What is your preferred VMAT2 inhibitor to treat tardive dyskinesia; tetrabenazine, valbenazine, or deutetrabenazine?

The base cost of tetrabenazine is much lower than valbenazine or deutetrabenazine, so I generally prefer it. However, due to insurance factors, valbenazine or deutetrabenazine can have lower out-of-pocket costs for some patients.

From a purely clinical management perspective, tetrabenazine is much ...

Lately, my preference has been for the ER formulation of deutetrabenazine. It's now easier to take as once a day and there are more gradations to titration compared to valbenazine and fewer drug interactions. Also, I have had several cases of patients developing a severe rash on valbenazine while I ...