XPost: sci.med.psychobiology, sci.med.pharmacy, bionet.neuroscience   
   XPost: sci.med   
   From: bornfeldmung@dentaltwins.com   
      
   On 8/15/2011 8:49 PM, David Dalton wrote:   
   > I am on lithium and olanzapine.   
   >   
   > For a good while now I've had an occasional problem,   
   > first with drinking and more recently with eating   
   > as well, with my tongue not behaving and getting   
   > in the way and occasionally my jaw locking.   
   >   
   > In reading Oliver Sacks's  Musicophilia i came   
   > across the chapter on Musician's Dystonia with most   
   > cases being piano players' fingers but one case   
   > was a trumpet player who had problems with his   
   > lips, tongue and I think jaw.   
   >   
   > Thus I thought I might have a mild form of dystonia.   
   >   
   > A google search turned up that both lithium and   
   > olanzapine could cause such tardive dystonia   
   > though another study said olanzapine could be   
   > used to treat it.   But one study said that   
   > tetrabenazine was used to treat olanzapine-induced   
   > tardive dystonia and another study said that   
   > clozapine was used to treat lithium-induced   
   > tardive dystonia.   
   >   
   > If it was just my tongue it would be   
   > tardive lingual dystonia but it is more than   
   > my tongue so I think it is tardive oromandibular dystonia.   
   >   
   > I will meet with my psychiatrist on Thursday and   
   > will bring it up with him then but I welcome   
   > any tips you might have including to other case studies.   
   >   
      
      
   	I'm not an expert by any means.  I have more frequently heard of   
   so-called "neuroleptics" causing tardive dyskinesia.  Both dyskinesia   
   and dystonia are movement disorders, and apparently there is some   
   overlap of symptoms.  I have heard of musicians developing focal   
   dystonias (most famously the pianist Leon Fleisher)--probably related to   
   overuse.   
   	There are papers documenting the association of lithium with movement   
   disorder.  However, I would advise you to avoid doing your own on-line   
   research, and give a complete and detailed report to your psychiatrist.   
     What you call the condition is less important than that any problems   
   are identified and treated.   
      
   Good luck,   
   Steve   
      
   --   
   Mark & Steven Bornfeld DDS   
   http://www.dentaltwins.com   
   Brooklyn, NY   
   718-258-5001   
      
   --- SoupGate-Win32 v1.05   
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