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General Parenting
psychiatrist responded...
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<blockquote data-quote="pepperidge" data-source="post: 20202" data-attributes="member: 2322"><p>when my youngest was having the facial grimaces etc (like smallworld's we weren't sure it was tics or a dystonic reaction) the psychiatrist said to put them on cogentin. It is an anti-Parkison's drug that is used to treat dystonic reactions. If it were me, I would write back to the psychiatrist (or call first thing Chicago time) and ask about decreasing the Risperdal dose immediately to where it was before while you think about next steps. If she had those problems on the lower dose, I might discuss discontinuing it. </p><p></p><p>My take on it was that (and I forgot which drug it is, have to look back in my notes) I didn't want to start messing around with drugs to treat the side effects of other drugs and we d/c whatever drug was giving the facial issues. HOwever, my child's therapist said that she had seen lots of parkison's type patients and he did not appear to be having a dystonic reaction so maybe that is not what he had. Its hard to tell when the doctor can't observe it. </p><p></p><p>Calling your pediatrician. urgently in the morning is a good idea. </p><p></p><p>And I can understand that you are certainly bummed out about not having a good psychiatrist handy. </p><p></p><p>Could you talk to your pediatrician about an urgent appointment at whatever teaching hospital is closest? Does your local emergency room handle child psychiatric patients? Ours didn't until recently so we would have been transferred three hours away probably. It might be worth finding out what the scoop is there--your pediatrician. ought to know. </p><p></p><p>hang in there, I am sorry your husband is not around to help.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 20202, member: 2322"] when my youngest was having the facial grimaces etc (like smallworld's we weren't sure it was tics or a dystonic reaction) the psychiatrist said to put them on cogentin. It is an anti-Parkison's drug that is used to treat dystonic reactions. If it were me, I would write back to the psychiatrist (or call first thing Chicago time) and ask about decreasing the Risperdal dose immediately to where it was before while you think about next steps. If she had those problems on the lower dose, I might discuss discontinuing it. My take on it was that (and I forgot which drug it is, have to look back in my notes) I didn't want to start messing around with drugs to treat the side effects of other drugs and we d/c whatever drug was giving the facial issues. HOwever, my child's therapist said that she had seen lots of parkison's type patients and he did not appear to be having a dystonic reaction so maybe that is not what he had. Its hard to tell when the doctor can't observe it. Calling your pediatrician. urgently in the morning is a good idea. And I can understand that you are certainly bummed out about not having a good psychiatrist handy. Could you talk to your pediatrician about an urgent appointment at whatever teaching hospital is closest? Does your local emergency room handle child psychiatric patients? Ours didn't until recently so we would have been transferred three hours away probably. It might be worth finding out what the scoop is there--your pediatrician. ought to know. hang in there, I am sorry your husband is not around to help. [/QUOTE]
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