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Supported by an educational grant from Neurocrine Biosciences, Inc.

Drug-Drug Considerations in TD Treatment

Maria Mantas
JUNE 25, 2026

A new educational quiz from Psych Congress Network highlights the importance of evaluating potential drug-drug interactions when selecting a vesicular monoamine transporter 2 (VMAT2) inhibitor for patients with tardive dyskinesia (TD). The quiz is based on expert commentary from Desiree Matthews, PMHNP-BC, and emphasizes how differences in drug metabolism may influence treatment selection.

When you're confirming a treatment plan, you have to understand pathways in terms of metabolism and drug-drug interactions. I approach VMAT2 inhibitors and look at the patient as a whole on their needs and their current medical medications because this may have me go to one VMAT2 inhibitor over the other,” Matthews explained.

READ>>Anticipating Medication Interactions in Tardive Dyskinesia

The quiz asks clinicians why careful consideration of metabolic pathways is important when choosing a VMAT2 inhibitor for TD treatment. It reinforces that concomitant medications may alter drug metabolism, making an understanding of cytochrome P450 pathways and potential drug-drug interactions an important component of individualized treatment planning.

The educational activity encourages clinicians to consider the patient's complete medication profile when selecting therapy, recognizing that differences in metabolic pathways among available VMAT2 inhibitors may influence prescribing decisions. By testing knowledge of these pharmacologic principles, the quiz aims to support safe, patient-centered management of TD.

Reference
Matthews D. Anticipating medication interactions in tardive dyskinesia. Psych Congress Network. Published August 1, 2025. Referenced in: Drug-Drug Considerations in TD Treatment. Psych Congress Network. Published June 10, 2026.