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General Parenting
Thoughts/Advice for medication
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<blockquote data-quote="smallworld" data-source="post: 421480" data-attributes="member: 2423"><p>Both Lexapro and Metadate can make kids more wound up and aggressive, particularly if there is an underlying mood disorder. That's why it's important that your son be evaluated by a neuropsychologist or at least get in with a competent child psychiatrist, not one who is just going to layer medication upon medication. I agree with asking the current doctor to carefully wean your son from his current medication cocktail so you can get a read on his baseline symptoms. It certainly can't be worse than what's going on now. </p><p></p><p>For what it's worth, Conduct Disorder is not a helpful diagnosis (and very likely NOT what your son has). It is a description of behaviors for which there is an underlying cause. When the underlying cause is identified and treated, the behaviors typically improve. In your son's case, the medications could be contributing to a worsening of the conduct disorder.</p><p></p><p>And in terms of FDA approval of medications for children, unfortunately many of our children take medications that are not FDA approved for them. That is because clinical trials are not typically conducted on children (it doesn't feel ethical to run clinical trial on kids). My own daughter has been taking Lexapro since age 11 with no ill effects, and it was not FDA approved for her at that time (in 2009 it was approved for children 12 and over). What you need to focus on is what effect the medication is having on your child. If it's a bad side effect, you need to convince the doctor to stop the medication and try something else -- not add something else to counteract the bad side effect. </p><p></p><p>Hang in there and keep posting your questions. We're here for you.</p></blockquote><p></p>
[QUOTE="smallworld, post: 421480, member: 2423"] Both Lexapro and Metadate can make kids more wound up and aggressive, particularly if there is an underlying mood disorder. That's why it's important that your son be evaluated by a neuropsychologist or at least get in with a competent child psychiatrist, not one who is just going to layer medication upon medication. I agree with asking the current doctor to carefully wean your son from his current medication cocktail so you can get a read on his baseline symptoms. It certainly can't be worse than what's going on now. For what it's worth, Conduct Disorder is not a helpful diagnosis (and very likely NOT what your son has). It is a description of behaviors for which there is an underlying cause. When the underlying cause is identified and treated, the behaviors typically improve. In your son's case, the medications could be contributing to a worsening of the conduct disorder. And in terms of FDA approval of medications for children, unfortunately many of our children take medications that are not FDA approved for them. That is because clinical trials are not typically conducted on children (it doesn't feel ethical to run clinical trial on kids). My own daughter has been taking Lexapro since age 11 with no ill effects, and it was not FDA approved for her at that time (in 2009 it was approved for children 12 and over). What you need to focus on is what effect the medication is having on your child. If it's a bad side effect, you need to convince the doctor to stop the medication and try something else -- not add something else to counteract the bad side effect. Hang in there and keep posting your questions. We're here for you. [/QUOTE]
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