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Old 10-27-2008, 08:43 AM
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mrsD mrsD is offline
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mrsD mrsD is offline
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Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Question

Quote:
Originally Posted by bastille View Post
Hi all,
Most would agree with a non invasive approach and the TMS sounds good but they originally researched and trialed it for Parkinson's and other medical problems many years ago. There was a lot of debate and conflicting findings, you know how it goes?
Unless there is overwhelming +results it will fizzle out. I like many could benefit but as Mrsd said if it's not blocked or the price is excessive.

Mickeybee - Not many doctors recognise toxic signs, easier to pass it off as anxiety or another disorder. An elderly woman here was on lithium, prescibed a medication by her optometrist. As she was old several doctors suspected parkinson's. Routine visit to her GP required blood/lithium check, levels were elevated due to an interaction, she has Tardive dyskinesia.
Nick
Could you please elaborate on this? Which eye drop did the optometrist give?

I rarely see elderly patients on lithium. It was rare in the long term care facility. Renal function in the elderly is usually impaired to some extent making lithium hazardous to use.

Also lithium is not a common cause of Tardive. In fact, it has been used to REDUCE tardive in patients who have it:
http://linkinghub.elsevier.com/retri...24977X07001496

It is possible this elderly patient had a dystonia of some sort. But without a full examination of her med list it would be hard to say.

Cholinergic drugs like pilocarpine are not used much anymore for glaucoma. They do cause dystonias in some patients, especially in the higher dose range.

If you know more about this patient I'd like to see that data.
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