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    How to cure Tourrett's syndrome and depression?

    Mental Health
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      Anup last edited by

      Mrs P, a 68 year-old married housewife, lives with her husband on a farm. She presented to the Emergency Department at the Medical Centre with diarrhoea and moderate dehydration following bowel resection two weeks earlier to remove carcinoid tumours. This follows a two-and-a-half year history of diarrhoea and weight loss, which has seen Mrs P become increasingly housebound and more dependent on her husband, who suffers Tourrett's syndrome and depression, for care. Her current critical state follows closely on the suicide of her youngest daughter (aged 39 years) in March 2021.

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        Farhid @Anup last edited by

        @anup There's no cure for Tourette syndrome. Treatment is aimed at controlling tics that interfere with everyday activities and functioning. When tics aren't severe, treatment might not be necessary. Medications to help control tics or reduce symptoms of related conditions include:
        Medications that block or lessen dopamine. Fluphenazine, haloperidol (Haldol), risperidone (Risperdal) and pimozide (Orap) can help control tics. Possible side effects include weight gain and involuntary repetitive movements. Tetrabenazine (Xenazine) might be recommended, although it may cause severe depression.
        Botulinum (Botox) injections. An injection into the affected muscle might help relieve a simple or vocal tic.
        ADHD medications. Stimulants such as methylphenidate (Metadate CD, Ritalin LA, others) and medications containing dextroamphetamine (Adderall XR, Dexedrine, others) can help increase attention and concentration. However, for some people with Tourette syndrome, medications for ADHD can exacerbate tics.

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