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New to this forum...could really use HELP!!
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<blockquote data-quote="slsh" data-source="post: 310696" data-attributes="member: 8"><p>Hi Bellamia and welcome! So glad you found us.</p><p> </p><p>We were given thorazine when my difficult child was 7 or 8, as a prn medication during rages. I think we successfully got it into him once. It basically knocked him out. I thought it was a pretty poor strategy all around. A raging kid is not going to be compliant with medication taking, and putting him to sleep (basically chemically restraining him) didn't/doesn't seem to me to be a terribly effective way to deal with- the behaviors.</p><p> </p><p>Since we only used it the one time, I don't know what would have happened more long term, but I suspect, like Klonopin and Mellaril before it (both of which were daily medications for him), we would have had a couple of days of sedation and then his body/brain would have accommodated it and it would have had no effect at all.</p><p> </p><p>Risperdal (sometimes at pretty huge doses) was the most consistently effective medication for my kid. Didn't end the rages, nothing ever did, but it at least keep them more manageable most of the time. When he hit his teens, a psychiatrist added propranolol to the mix. Long story short, after several months of severe instability in an Residential Treatment Center (RTC), including the need for multiple chemical restraints weekly (we're talking broken windows, assaulting staff, etc.), the psychiatrist threw this out as an option to hopefully break the cycle of the raging and restraints. He was already on comparatively low-dose Risperdal (for him), the ever-present Depakote, and I think Geodon and Neurontin (but don't quote me on those 2). Anyway, I don't know if it was just that it was time for something to click for him or if it was the propranolol, but he had a pretty quick turn around in terms of intensity of his raging. It's of course an off-label use but... it worked.</p><p> </p><p>The hard thing is that medication management is 99% art and only 1% science (in my opinion anyway <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> ) - our kids can react so differently to the same medications. But I thought I'd throw out the idea of propranolol - you never know.</p><p> </p><p>Anyway, again - welcome!</p></blockquote><p></p>
[QUOTE="slsh, post: 310696, member: 8"] Hi Bellamia and welcome! So glad you found us. We were given thorazine when my difficult child was 7 or 8, as a prn medication during rages. I think we successfully got it into him once. It basically knocked him out. I thought it was a pretty poor strategy all around. A raging kid is not going to be compliant with medication taking, and putting him to sleep (basically chemically restraining him) didn't/doesn't seem to me to be a terribly effective way to deal with- the behaviors. Since we only used it the one time, I don't know what would have happened more long term, but I suspect, like Klonopin and Mellaril before it (both of which were daily medications for him), we would have had a couple of days of sedation and then his body/brain would have accommodated it and it would have had no effect at all. Risperdal (sometimes at pretty huge doses) was the most consistently effective medication for my kid. Didn't end the rages, nothing ever did, but it at least keep them more manageable most of the time. When he hit his teens, a psychiatrist added propranolol to the mix. Long story short, after several months of severe instability in an Residential Treatment Center (RTC), including the need for multiple chemical restraints weekly (we're talking broken windows, assaulting staff, etc.), the psychiatrist threw this out as an option to hopefully break the cycle of the raging and restraints. He was already on comparatively low-dose Risperdal (for him), the ever-present Depakote, and I think Geodon and Neurontin (but don't quote me on those 2). Anyway, I don't know if it was just that it was time for something to click for him or if it was the propranolol, but he had a pretty quick turn around in terms of intensity of his raging. It's of course an off-label use but... it worked. The hard thing is that medication management is 99% art and only 1% science (in my opinion anyway ;) ) - our kids can react so differently to the same medications. But I thought I'd throw out the idea of propranolol - you never know. Anyway, again - welcome! [/QUOTE]
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