Treatment for Tourette 

Flowchart nodes

• Always Educate Px and Family

• Mild Sx

• Does not requiere Rx

• Treatment for Tourette 

• Severe Sx

• Might requiere Rx and Behavioral Tx

• Goal of Rx

• To reduce tics to the point of not causing anguish

• So tics dont interfere with functioning

• Rx are not a cure; take time for desired effect

• Types of Rx Tx

• Antipsychotics

• Injection for affected muscle

• Stimulants

• Block DA and are FDA approved

• Aripiprazol-Abilify

• Pimozida-Orap

• Haloperidol-Haldol

• Best option

• Botulina-Botox

• Used for simple or vocal tics

• Can help with atention and concentration

• Only to be used when Comorbid with ADHD

• Alpha-adrenergic agonist

• High pressure meds that can help with impulse control and anger

• Quanfacina-Intuniv

• Colinidina-Catapres/Kapvay