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Prevent tardive dyskinesia: don't take Reglan.  Don't give Reglan to babies or children

10/16/2012

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Tardive Dyskinesia- repetitive, involuntary, purposeless movements.  Grimacing, tongue protrusion,  lip smacking, rapid eye blinking and rapid involuntary movements of the limbs may occur.  Walking may become difficult. 

In some variant extreme cases, affected individuals lose their ability to sit still.  Tardive dyskinesia is often misdiagnosed as a mental illness or ADHD. 

The facts are all there in wikipedia. http://en.wikipedia.org/wiki/Tardive_dyskinesia  And in the FDA black label website.http://www.fda.gov/Safety/MedWatch/SafetyInformation/ucm170934.htm  And in attorney websites looking for victims to sue the makers of Reglan.
Picture
Tardive Dyskinesia- I am imagining what it looks like. It is similar to tourettes syndrome with tics and involuntary movements.
The other morning 'tardive dyskinesia' popped into my head.  I thought, "That's weird." 

I remembered learning about tardive dyskinesia in my psych class in nursing school.  It happens to patients who are on long term psych meds.  I recognized it in a few patients in the lock-down unit of a nursing home I once worked at when I was a CNA.  That was a long time ago.

Why did tardive dyskinesia pop into my head today?    I googled it.

I saw an attorney website claiming that Reglan causes tardive dyskinesia and would anyone like to sue the makers of Reglan?  Call that attorney.  That's weird, i gave Reglan all the time as nurse to patients in the hospital.  It was standard.  I wondered if it was likely my patients were affected.

I found more websites, like the FDA website that reports Reglan is highly linked to tardive dyskinesia.  I read that tardive dyskinesia is permanent.  You can stop taking Reglan, but the tongue protrusions, grimacing and involuntary movements don't go away.  That is sad.  Socially debilitating. 

Then I found a slew of sites that blew my mind!

Women are advised to take Reglan to increase breast milk!  What?!!

Does it get into the breastmilk?   Yes, one site said, but not more than is normally given to babies with reflux.  

What?!!!  Reglan is given to babies?

No, no, no!  Is it worth the risk of permanent neurological damage to have more breast milk?  There are herbs and stress reduction techniques that can increase breast milk.  There are gentler ways to deal with infant reflux.   Why give prescription chemicals to a baby that risk permanent damage?  Why even give a small dose?  Why even give for a shorter time than it takes to get permanent damage? 

If it takes 12 weeks to get noticeable permanent damage, less than 12 weeks does not cause any damage at all?  It doesn't make sense.  Any dose for any length of time begins to cause changes in the brain that are noticeable and permanent after only 12 weeks.  It doesn't sound safe to me.  Tardive dyskinesia occurs in a large enough portion of the population that the FDA has made black box warnings.  Feeble warnings.  Warnings that no one is even aware of.

How many babies and children already have tardive dyskinesia but are misdiagnosed?  

Maybe it is not many...but if it is you or your precious little one, it is one too many.
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