Elderly Male With Extensive Medical History Presents with Possible Tardive Dyskinesia
A 71-year-old male presents with an extensive medical history with a worrisome addition of abnormal movements in his trunk, shoulder, tongue and lips afters stopping his prescribed aripiprazole. Previously, he had been diagnosed with hypertension, schizophrenia, Parkinson's disorder and depression. Though he had been compliant with his medications previously, he decided that he wanted to discontinue the aripiprazole which was dosed at 10 mg daily.
Over the course of his medical history, this patient was tried on a number of antipsychotic medications with less than satisfactory results. He is adamant that he does not want to resume the aripiprazole.
Does this patient's presentation meet the requirements of being tardive dyskinesia?
What is your medication plan for him at this point and why?