Download FREE Practo app
Get ₹200 HealthCash
Tics disorder
Hello Doctor,
My brother has had a tic disorder(5years),he is now 15. His MRI and EEG were normal. 2-3years ago, he took medicines for about 6 months, which reduced his tics, but he gained significant weight, started spitting saliva. so the medicines were stopped ,we scared.
about a month ago, his tics were mild, mainly occasional hand movements. About a month ago, we restarted treatment with Arkmin and RPN tablets. Around 28 days later, as the medicines were finishing, his tics suddenly became much more severe. He developed shoulder movements and mild vocal tics.. We revisited to doctor, and now he is taking sizodon 5 mg and Arkamin.Could missing his medicines for 3 days have caused such a severe increase in his tics? Before restarting this course of medicines, his tics were much milder, so we are wondering if the recent worsening could be related to the medicines, stopping them suddenly, or another factor. please help us out.
Answers (5)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced psychiatrist online and get your health questions answered in just 5 minutes.
+132
Hi, thanks for reaching out. A sudden increase in tics can sometimes happen if medications are missed, especially if they were helping to suppress symptoms. However, tic disorders also naturally fluctuate over time, and stress, excitement, fatigue, poor sleep, or illness can make tics temporarily become much more noticeable. Missing medication for 3 days may have contributed, but it may not be the only reason for the worsening.
Since your brother’s tics have changed significantly and he has now developed shoulder and vocal tics, it is important to continue follow-up with his treating psychiatrist rather than stopping or changing medicines on your own. It may take some time for the current medication to show full benefit. It would also be helpful to discuss behavioral treatments such as Habit Reversal Training (HRT) or Comprehensive Behavioral Intervention for Tics (CBIT), which can be effective alongside medication. Take therapy. You can connect with me on nine two six six seven two six zero six five.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Recent worsening can be due to sudden stoppage of the medicines. Continue medicines regularly prescribed by psychiatrist.
Next Steps
Continue the medicines and consult your psychiatrist if side effects occurs.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hi, usually tics can worsen with stress and Anxiety.. check for any stressors before the event happened.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Indraja Sharma
Neuropsychiatrist
7 yrs exp
Kota
Yes, missing tic medications for 3 days may contribute to a rebound/worsening of tics in some patients, especially if the medication was helping suppress symptoms. However, a sudden increase in tics is more commonly related to the natural waxing and waning course of tic disorders, stress, anxiety, excitement, sleep deprivation, illness, or other environmental factors.
In this case:
* The worsening may be due to natural fluctuation of the disorder.
* Abrupt interruption of medication could have played a role.
* The medications themselves are unlikely to permanently worsen tics.
* Continue follow-up with the treating psychiatrist/neurologist and monitor response to the new treatment (Sizodon + Arkamin).
If severe new movements, rigidity, fever, or marked behavioral changes occur, seek urgent medical review.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.