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new here - medication monitoring?
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<blockquote data-quote="flutterby" data-source="post: 556609" data-attributes="member: 7083"><p>If you're not Canadian, the psychiatrist is the one who should be doing any blood work for monitoring, not the pediatrician. In the states, the pediatrician will defer to the psychiatrist on that because they don't the expertise with those medications. Zoloft doesn't require any monitoring. A baseline before or soon after starting Seroquel should be done, but that is such a teeny tiny dose I'm not sure if it's necessary (I'm also not a doctor). Therapeutic dose is up around 300-400mg. FWIW, my daughter gets anti-depressant and anti-anxiety benefits from Seroquel even though for her it is mainly prescribed for psychosis. She has massive anxiety and panic disorder, as well, and Seroquel has really helped. </p><p></p><p>Do watch for paradoxical reactions to the AD's as TeDo suggested. Anti-depressants make my daughter more depressed and suicidal. We thought it was just the SSRI's, but it has happened on a tricyclic now as well. I get the impression from the professionals that it's not all that common, but it's not unheard of either. She initially responded well to them, so it took some time to figure out that it was, in fact, the AD causing the problem.</p><p></p><p>ETA: The labs done on my daughter were CBC, electrolytes, renal and liver function, glucose, and cholesterol.</p></blockquote><p></p>
[QUOTE="flutterby, post: 556609, member: 7083"] If you're not Canadian, the psychiatrist is the one who should be doing any blood work for monitoring, not the pediatrician. In the states, the pediatrician will defer to the psychiatrist on that because they don't the expertise with those medications. Zoloft doesn't require any monitoring. A baseline before or soon after starting Seroquel should be done, but that is such a teeny tiny dose I'm not sure if it's necessary (I'm also not a doctor). Therapeutic dose is up around 300-400mg. FWIW, my daughter gets anti-depressant and anti-anxiety benefits from Seroquel even though for her it is mainly prescribed for psychosis. She has massive anxiety and panic disorder, as well, and Seroquel has really helped. Do watch for paradoxical reactions to the AD's as TeDo suggested. Anti-depressants make my daughter more depressed and suicidal. We thought it was just the SSRI's, but it has happened on a tricyclic now as well. I get the impression from the professionals that it's not all that common, but it's not unheard of either. She initially responded well to them, so it took some time to figure out that it was, in fact, the AD causing the problem. ETA: The labs done on my daughter were CBC, electrolytes, renal and liver function, glucose, and cholesterol. [/QUOTE]
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