Is this possible??

Tardive Dyskenisia is a really serious side effect. And has to be treated as such as to not have permenant effects.

So the patient doesn't tolerate a med well and has asked for another...why is this an issue?

I guess I don't understand the question.

It doesn't really matter at this point if the reaction is an allergic response or an intolerance or a paradoxical effect...the patient doesn't want to take it because of the way it affected him and has requested another. That seems a perfectly reasonable thing to me.

Am I missing something?

You aren't missing anything. I've been an RN for two months, my preceptor (RN for three years) and another nurse that has been an LPN for many many more, both told me this was an impossible side effect and that this patient was drug seeking. I did not feel comfortable questioning their judgement, as I am still in orientation. I was also not aware that muscle relaxers could cause tardive dyskenisia, as in school it was only related to psych drugs, so thank you!

Also - gastro drugs are implicated in tardive dyskenesia, including

Reglan

Compazine

Propulsid

And norflex has caused dystonia in a handful of reported pts

I had a horrible reaction to compazine - td. Before i was a nurse. It was my first pregnancy and my husband and I were terrified. I have seen a similar reaction to Flexeril. It was a while ago. Pt put on Soma with no problems.