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General Parenting
The A-Typical Dilemma
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<blockquote data-quote="smallworld" data-source="post: 62744" data-attributes="member: 2423"><p>This article hits very close to home. M, my daughter who last summer developed a choking phobia that led to food refusal, hospitalization and NG tube feeding, has been taking a combo of Zyprexa and Prozac since last fall. This spring the psychiatrists involved in her case decided they wanted to wean M from Zyprexa because they were concerned about the long-term use of atypical antipsychotics, both from a neurodevelopmental perspective and a metabolic side-effect profile perspective. </p><p></p><p>Their concerns are not unfounded, but we ran into trouble making a thoughtful decision. When Zyprexa was decreased from 5 mg to 2.5 mg, M's lack of appetite and nausea resurfaced, as well as her "stuck" Obsessive Compulsive Disorder (OCD)-like thinking. She is no longer stable, and while the psychiatrists are increasing her Prozac, we're not entirely sure that's going to do it. In addition, given her siblings' hx with SSRIs, we run the risk of throwing her into mania.</p><p></p><p>Many parents like us find ourselves facing very difficult medication decisions. Our children have serious mental health challenges that hamper their very ability to function. I know beyond a doubt that Zyprexa helped M begin to eat again. I know it has helped her function like a normal 9-year-old. While I understand the desire to wean her from this medication, my concern is finding a new combo that will gain stability for her again. It's a crapshoot whether we'll find another combo that works as well.</p></blockquote><p></p>
[QUOTE="smallworld, post: 62744, member: 2423"] This article hits very close to home. M, my daughter who last summer developed a choking phobia that led to food refusal, hospitalization and NG tube feeding, has been taking a combo of Zyprexa and Prozac since last fall. This spring the psychiatrists involved in her case decided they wanted to wean M from Zyprexa because they were concerned about the long-term use of atypical antipsychotics, both from a neurodevelopmental perspective and a metabolic side-effect profile perspective. Their concerns are not unfounded, but we ran into trouble making a thoughtful decision. When Zyprexa was decreased from 5 mg to 2.5 mg, M's lack of appetite and nausea resurfaced, as well as her "stuck" Obsessive Compulsive Disorder (OCD)-like thinking. She is no longer stable, and while the psychiatrists are increasing her Prozac, we're not entirely sure that's going to do it. In addition, given her siblings' hx with SSRIs, we run the risk of throwing her into mania. Many parents like us find ourselves facing very difficult medication decisions. Our children have serious mental health challenges that hamper their very ability to function. I know beyond a doubt that Zyprexa helped M begin to eat again. I know it has helped her function like a normal 9-year-old. While I understand the desire to wean her from this medication, my concern is finding a new combo that will gain stability for her again. It's a crapshoot whether we'll find another combo that works as well. [/QUOTE]
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