| Summary: | Background: Tardive dyskinesia is a neurological side effect of long term antipsychotics use. Incidence is common and found to be less prevalent with second generation antipsychotics than the first generation antipsychotics.
Case Description: We present to you a case of Tardive Dyskinesia in a 45 year old female after 18 months use of injection Paliperidone Palmitate.
Discussion: Incidence of Tardive dyskinesia has been reported to be low with both oral and injectable paliperidone, but no cases are reported in India.
Conclusion: This case is a stark reminder that all antipsychotics on prolonged use can cause TD and the clinician should be vigilant to recognise and address this debilitating symptom even with the new generation antipsychotics.
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