[Dysphagia] Reflux Medication Side Effects-Movement Disorders

[smhjr at surfbest.net (smhjr@surfbest.net)]

There are some new "gastric pacers" being tested right now. Hopefully
they will make it to market and we won't have to deal with these
nasty drugs anymore. I have seen one and they are really small and
easily placed.

Sara

---- Original Message ----
From: scott-dailey@uiowa.edu
To: eripley@yahoo.com, SuzMorris@aol.com, Dysphagia@b9.com
Subject: RE: [Dysphagia] Reflux Medication Side Effects-Movement
Disorders
Date: Mon, 2 Aug 2004 14:16:36 -0500

>I have seen these effects in diabetics who have significant
>neuropathy.  It has resultedin in dysphagia, dysarthria, and impaired
>limb function.  One women was at the point where she was refusing all
>medical intervention because she was not able to do anything for
>herself.  I recommended a palliative care consult.  The palliative
>care physician recognized the Reglan problem.  Med was discontinued
>and the women's functioning and her mood completely changed.  (I am
>assuming her mood/outlook improved as a result of her improved
>functioning).
>
>Scott Dailey
>Speech-Language Pathologist
>University of Iowa Hospitals and Clinics
>
>-----Original Message-----
>From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
>Behalf Of Irene Campbell-Taylor
>Sent: Monday, August 02, 2004 2:07 PM
>To: SuzMorris@aol.com; Dysphagia@b9.com
>Subject: Re: [Dysphagia] Reflux Medication Side Effects-Movement
>Disorders
>
>
>Suzanne
>Thank you for this. I have been trying to persuade physicians and
>others for years of the potentially devastating effects of these
>drugs on both young children and the elderly. In particular,
>domperidone, which is reputed not to cross the blood brain barrier,
>most certainly does, especially in adults and children who are, for
>whatever reason, neurologically vulnerable.
>Irene.
>
>SuzMorris@aol.com wrote:
>There is a recent journal article on the development of movement
>disorders 
>(i.e. tardive dyskinesia and other extrapyramidal signs) as side
>effects of 
>neuroleptic medications such as Reglan. It is a detailed and
>excellent summary 
>that provides extensive listings of symptoms to look for when a child
>(or adult) 
>is given one of these medications for reflux. There is a downloadable
>PDF 
>document of the entire article that is worth copying and sharing with
>clients, 
>parents and physicians.
>
>
>http://www.reflux.org/reflux/paghomfa.nsf/159edf97224144f98525691f000
>11fe4/2d3cd19e4757ae5b85256ea8001975f5?OpenDocument
>
>Anderson EP, Freeman EB. Recognition of movement disorders:
>extrapyramidal 
>side effects and tardive dyskinesias - Would you recognize them if
>you see them?
>Practical Gastroenterology, 2004; 28(5): 14-26.
>
>Abstract:
>Anti-emetic, anti-spasmodic and prokinetic medications commonly used
>in 
>gastroenterology are neuroleptics, a class of drugs which includes
>anti-psychotics 
>used for schizophrenia. These medications are capable of causing
>serious and 
>potentially permanent side effects. The manifestation of neuroleptic
>drug side 
>effects may range from dramatic and debilitating to very subtle. It
>has been 
>demonstrated repeatedly that these side effects often go
>unrecognized. Doctors 
>prescribing prokinetics, anti-emetics and anti-spasmodics need to be
>able to 
>recognize these side effects. A full description of the most common
>movement 
>side effects and the corresponding medical term is included as a
>resource list 
>for professionals and patients.
>
>
>
>Suzanne Evans Morris, Ph.D.
>New Visions
>1124 Roberts Mountain Rd.
>Faber, VA 22938
>(434) 361-2285 ext. 5
>www.new-vis.com
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>
>Dr I Campbell-Taylor
>Clinical Neuroscientist
>Exclusive Distributor:
>www.interactivetherapy.com
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