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Concerta questions..
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<blockquote data-quote="susiestar" data-source="post: 85041" data-attributes="member: 1233"><p>My son did not have any heart problems we knew about, but this was before the recommendation was there to see cardio befoer use.</p><p></p><p>Concerta did not change my sons growth, he was on a fairly normal growth pattern for our family.</p><p></p><p>Is your son bipolar? The general guidelines for treating bipolar and adhd callfor mood stabilzer first, then stimulant if it is still needed. I don't think topomax is a first line mood stabilizer, but you will want to double check that.</p><p></p><p>Is there any possibility that what seems like adhd is really mania or mixed mood? I have seen a number of kids around here (kids with- same therapist or same school) who have NOT gotten the desired relief from stimulants because they needed mood stabilizersw. What the docs said was adhd, was actually mood problem When they were off stims and then on mood stabilizers, things improved. But it was trial and error, and a LONG time for 2 boys I know.</p><p></p><p>Concerta, ritalin , adderall, allseem to be very short lived in the body. Out of the system quickly. As for not taking them on vacation, off school days, well, wouldyou let him go off of insulin just because they weren't having cake at school that day? in my humble opinion, if my kid needs the medications, he needs them every day. IF he doesn't, then he does not.</p><p></p><p>Much of the growth studies I have seen indicate that when a child is taken off the medications (and sooner or later they all seem to need to be adjusted or whatever) they catch up to what is "normal" for them, given genetics, etc... Not sure if the papers I have seen this in are reporting studies that are properly done, might want to PM Sara about this. She really knows her stuff.</p><p></p><p>We had pretty good result with concerta until he took it with zoloft. For some reason that was a totally explosive combo, resulted in huge increases in violence. But that is problem just my son.</p><p></p><p>I would push for depakote or litium first. You may want to at least ask your doctor about them. The adults here who have bipolar have made comments in the past about antideppressants and toher medications making things worse, until they got moods stabilized. Explain to your sonthat concerta or other adhd medications may make things a whole lot worse. </p><p></p><p>Hope this helps,</p><p></p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 85041, member: 1233"] My son did not have any heart problems we knew about, but this was before the recommendation was there to see cardio befoer use. Concerta did not change my sons growth, he was on a fairly normal growth pattern for our family. Is your son bipolar? The general guidelines for treating bipolar and adhd callfor mood stabilzer first, then stimulant if it is still needed. I don't think topomax is a first line mood stabilizer, but you will want to double check that. Is there any possibility that what seems like adhd is really mania or mixed mood? I have seen a number of kids around here (kids with- same therapist or same school) who have NOT gotten the desired relief from stimulants because they needed mood stabilizersw. What the docs said was adhd, was actually mood problem When they were off stims and then on mood stabilizers, things improved. But it was trial and error, and a LONG time for 2 boys I know. Concerta, ritalin , adderall, allseem to be very short lived in the body. Out of the system quickly. As for not taking them on vacation, off school days, well, wouldyou let him go off of insulin just because they weren't having cake at school that day? in my humble opinion, if my kid needs the medications, he needs them every day. IF he doesn't, then he does not. Much of the growth studies I have seen indicate that when a child is taken off the medications (and sooner or later they all seem to need to be adjusted or whatever) they catch up to what is "normal" for them, given genetics, etc... Not sure if the papers I have seen this in are reporting studies that are properly done, might want to PM Sara about this. She really knows her stuff. We had pretty good result with concerta until he took it with zoloft. For some reason that was a totally explosive combo, resulted in huge increases in violence. But that is problem just my son. I would push for depakote or litium first. You may want to at least ask your doctor about them. The adults here who have bipolar have made comments in the past about antideppressants and toher medications making things worse, until they got moods stabilized. Explain to your sonthat concerta or other adhd medications may make things a whole lot worse. Hope this helps, Susie [/QUOTE]
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