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medications question
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<blockquote data-quote="flutterbee" data-source="post: 41186"><p>I think it's generally best to start one new medication at a time so the effects can be tracked. Just like when introducing an infant to baby food and they tell you to start one food at a time so you can identify an allergy. They might add another medication to be used PRN (as needed), such as an antipsychotic like risperdal (good in low doses for impulse control), which wouldn't cause a conflict with this strategy. </p><p></p><p>It does take some time for lamictal to get to a therapeutic dose because they have to increase it so slowly. Lamictal is used as a mood stabilizer, but I believe it's used more for those whose bipolar has more of the depression issues as opposed to mania...so it would make sense to use in your kiddo, in my opinion. I'm not bipolar, but I've been trialed on lamictal because of my depression. I was even on risperdal PRN when my depression was severe.</p><p></p><p>There are no objective medical tests available to test for these disorders. There is no blood test to check serotonin levels, etc. So, there is a lot of trial and error involved. Have you ever read the DSM? So many of these disorders have overlapping symptomology. Then when you're dealing with children and adolescent minds, you have so many other factors playing into it that just further complicates the picture. I've read that statistically the average time it takes for a child with bipolar to be accurately diagnosis'd is 10 years. Keeping a journal of your difficult child's symptoms, a daily mood calendar, something along those lines would be really helpful for the psychiatrists and for you.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 41186"] I think it's generally best to start one new medication at a time so the effects can be tracked. Just like when introducing an infant to baby food and they tell you to start one food at a time so you can identify an allergy. They might add another medication to be used PRN (as needed), such as an antipsychotic like risperdal (good in low doses for impulse control), which wouldn't cause a conflict with this strategy. It does take some time for lamictal to get to a therapeutic dose because they have to increase it so slowly. Lamictal is used as a mood stabilizer, but I believe it's used more for those whose bipolar has more of the depression issues as opposed to mania...so it would make sense to use in your kiddo, in my opinion. I'm not bipolar, but I've been trialed on lamictal because of my depression. I was even on risperdal PRN when my depression was severe. There are no objective medical tests available to test for these disorders. There is no blood test to check serotonin levels, etc. So, there is a lot of trial and error involved. Have you ever read the DSM? So many of these disorders have overlapping symptomology. Then when you're dealing with children and adolescent minds, you have so many other factors playing into it that just further complicates the picture. I've read that statistically the average time it takes for a child with bipolar to be accurately diagnosis'd is 10 years. Keeping a journal of your difficult child's symptoms, a daily mood calendar, something along those lines would be really helpful for the psychiatrists and for you. [/QUOTE]
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