Deep Brain Stimulation and Treatment for Severe Tardive Dyskinesia

Tardive dyskinesia (TD) is typically caused by long-term use of dopamine receptor antagonists, especially neuroleptics, and can develop after months or years of medication use. The risk of developing TD is linked to the strength of a drug’s binding to dopamine receptors, with elderly patients being more susceptible.

VMAT1 and VMAT2 Key to Neurotransmitter Packing, Opening Avenues for Neurological Treatments

The vesicular monoamine transporters, VMAT1 and VMAT2, play crucial roles in packing neurotransmitters into synaptic vesicles, essential for neurotransmission and protecting cells from toxic cytosolic monoamines. While VMAT1 is primarily found in neuroendocrine cells, VMAT2 is predominant in the central nervous system and is implicated in various neurological and psychiatric disorders, including Parkinson’s disease and schizophrenia. VMAT2’s function in dopaminergic neurons is particularly significant, as it helps prevent oxidative stress by sequestering dopamine into vesicles, thereby reducing the production of harmful reactive oxygen species.

Managing VMAT2 Inhibitor Side Effects for Tardive Dyskinesia

At the 2021 Psych Congress Regionals, Dr. Rakesh Jain discussed the symptoms of tardive dyskinesia and provided updates on treatments, focusing on VMAT2 inhibitors. He addressed common side effects of the FDA-approved VMAT2 inhibitors, valbenazine and deutetrabenazine, and offered strategies for managing these side effects.