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<blockquote data-quote="pepperidge" data-source="post: 302950" data-attributes="member: 2322"><p>At one point when we were going up on Abilify we tried splitting it but am not sure it made a difference. I do think it might be a good idea though. I would be worried about going up on the daytrana because sometimes that can lead to greater anxiety. Before I threw out a bunch of patches, I would maybe ask the psychiatrist about bumping it with an add on pill form (Concerta?) --get a week's prescription or so and see what it does before going the 90 day route. What I would counsel against is going up both on Abilify and Daytrana at the same time. You should be able to tell in a few days whether you like the effects of Daytrana.</p><p></p><p>My youngest was on abiliby for several years. He totally bombed on all stims--made him anxious, hyperaware, more obsessed with wahtever idea. Abilify had a great impact on toning down his impulsiveness and I think it did also help his focus (which it has been reported to do, since it helps regulate dopamine). But now that he is going through puberty, we have definitely seen an increase in argumentiveness, modiness etc. He is not a BiPolar (BP) kid, though, more just emtionally disregulated with definite frontal lobe problems. We tried going up to 5 mg, but it made the moodiness and irritability worse. We then took him off of it, and it actually his mood seemed to have improved. So he is off anything for the moment. He's tried every class of drug and abilify is the only thing that helped even a little.</p><p></p><p>We also tried my oldest on abilify--who has definite depression issues--it didn't do anything.Niether did anti-depressants. Lamictal was what really made a difference in depression and irritability.</p><p></p><p>Just my experience, not trying to counsel you on what to do. Just whatever you do, do it step by step and one at a time.</p><p></p><p>I think new school, field trip, scheduling issues etc can throw all kids for a loop. Maybe you want to think about waiting a week until things settle down a little and then doing some medication changes. </p><p></p><p>Good luck. I bet the field trip will go well. They tend to do better without us sometimes,and the program he is in has surely dealt with kids with similar issues. I would be on tenderhooks too though. They'll be in touch if they need you...</p><p></p><p>Hugs.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 302950, member: 2322"] At one point when we were going up on Abilify we tried splitting it but am not sure it made a difference. I do think it might be a good idea though. I would be worried about going up on the daytrana because sometimes that can lead to greater anxiety. Before I threw out a bunch of patches, I would maybe ask the psychiatrist about bumping it with an add on pill form (Concerta?) --get a week's prescription or so and see what it does before going the 90 day route. What I would counsel against is going up both on Abilify and Daytrana at the same time. You should be able to tell in a few days whether you like the effects of Daytrana. My youngest was on abiliby for several years. He totally bombed on all stims--made him anxious, hyperaware, more obsessed with wahtever idea. Abilify had a great impact on toning down his impulsiveness and I think it did also help his focus (which it has been reported to do, since it helps regulate dopamine). But now that he is going through puberty, we have definitely seen an increase in argumentiveness, modiness etc. He is not a BiPolar (BP) kid, though, more just emtionally disregulated with definite frontal lobe problems. We tried going up to 5 mg, but it made the moodiness and irritability worse. We then took him off of it, and it actually his mood seemed to have improved. So he is off anything for the moment. He's tried every class of drug and abilify is the only thing that helped even a little. We also tried my oldest on abilify--who has definite depression issues--it didn't do anything.Niether did anti-depressants. Lamictal was what really made a difference in depression and irritability. Just my experience, not trying to counsel you on what to do. Just whatever you do, do it step by step and one at a time. I think new school, field trip, scheduling issues etc can throw all kids for a loop. Maybe you want to think about waiting a week until things settle down a little and then doing some medication changes. Good luck. I bet the field trip will go well. They tend to do better without us sometimes,and the program he is in has surely dealt with kids with similar issues. I would be on tenderhooks too though. They'll be in touch if they need you... Hugs. [/QUOTE]
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