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Phoenix Rising - Psychiatric Survivor Archives of Toronto

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~<br />

The Tardive<br />

Dyskinesia Epidemic<br />

by Don Weitz<br />

The many "side effects" <strong>of</strong>the<br />

major tranquillizers, also known as<br />

"antipsychotic" drugs, neuroleptics<br />

and phenothiazines, have reached<br />

epidemic proportions. The most<br />

serious and widespread "side<br />

effect" is tardive dyskinesia (TD), a<br />

disorder <strong>of</strong> the central nervous<br />

system caused by such drugs as Thorazine<br />

(chlorpromazine), Stelazine,<br />

Mellaril, Moditen (also known as<br />

Modecate and, in the US, as Prolixin).<br />

"Antiparkinsonian" drugs<br />

like Cogentin and Artane, almost<br />

always administered with major<br />

tranquillizers to disguise their<br />

effects, aggravate the disorder. TD<br />

indicates brain damage and is generally<br />

permanent: treatment is limited<br />

to temporarily masking its<br />

symptoms. It is safe to assume that<br />

hundreds <strong>of</strong> thousands <strong>of</strong> people in<br />

North America are currently suffering<br />

from this disorder; it is estimated<br />

that as many as half the people<br />

given major tranquillizers develop<br />

TD.<br />

Tardive means "late-appearing"<br />

and dyskinesia means "abnormal<br />

muscular movement." TD was first<br />

identified and described in the early<br />

1960s, shortly after Thorazine-type<br />

drugs were introduced in psychiatric<br />

institutions. But the medical/psychiatric<br />

pr<strong>of</strong>ession has largely ignored<br />

its existence.<br />

TD is a grotesque and disfiguring<br />

disorder. As described by J. Horowitz<br />

in a 1978journal called Human<br />

Behavior, "The symptoms ...<br />

include slow, rhythmic and involuntary<br />

movements <strong>of</strong> the face and<br />

limbs; cheek-puffing; lip-smacking<br />

or lip-pursing; chomping <strong>of</strong> the<br />

tongue or repeated tongue thrusts in<br />

a 'fly-catcher' movement; occasional<br />

stiffening <strong>of</strong> the neck and<br />

arms, difficulty in swallowing or<br />

speaking; in severe cases, rotation<br />

<strong>of</strong> the ankles or toes, or wrist and<br />

finger movements .... " Serious<br />

respiratory problems and persistent<br />

vomiting or retching have also been<br />

reported as indications <strong>of</strong>TD. People<br />

with any <strong>of</strong> these bizarre symp-<br />

<strong>Phoenix</strong> <strong>Rising</strong> / 10<br />

toms are extremely vulnerable to<br />

being socially ostracized.<br />

Symptoms usually appear within<br />

six months to two years after the<br />

start <strong>of</strong> "treatment" with major<br />

tranquillizers, but have been known<br />

to appear within three weeks <strong>of</strong> continuous<br />

drug use. Some people suddenly<br />

develop the disorder a few<br />

days after the drug is stopped.<br />

Your likelihood <strong>of</strong> developing TD<br />

increases with increased dosage and<br />

duration <strong>of</strong> "antipsychotic" drugging.<br />

You are also at high risk if you<br />

get long-acting injections <strong>of</strong> the<br />

drugs or have bad muscle reactions<br />

to them, or if you already have<br />

brain damage or neurological problems.<br />

Women appear to be more<br />

susceptible than men.<br />

Of course, the best way not to get<br />

TD is never to take major tranquillizers.<br />

The second-best way is to take<br />

as Iowa dosage <strong>of</strong> them, and for as<br />

short a time, as possible. But if you<br />

are taking them now and want to<br />

stop, you should do so gradually,<br />

under the supervision <strong>of</strong> a physician<br />

if possible. "Cold turkey" withdrawal<br />

from these drugs can be very<br />

dangerous.<br />

Although TD results in permanent<br />

brain damage unless it is detected<br />

in its earliest stage and the use <strong>of</strong><br />

all major tranquillizers immediately<br />

discontinued, the American <strong>Psychiatric</strong><br />

Association has minimized its<br />

seriousness: " ... an alarmist view<br />

is unwarranted, especially since<br />

many cases are detected early and<br />

improve spontarieously."<br />

Most doctors prescribing major<br />

tranquillizers don't bother telling<br />

their patients about TD and other<br />

dangerous effects. It's time they<br />

did, so that people can decide whether<br />

they want to play Russian Roulette<br />

with brain-damaging psychiatric<br />

drugs.<br />

(Vol. 3 No.2: <strong>Phoenix</strong> Pharmacy)

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