A 16-year-old boy is brought to the clinic by his mother with complaints of strange noises and movements. The boy states, “I can’t stand that I make this weird noise with my mouth. I can feel it coming, and I try to stop it for as long as I can, but eventually it just comes out. The other kids at school make fun of me. It’s so embarrassing.” The mother reports that the boy gets good grades and has no trouble concentrating at home when doing homework. Which information does the nurse give the patient and his mother about the medication he will be prescribed?

Question

A 16-year-old boy is brought to the clinic by his mother with complaints of strange noises and movements. The boy states, &ldquo;I can&rsquo;t stand that I make this weird noise with my mouth. I can feel it coming, and I try to stop it for as long as I can, but eventually it just comes out. The other kids at school make fun of me. It&rsquo;s so embarrassing.&rdquo; The mother reports that the boy gets good grades and has no trouble concentrating at home when doing homework. Which information does the nurse give the patient and his mother about the medication he will be prescribed?

Accepted Answer

“If you notice different movements that you can no longer control, contact your provider immediately.”. Risperidone is the drug of choice for treatment of tics associated with Tourette Syndrome in the absence of ADHD symptoms. It can cause extrapyramidal symptoms (uncontrollable movements), which must be reported to the provider. Routine drug monitoring is not necessary for risperidone. Grapefruit juice is an acceptable drink to take with risperidone. The most common side effects are Parkinsonism and somnolence, not dry mouth.

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