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What medications are used for cervical dystonia?

Among the oral medications used, dopaminergic agents (levodopa), anticholinergic agents (benztropine, trihexyphenidyl), baclofen and clonazepam are the most frequently used. These drugs are usually most effective in children with generalized dystonia.

What medications make dystonia worse?

Neuroleptics (antipsychotics), antiemetics, and antidepressants are the most common causes of drug-induced dystonic reactions. Acute dystonic reactions have been described with every antipsychotic. Alcohol and cocaine use increase risk.

Which medications can be given to treat dystonia who are the medications administered?


  • Carbidopa-levodopa (Duopa, Rytary, others). This medication can increase levels of the neurotransmitter dopamine.
  • Trihexyphenidyl and benztropine (Cogentin).
  • Tetrabenazine (Xenazine) and deutetrabenazine (Austedo).
  • Diazepam (Valium), clonazepam (Klonopin) and baclofen (Lioresal, Gablofen).

Do muscle relaxers help cervical dystonia?

Cervical dystonia treatment There are several treatment options for cervical dystonia. Medicines can help your neck muscles relax and reduce spasms. These include muscle relaxers and certain medicines used to treat Parkinson’s disease. Injections may also help.

Can Trihexyphenidyl make dystonia worse?

The BADS score was 2.67 points higher (95% confidence interval (CI) −2.55 to 7.90; low‐quality evidence), that is, worse dystonia, in the treated group. Trihexyphenidyl may be associated with an increased risk of adverse effects (risk ratio 2.54, 95% CI 1.38 to 4.67; low‐quality evidence).

Do muscle relaxers help dystonia?

Muscle relaxants are sometimes used to treat cases of dystonia that fail to respond to other types of medication. They work by increasing the levels of a neurotransmitter called gamma-aminobutyric acid (GABA), which helps to relax affected muscles.

Does Benadryl help dystonia?

Main Outcome Measure: Dystonia evaluation. Results: Diphenhydramine therapy was associated with minimal side effects, and it was most effective in treating patients with dystonia who experienced lightning jerks.

Is tetrabenazine used for dystonia?

Tetrabenazine is a presynaptic depleter of dopamine, a monoamine storage inhibitor that was first introduced in the 1970s for the management of hyperkinetic movement disorders and which reduces the muscle spasms without systemic side effects, and is also used in patients with generalized or multifocal dystonia [1,2,3].

Are there any medications that help with dystonia?

These drugs include Sinemet (levodopa) or Parlodel (bromocriptine). Drugs that block or deplete dopamine are generally discouraged from use in treating dystonia because of the risk of tardive syndromes which may worsen movement symptoms.

Which is the best treatment for dopa responsive dystonia?

Dopa-responsive dystonia (DRD) is a specific form of dystonia that most commonly affects children, and often can be well managed with levodopa. Deep brain stimulation (DBS) may be recommended for some individuals with dystonia, especially when medications do not sufficiently ease symptoms or the side effects are too severe.

When does dystonia affect only one specific action?

Over time, the symptoms may become more noticeable or widespread; sometimes, however, there is little or no progression. In some cases, dystonia can affect only one specific action, while allowing others to occur unimpeded. For example, a musician may have dystonia when using a hand to play an instrument, but not when using the same hand to type.

How long does it take for dystonias injections to work?

The toxin decreases muscle spasms by blocking release of the neurotransmitter acetylcholine, which normally causes muscles to contract. The effect typically is seen a few days after the injections and can last for several months before the injections must be repeated. The details of the treatment will vary among individuals.