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New to group...blended family, so much stress
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<blockquote data-quote="smallworld" data-source="post: 53153" data-attributes="member: 2423"><p>Let's take a look at those medications.</p><p></p><p>Strattera is dosed by weight. I don't know how much your difficult children weigh, but here is a chart to make sure they are being dosed correctly:</p><p></p><p><a href="http://www.johnswank.com/strattera_dosing_chart.htm" target="_blank">http://www.johnswank.com/strattera_dosing_chart.htm</a></p><p></p><p>Your difficult child I is taking Strattera for ADHD and Zoloft (I assume) for anxiety or depression. medications like Zoloft are dosed based on clinical response, and the maximum recommended dose for Zoloft is 200 mg. If he's acting spaced out on 200 mg, it could very well be too high for difficult child I. Furthermore, Strattera has been known to cause mood swings in kids and make them irritable and angry. And he's on two antidepressants (Strattera is an antidepressant), which may actually be exacerbating mood issues. Something to ask the psychiatrist about. </p><p></p><p>Your difficult child II is on two medications for ADHD: Focalin and Strattera. Why two medications for ADHD, and why is Zoloft being added? </p><p></p><p>Your difficult child III is on one medication for ADHD -- is it working? And why is Zoloft being added?</p><p></p><p>I personally would not go to a GP for heavy-duty medication management because it's not their expertise. I have on occasion consulted our pediatrician because he has general knowledge about these issues, but he was the first to say my kids' issues were beyond his expertise (the sign of a good doctor). Your kids' issues sound complicated, and I honestly think you need to find the best doctor around to manage their medications.</p></blockquote><p></p>
[QUOTE="smallworld, post: 53153, member: 2423"] Let's take a look at those medications. Strattera is dosed by weight. I don't know how much your difficult children weigh, but here is a chart to make sure they are being dosed correctly: [url="http://www.johnswank.com/strattera_dosing_chart.htm"]http://www.johnswank.com/strattera_dosing_chart.htm[/url] Your difficult child I is taking Strattera for ADHD and Zoloft (I assume) for anxiety or depression. medications like Zoloft are dosed based on clinical response, and the maximum recommended dose for Zoloft is 200 mg. If he's acting spaced out on 200 mg, it could very well be too high for difficult child I. Furthermore, Strattera has been known to cause mood swings in kids and make them irritable and angry. And he's on two antidepressants (Strattera is an antidepressant), which may actually be exacerbating mood issues. Something to ask the psychiatrist about. Your difficult child II is on two medications for ADHD: Focalin and Strattera. Why two medications for ADHD, and why is Zoloft being added? Your difficult child III is on one medication for ADHD -- is it working? And why is Zoloft being added? I personally would not go to a GP for heavy-duty medication management because it's not their expertise. I have on occasion consulted our pediatrician because he has general knowledge about these issues, but he was the first to say my kids' issues were beyond his expertise (the sign of a good doctor). Your kids' issues sound complicated, and I honestly think you need to find the best doctor around to manage their medications. [/QUOTE]
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