A member asked:

I take abilify (aripiprazole) for my bipolar disorder because nothing else works for me. i love it, but i have to take cogentin daily to prevent td spasms. can td become permanent?

9 doctors weighed in across 4 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

TD: Abilify (aripiprazole) can help to prevent akathesia and tardive dystonia (which are not permanent). Tardive dykinesia can be permanent. My patients are very happy with ablify too.

Answered 11/12/2015

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Dr. Pamela Pappas answered

Specializes in Psychiatry

Dystonia: Dystonic reactions (the "spasms" you mention) are more acute than tardive dyskinesia, a chronic disorder which can become permanent. Cogentin can relieve dystonia, and perhaps combat td but not as well. Adjusting antipsychotic medicines to the smallest effective dose that controls psychotic symptoms can be challenging. Abilify (aripiprazole) seems to present less movement issues than other antipsychotics.

Answered 11/12/2015

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Dr. Jeffrey Satinover answered

Specializes in Psychiatry

Yes: Almost all the dystonias caused by medications are reversible, but "tardive dystonia" is the unusual exception. See the movement disorder center discussion at the university of florida. http://mdc.mbi.ufl.edu/dystonia/tardive-dystonia. As good as Abilify (aripiprazole) is, and better than earlier medications like it, this is a concern that you and your psychiatrist should discuss frankly.

Answered 5/2/2016

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Dr. Alan Ali answered

Specializes in Psychiatry

TD: Although rare, especially with newer generation antipsychotics such as abilify, (aripiprazole) td is irreversible.

Answered 10/4/2016

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