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In article <dalton-559EF0.22195615082011@news.eternal-september.org>,
 David Dalton <dalton@nfld.com> wrote:

> A google search turned up that both lithium and
> olanzapine could cause such tardive dystonia
> though another study said olanzapine could be
> used to treat it.   But one study said that
> tetrabenazine was used to treat olanzapine-induced
> tardive dystonia and another study said that
> clozapine was used to treat lithium-induced
> tardive dystonia.

The symptoms are often treated by botox injections.

-- 
David Dalton  dalton@nfld.com   http://www.nfld.com/~dalton (home page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
http://www.nfld.com/~dalton/dtales.html Salmon on the Thorns (mystic page)
   "Here I go again...back into the flame" (Sarah McLachlan)

On 8/15/2011 8:49 PM, David Dalton wrote:
> I am on lithium and olanzapine.
>
> For a good while now I've had an occasional problem,
> first with drinking and more recently with eating
> as well, with my tongue not behaving and getting
> in the way and occasionally my jaw locking.
>
> In reading Oliver Sacks's  Musicophilia i came
> across the chapter on Musician's Dystonia with most
> cases being piano players' fingers but one case
> was a trumpet player who had problems with his
> lips, tongue and I think jaw.
>
> Thus I thought I might have a mild form of dystonia.
>
> A google search turned up that both lithium and
> olanzapine could cause such tardive dystonia
> though another study said olanzapine could be
> used to treat it.   But one study said that
> tetrabenazine was used to treat olanzapine-induced
> tardive dystonia and another study said that
> clozapine was used to treat lithium-induced
> tardive dystonia.
>
> If it was just my tongue it would be
> tardive lingual dystonia but it is more than
> my tongue so I think it is tardive oromandibular dystonia.
>
> I will meet with my psychiatrist on Thursday and
> will bring it up with him then but I welcome
> any tips you might have including to other case studies.
>


	I'm not an expert by any means.  I have more frequently heard of 
so-called "neuroleptics" causing tardive dyskinesia.  Both dyskinesia 
and dystonia are movement disorders, and apparently there is some 
overlap of symptoms.  I have heard of musicians developing focal 
dystonias (most famously the pianist Leon Fleisher)--probably related to 
overuse.
	There are papers documenting the association of lithium with movement 
disorder.  However, I would advise you to avoid doing your own on-line 
research, and give a complete and detailed report to your psychiatrist. 
  What you call the condition is less important than that any problems 
are identified and treated.

Good luck,
Steve

-- 
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

In article <dalton-559EF0.22195615082011@news.eternal-september.org>,
 David Dalton <dalton@nfld.com> wrote:

> I am on lithium and olanzapine.
> 
> For a good while now I've had an occasional problem,
> first with drinking and more recently with eating
> as well, with my tongue not behaving and getting
> in the way and occasionally my jaw locking.
> 
> In reading Oliver Sacks's  Musicophilia i came
> across the chapter on Musician's Dystonia with most
> cases being piano players' fingers but one case
> was a trumpet player who had problems with his
> lips, tongue and I think jaw.
> 
> Thus I thought I might have a mild form of dystonia.
> 
> A google search turned up that both lithium and
> olanzapine could cause such tardive dystonia
> though another study said olanzapine could be
> used to treat it.   But one study said that
> tetrabenazine was used to treat olanzapine-induced
> tardive dystonia and another study said that
> clozapine was used to treat lithium-induced
> tardive dystonia.
> 
> If it was just my tongue it would be
> tardive lingual dystonia but it is more than
> my tongue so I think it is tardive oromandibular dystonia.
> 
> I will meet with my psychiatrist on Thursday and
> will bring it up with him then but I welcome
> any tips you might have including to other case studies.

I met with my psychiatrist today and he seemed to
think that both tardive dyskinesia and tardive
dystonia had been ruled out in my meeting with
a neurologist about two years ago.   But I don't
recall tardive dystonia coming up then.  Also the
symptoms have worsened some since then --- then
it was just a problem with drinking and now there
is some problem with eating as well; my tongue
sticks out and sometimes my jaw locks.  Anyway
he said he would look into it and also mentioned
that the neurology department at the hospital is
expanding in the fall so maybe I could get am
appointment with a neurologist more easily then,
especially if my symptoms worsen.   So far there 
is no effect on my speech.

I will meet with my psychiatrist again in 4 weeks.

-- 
David Dalton  dalton@nfld.com   http://www.nfld.com/~dalton (home page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
http://www.nfld.com/~dalton/dtales.html Salmon on the Thorns (mystic page)
   "Here I go again...back into the flame" (Sarah McLachlan)