My lovely son is now 20 years old. I posted for many years on Tourettenowwhat site. So glad you are here. He had every kind of tic from age 10 til 18. I won't list them here, but they were motor, vocal, coprolalia, copropraxia.
We tried a few meds, liked Clonidine which really helped when his tics were painful and very extreme (screaming), and had great success with Taurine, supervised by a local MD who is also a naturopath (at that point, off the Clonidine).
Finally our BIG BREAK came when I took him to a local developmental pediatrician who specialized in autism (age 17). He did blood work and found a gluten sensitivity.
Since then, whenever he stays away from gluten, tics completely drop dramatically. He chooses pizza or crackers plus bread, a. he feels sick and b. he starts ticcing.
I would absolutely recommend blood work to look at gluten, casein, soy, corn, other common offenders. We did many foods but only came up with gluten.
Much luck, life gets better, there were hundreds of dark days and sleepless nights. Technically he was "not supposed" to grow out of this due to comorbids but really, to meet him now you'd never believe he suffered so much.