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Lithium not working
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<blockquote data-quote="smallworld" data-source="post: 114010" data-attributes="member: 2423"><p>Sorry your son is struggling. It sounds as if he's in hypomania or mania. I would definitely recommend stopping the Strattera, as others have posted. You should really forget all about trying to medicate ADHD-like symptoms because they're probably just part of the mood issues. That's what needs treatment at this point, in my humble opinion, not ADHD at all.</p><p></p><p>My son, who has a BiPolar (BP)-like mood disorder, is in a partial hospitalization (day treatment) progam right now. His attending psychiatrist immediately discontinued his ADHD stimulant (Focalin XR) and his antidepressant (Lexapro) and added a second mood stabilizer (Zonegran -- my son was already maxed out on Lamictal). The psychiatrist told us that kids with mood disorders frequently need two mood stabilizers for adequate symptom relief. </p><p></p><p>When Zonegran didn't contain my son's mania, the psychiatrist added Seroquel. The psychiatrist told us that Seroquel metabolizes faster and faster the longer you're on it. So a dose of 200 mg in time becomes the equivalent of 100 mg and in time the equivalent of 50 mg. You therefore need a good hefty dose to treat cycling and mania. Although my son is older than yours, his target dose is 800 mg (I don't know if we'll get there because of side effects, but that's the goal). I'm guessing that your son's 350 mg Seroquel needs to be boosted to be fully effective. </p><p></p><p>If things really spin out of control, you might want to consider a day treatment program for your son (the hours are similar to school hours). We've been struggling with medications for more than two years, and this is the first time we're really seeing progress. Day treatment has been the best thing we could have done for him.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 114010, member: 2423"] Sorry your son is struggling. It sounds as if he's in hypomania or mania. I would definitely recommend stopping the Strattera, as others have posted. You should really forget all about trying to medicate ADHD-like symptoms because they're probably just part of the mood issues. That's what needs treatment at this point, in my humble opinion, not ADHD at all. My son, who has a BiPolar (BP)-like mood disorder, is in a partial hospitalization (day treatment) progam right now. His attending psychiatrist immediately discontinued his ADHD stimulant (Focalin XR) and his antidepressant (Lexapro) and added a second mood stabilizer (Zonegran -- my son was already maxed out on Lamictal). The psychiatrist told us that kids with mood disorders frequently need two mood stabilizers for adequate symptom relief. When Zonegran didn't contain my son's mania, the psychiatrist added Seroquel. The psychiatrist told us that Seroquel metabolizes faster and faster the longer you're on it. So a dose of 200 mg in time becomes the equivalent of 100 mg and in time the equivalent of 50 mg. You therefore need a good hefty dose to treat cycling and mania. Although my son is older than yours, his target dose is 800 mg (I don't know if we'll get there because of side effects, but that's the goal). I'm guessing that your son's 350 mg Seroquel needs to be boosted to be fully effective. If things really spin out of control, you might want to consider a day treatment program for your son (the hours are similar to school hours). We've been struggling with medications for more than two years, and this is the first time we're really seeing progress. Day treatment has been the best thing we could have done for him. Good luck. [/QUOTE]
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