Presenter: Dr. Roger Kurlan
View the webinar’s corresponding slide presentation here
Dr. Kurlan discusses the medications that are commonly prescribed, those prescribed in the past and still used today as well as medications new to the market.
Webinars
Comments(20)
KelleyT says:
April 13, 2017 at 12:09 pmWhat is your experience with SSRIs causing suicidal ideation in older adolescents with TS & OCD?
Dr. Roger Kurlan says:
May 2, 2017 at 1:12 pmSuicidal ideation can sometimes occur during the first few weeks/months of SSRI treatment. Those with TS, OCD do not have any more risk for this problem.
KelleyT says:
April 13, 2017 at 12:09 pmYour thoughts on medical marijuana, hemp oil or cbd oils – are any effective?
Dr. Roger Kurlan says:
May 2, 2017 at 1:13 pmThere is little research on marijuana, hemp oil, cbd oil. They may indirectly lessen tics by relaxing the individual using them, but there is no current evidence that they directly suppress tics.
KelleyT says:
April 13, 2017 at 12:09 pmWhat has been your experience with gabapentin for anxiety?
Dr. Roger Kurlan says:
May 2, 2017 at 1:13 pmGabapentin is not a particularly useful medication for anxiety.
KelleyT says:
April 13, 2017 at 12:10 pmHow does CBT benefit an essentially reflexive disorder?
Dr. Roger Kurlan says:
May 2, 2017 at 1:14 pmOCD is not “reflexive”
KelleyT says:
April 13, 2017 at 12:11 pmWe had success with the weight gain/metabolic disorder using Metformin while on Abilify, as an anti-weight gain medication. Is that recommended?
Dr. Roger Kurlan says:
May 2, 2017 at 1:15 pmThis would be a question for a pediatrician or Internist.
KelleyT says:
April 13, 2017 at 12:11 pmmany pharmacological references recommend giving larger doses of guanfacine by breaking it up; ie….three times a day. ex. 6mg for an adolescent. Break it up to 2mg tid or 3mg bid. For larger doses in larger patients, is the once daily at night still appropriate at max doses?
Dr. Roger Kurlan says:
May 2, 2017 at 1:17 pmTenex is given in doses of 1-4mg/day. A single bedtime dose is fine for this dose range.
KelleyT says:
April 13, 2017 at 12:12 pmSome schools want to classify TS as a mental illness. But it is a neurobiological disorder. Do you categorize it as a cross -over disorder, mental disorder or neurological disorder?
Dr. Roger Kurlan says:
May 2, 2017 at 1:19 pmI classify TS as a medical/neurological disorder.
KelleyT says:
April 13, 2017 at 1:01 pmHave any genes been identified related to TS?
Dr. Roger Kurlan says:
May 2, 2017 at 1:11 pmTenex also only needs to be given once daily (usually at bedtime). There is no advantage of Intuniv, it is more expensive and has unpredictable absorption into the bloodstream/brain.
Admin says:
May 2, 2017 at 1:19 pmYour thoughts please on keppra and orap?
Dr. Roger Kurlan says:
May 2, 2017 at 1:20 pmOrap is a classical antipychotic. It is almost never prescribed anymore because it can adversely affect the heart rhythm and long term EKG monitoring is needed. The other antipsychotics do not carry this risk. There are some anecdotal reports of Keppra reducing tics, but there is little research evidence.
Admin says:
May 2, 2017 at 1:20 pmInterested in your comment/thoughts: the MOA of AP’s (risperidone) causes hyperprolactinemia with concomitant hypotestosterone. The symptoms include total impotence, loss of libido (in 96% of pts) and a life threateningly drop in free and total testosterone.
Dr. Roger Kurlan says:
May 2, 2017 at 1:21 pmAll antipsychotics raise prolactin levels and this is rarely a problem.