskinesia treated with clonidine. Kurume Med J 27:209–210
Nishikawa T, Tanaka M, Tsuda A, Kohno Y, Nagasaki N (1983) Differential effects of clonidine on α1- and α2-adrenoceptors in foot-shock-induced jumping behavior. Eur J Pharmacol (in press)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nishikawa, T., Tanaka, M., Koga, I. et al. Combined treatment of tardive dyskinesia with clonidine and neuroleptics: A follow-up study of three cases for three years. Psychopharmacology 80, 374–375 (1983). https://doi.org/10.1007/BF00432124
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00432124