Huntington’s disease (HD): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Huntington’s disease (HD): treatment. Tetrabenazine, Deutetrabenazine, Valbenazine. Fully referenced neurology checklist.

Treatments of chorea: VMAT blockers

  • Tetrabenazine
  • Deutetrabenazine
  • Valbenazine

Treatments of chorea: Neuroleptics

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Treatments of chorea: other agents

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Treatments of depression

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Treatments of altered sleep-wake cycle

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Mood stabilisers

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Physical exercise

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Investigational treatments

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Acronym

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References

  1. Armstrong MJ, Miyasaki JN. Evidence-based guideline: pharmacologic treatment of chorea in Huntington disease. Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology 2012; 79:597–603.
  2. Novak MJU, Sarah J Tabrizi SJ. Huntington’s disease. BMJ 2010; 340:c3109.
  3. Huntington Study Group, Frank S, Testa CM, Stamler D, et al. Effect of deutetrabenazine on chorea among patients with Huntington disease. JAMA 2016; 316:40-50. 
  4. Frank S, Stamler D, Kayson E, et al; Huntington Study Group/Alternatives for Reducing Chorea in Huntington Disease Investigators. Safety of converting from tetrabenazine to deutetrabenazine for the treatment of chorea. JAMA Neurol 2017; doi: 10.1001/jamaneurol.2017.1352 (Epub ahead of print).
  5. Dean M, Sung VW. Review of deutetrabenazine: a novel treatment for chorea associated with Huntington's disease. Drug Des Devel Ther 2018; 12:313-319. 
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