Tourette's syndrome
Useful in patients with ADHD.
>4 years, 25microgram daily, then after 1-2 weeks 50microgram daily, can increase by 25microgram every 2 weeks to max. 300microgram daily. Given in 1-3 divided doses.
>4 years, 25microgram daily, then after 1-2 weeks 50microgram daily, can increase by 25microgram every 2 weeks to max. 300microgram daily. Given in 1-3 divided doses.
>4 years, 25microgram daily, then after 1-2 weeks 50microgram daily, can increase by 25microgram every 2 weeks to max. 300microgram daily. Given in 1-3 divided doses.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
4-8 years; Day 1 - 0.25mg, day 2 - 0.5mg, day 3 - 0.75mg.
8-15 years; Day 1 - 0.5mg, day 2 - 1mg, day 3 - 1.5mg.
≥15 years; Day 1 - 1mg, day 2 - 2mg, day 3 - 3mg.
All doses are twice daily. Increase dose according to response. Usual maintenance in adolescents is 4-8mg/day, maximum 16mg/day. However, doses above 10mg/day have not been shown to be more effective and side-effects are more likely.
Prescribing Notes:
- Risperidone and sertraline combination has been reported useful in cases of coexisting obsessive compulsive disorder.
- For treatment of obsessive component of Tourette’s syndrome, see the Obsessive compulsive disorder recommendations.
- Monitor blood pressure and pulse on starting clonidine treatment and after each dose increase. Avoid abrupt withdrawal.
- European clinical guidelines for Tourette syndrome and other tic disorders highlights the importance of diagnosing and treating coexisting conditions.
History Notes
27/10/2022
East Region Formulary content agreed.