Suggest Treatment For Oculogyric Crisis
Oh and he is on 15 MG a day of Abilify.
Oculoyric crisis
Detailed Answer:
Good afternoon. Your son's eye movement problem is consistent with a condition known as OCULOGYRIC CRISIS and is seen primarily with certain types of medications used for psychiatric issues. It occurs as the manifestation of a phenomenon known as DYSTONIA and in this case for some reason some patients are particularly susceptible to medication effects of their eyes. It could involve other parts of their bodies as well but is most uncomfortable and noticeable in the eyes.
When the medication begins to wear down in terms of serum concentration the problem relaxes....after the next dose...within 30-120 min. it starts back up again. His episodes are likely linked to when he started Abilify or within a time period from that time unless there are other medications he's on which you've not mentioned.
The treatment is preferably withdrawal of the medication and search for a reasonable substitute. Or the use of something on the order of either promethazine or benadryl. If your doctor who prescribed this medication is unaware of this type of effect then, he can look at this particle article that was written about a patient suffering the same sort of thing. The difference in this patient is that they were suffering from schizophrenia....but the particular problem the patient has doesn't matter.....it's the medication that is doing what it's doing.
J Pharmacol Pharmacother. 2012 Jul;3(3):279-81. doi: 10.4103/0976-500X.99446.
Aripiprazole-induced oculogyric crisis (acute dystonia).
Bhachech JT1.
This is not as uncommon as you may think and in my patients I've always seen quick and definitive resolution in short order after the medication has been stopped. I would prefer to see patients such as your son with autism treated with alternative means of personal intervention as opposed to using drugs...unless of course, the Abilify really makes a world of difference to his behavior or learning processes.....in the patients I typically see....it's generally very little to nothing....but I'm actually a bit of a fan of Abilify compared to other things.....except when it causes OCULOGYRIC CRISIS! :)
Cheers!
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