Question 23 (part 2) · LEK · Cross-cutting topics
A 26-year-old male with a history of tics (eye blinking and snorting) presents to the doctor as he is worried by their frequency over the last six months. The symptoms began at the age of 12 (blinking) and 16 (snorting). Initially, psychotherapy and exercise reduced their frequency. Currently, however, the episodes of tics occur many times a day, which causes the patient to feel embarrassed. As a result, his work productivity has been reduced and he has become unwilling to socialize. Which of the following is the most appropriate form of pharmacotherapy for this patient?
- A. carbamazepine.
- B. fluvoxamine.
- C. methylphenidate.
- D. risperidone.
- E. venlafaxine.
Hint
Chronic motor and vocal tics starting before 18 and now impairing function — which drug class has the best evidence for suppressing tics?
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