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Tic (movement) disorder

Disorders characterized by recurrent TICS that may interfere with speech and other activities. Tics are sudden, rapid, nonrhythmic, stereotyped motor movements or vocalizations which may be exacerbated by stress and are generally attenuated during absorbing activities. Tic disorders are distinguished from conditions which feature other types of abnormal movements that may accompany general medical conditions. (From DSM-IV, 1994)

Source: MeSH

What are the symptoms?

Within all the people who go to their doctor with tic (movement) disorder, 90% report having abnormal involuntary movements, 49% report having headache, and 36% report having abnormal movement of eyelid. The symptoms that are highly suggestive of tic (movement) disorder are abnormal involuntary movements, abnormal movement of eyelid, and stiffness all over, although you may still have tic (movement) disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with tic (movement) disorder often receive psychotherapy, mental health counseling, other diagnostic procedures (interview; evaluation; consultation), magnetic resonance imaging, electroencephalogram (eeg), ophthalmic examination and evaluation, other diagnostic radiology and related techniques and other diagnostic procedures on skin and subcutaneous tissue .

Common Medications

The most commonly prescribed drugs for patients with tic (movement) disorder include clonidine, guanfacine (intuniv), methylphenidate, risperidone, dexmethylphenidate (focalin), atomoxetine (strattera), oxcarbazepine (trileptal), brompheniramine / dextromethorphan / guaifenesin / pseudoephedrine, mebendazole, clomipramine, fludrocortisone, paliperidone (invega) and fluvoxamine (luvox) .

Clonidine
$23
(28 days)
Guanfacine (Intuniv)
$14
(28 days)
Methylphenidate
$42
(28 days)
Risperidone
$107
(28 days)
Dexmethylphenidate (Focalin)
$128
(28 days)
Atomoxetine (Strattera)
$189
(28 days)
Oxcarbazepine (Trileptal)
$95
(28 days)
Mebendazole
$27
(7 days)
Clomipramine
$25
(28 days)
Fludrocortisone
$23
(28 days)
Paliperidone (Invega)
$626
(28 days)
Fluvoxamine (Luvox)
$44
(28 days)

Who is at risk?

Groups of people at highest risk for tic (movement) disorder include sex == male age 5-14 years. On the other hand, age < 1 years almost never get tic (movement) disorder.

Age

< 1 years
0.0x
1-4 years
1.1x
5-14 years
8.2x
15-29 years
0.5x
30-44 years
0.4x
45-59 years
0.2x
60-74 years
0.1x
75+ years
0.1x

Sex

Male
1.7x
Female
0.5x

Race/Ethnicity

Black
0.6x
Hispanic
1.0x
White
1.1x
Other
1.0x
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