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General Parenting
Puberty--effect on previously stable medications?
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<blockquote data-quote="smallworld" data-source="post: 210447" data-attributes="member: 2423"><p>How much total Lamictal is your difficult child taking now?</p><p> </p><p>Sharon is right -- the stomachache could be from the Lamictal (it's a known side effect). Or it could be from depression itself (my daughter gets headaches and stomachaches as a symptom of her depression). But you do need to rule out physical causes before settling on psychological. I absolutely recommend a visit to the pediatrician ASAP.</p><p> </p><p>I know she's not a boy, but my daughter is just starting puberty, and she was on 125 mg Lamictal until last spring when we started to see break-through mood episodes. We raised her Lamictal dose by 50 mg then, and her mood smoothed out. This fall again we saw irritability and school refusal creeping in and raised her Lamictal dose another 25 mg so she's now on 200 mg Lamictal (broken into even morning and evening doses). She is stable again with this medication increase. From what her psychiatrist said, I think this kind of medication adjustment is very common in puberty. I wouldn't be surprised if we'll have to make more medication adjustments as she continues to grow and change.</p><p> </p><p>FWIW, at age 14, my son's depression was so significant that he ended up in a day treatment program for 6 weeks. He was already on 400 mg Lamictal so both Zonegran and Seroquel, which help with depression, were added. He has been stable since he left day treatment in January, and we've even been able to lower his Zonegran and Seroquel doses. But he has stayed at 400 mg Lamictal throughout (this is the top level his neuro and psychiatrist felt comfortable with).</p><p> </p><p>It really stinks that you're between psychiatrists and the new one doesn't get glowing recommendations. However, is there any way you could call new psychiatrist's office Monday to see if you can get in sooner? You never know if there have been cancellations since you make your original appointment.</p><p> </p><p>C, I'm sorry you're struggling. Hugs.</p></blockquote><p></p>
[QUOTE="smallworld, post: 210447, member: 2423"] How much total Lamictal is your difficult child taking now? Sharon is right -- the stomachache could be from the Lamictal (it's a known side effect). Or it could be from depression itself (my daughter gets headaches and stomachaches as a symptom of her depression). But you do need to rule out physical causes before settling on psychological. I absolutely recommend a visit to the pediatrician ASAP. I know she's not a boy, but my daughter is just starting puberty, and she was on 125 mg Lamictal until last spring when we started to see break-through mood episodes. We raised her Lamictal dose by 50 mg then, and her mood smoothed out. This fall again we saw irritability and school refusal creeping in and raised her Lamictal dose another 25 mg so she's now on 200 mg Lamictal (broken into even morning and evening doses). She is stable again with this medication increase. From what her psychiatrist said, I think this kind of medication adjustment is very common in puberty. I wouldn't be surprised if we'll have to make more medication adjustments as she continues to grow and change. FWIW, at age 14, my son's depression was so significant that he ended up in a day treatment program for 6 weeks. He was already on 400 mg Lamictal so both Zonegran and Seroquel, which help with depression, were added. He has been stable since he left day treatment in January, and we've even been able to lower his Zonegran and Seroquel doses. But he has stayed at 400 mg Lamictal throughout (this is the top level his neuro and psychiatrist felt comfortable with). It really stinks that you're between psychiatrists and the new one doesn't get glowing recommendations. However, is there any way you could call new psychiatrist's office Monday to see if you can get in sooner? You never know if there have been cancellations since you make your original appointment. C, I'm sorry you're struggling. Hugs. [/QUOTE]
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Puberty--effect on previously stable medications?
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