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General Parenting
Change in Medication
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<blockquote data-quote="smallworld" data-source="post: 117496" data-attributes="member: 2423"><p>Welcome! Is the "personality change" occurring in the late afternoon? If so, it could be rebound, which is a common side effect of stimulant medications like Vyvanse. Basically, when the medication leaves the child's system, the child can experience emotional reactivity, hyperactivity, impulsivity and non-stop talking. I'd be especially suspicious it's related to Vyvanse if your difficult child's symptoms started when she switched to this medication.</p><p></p><p>There are a couple of routes you can take. You can ask the psychiatrist to add a short-activing stimulant (like regular Adderall) in the afternoons to smooth the rebound effect. Or you can ask to go back to Adderall (if that worked better) or another stimulant entirely. medications are a trial and error process, and sometimes it takes a few tries to get the right fit for your difficult child.</p><p></p><p>I have a child on Zyprexa, and I personally wouldn't go that route unless your difficult child's needs really push you into it. Zyprexa is a heavy-duty medication with lots of undesirable side effects. We had to use Zyprexa because my daughter completely stopped eating, was hospitalized and fed through an NG tube. Zyprexa was the only medication that put her on the road to recovery. </p><p></p><p>If you can't get this psychiatrist to work with you on the medications, you might need to get a second opinion with another psychiatrist.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 117496, member: 2423"] Welcome! Is the "personality change" occurring in the late afternoon? If so, it could be rebound, which is a common side effect of stimulant medications like Vyvanse. Basically, when the medication leaves the child's system, the child can experience emotional reactivity, hyperactivity, impulsivity and non-stop talking. I'd be especially suspicious it's related to Vyvanse if your difficult child's symptoms started when she switched to this medication. There are a couple of routes you can take. You can ask the psychiatrist to add a short-activing stimulant (like regular Adderall) in the afternoons to smooth the rebound effect. Or you can ask to go back to Adderall (if that worked better) or another stimulant entirely. medications are a trial and error process, and sometimes it takes a few tries to get the right fit for your difficult child. I have a child on Zyprexa, and I personally wouldn't go that route unless your difficult child's needs really push you into it. Zyprexa is a heavy-duty medication with lots of undesirable side effects. We had to use Zyprexa because my daughter completely stopped eating, was hospitalized and fed through an NG tube. Zyprexa was the only medication that put her on the road to recovery. If you can't get this psychiatrist to work with you on the medications, you might need to get a second opinion with another psychiatrist. Good luck. [/QUOTE]
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