NeuroRX

, Volume 3, Issue 2, pp 192–206 | Cite as

Contemporary assessment and pharmacotherapy of Tourette syndrome

  • Lawrence Scahill
  • Gerald Erenberg
  • Cheston M. Berlin
  • Cathy Budman
  • Barbara J. Coffey
  • Joseph Jankovic
  • Louise Kiessling
  • Robert A. King
  • Roger Kurlan
  • Anthony Lang
  • Jonathan Mink
  • Tanya Murphy
  • Samual Zinner
  • John Walkup
Article

Summary

To develop a guide to clinical assessment and pharmacotherapy for children and adults with Tourette syndrome (TS), we reviewed published literature over the past 25 years to identify original articles and reviews on the assessment and pharmacological treatment of Tourette syndrome, attention—deficit/hyperactivity disorder (ADHD) and obsessive—compulsive disorder (OCD). The literature search also included a survey of reviews published in book chapters. The assessment section was compiled from several reviews. Pharmacological treatments were classified into those with strong empirical support (as evidenced by two positive placebo-controlled studies for tics, OCD, or ADHD in TS samples); modest empirical support (one positive placebo-controlled study), or minimal support (open-label data only). We conclude that accurate diagnosis, including identification of comorbid conditions, is an essential step toward appropriate treatment for patients with TS. In many patients with TS, symptom management requires pharmacotherapy for tics or coexisting conditions. The evidence supporting efficacy and safety for medications used in patients with TS varies. But this evidence offers the best guide to clinical practice.

Key Words

Tourette syndrome ADHD OCD pharmacotherapy 

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Copyright information

© The American Society for Experimental NeuroTherapeutics, Inc. 2006

Authors and Affiliations

  • Lawrence Scahill
    • 1
    • 2
  • Gerald Erenberg
    • 1
  • Cheston M. Berlin
    • 1
  • Cathy Budman
    • 1
  • Barbara J. Coffey
    • 1
  • Joseph Jankovic
    • 1
  • Louise Kiessling
    • 1
  • Robert A. King
    • 1
  • Roger Kurlan
    • 1
  • Anthony Lang
    • 1
  • Jonathan Mink
    • 1
  • Tanya Murphy
    • 1
  • Samual Zinner
    • 1
  • John Walkup
    • 1
  1. 1.Tourette Syndrome Association Medical Advisory Board: Practice CommitteeUSA
  2. 2.Yale Child Study CenterNew Haven

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