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another new medication trial
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<blockquote data-quote="susiestar" data-source="post: 426914" data-attributes="member: 1233"><p>Elavil, aka amitryptiline, is one I have a lot of experience with. If it activates her, benadryl can help stop it. Benadryl will actually counteract some problems taht can be caused by elavil. Elavil is often used for migraine prevention and anxiety. It is also often used for insomnia. One reason he may like it is that it has been around forever, is cheap and the side effects are pretty well known. Not like some newer medications where in a couple years we may learn all sorts fo things to watch for. Wiz was on risperdal for years before anyone put guidelines out there for blood sugar monitoring, etc... He was actually off it for over a year before that came around. You won't find that there are unknown side effects for elavil.</p><p></p><p>It can be very sedating. I know ssri antidepressants have been bad for difficult child, but elavil is not that type of a/d. It is a tricyclic and some say is is not as activating for people with bipolar. It is very often used for anxiety, which is a huge part of difficult child's problems. </p><p></p><p>It is also fast in and fast out of the system. You should know in a few days if it is going to work, esp for sleep. I actually had it as a prn at one point for anxiety as I was dealing with some abuse issues. It is often sedating at first, but if taken during the day this can wear off after a couple of weeks. </p><p></p><p>Next time you go in, take a copy of the bipolar child with the medication protocol marked with a postit so you can find it. ask him why he doesn't want to follow that if she has a bipolar diagnosis. It is a valid question, esp if he wants to know what you think on every medication. </p><p></p><p>I know this isn't the best way for a psychiatrist to work, but if he is all you can find then you will have to take info with you to help try to figure this out by asking the right questions, like why not follow the protocol for treating bipolar that is approved by the board of psychiatrists?? that is the one in the bipolar child book. If you do not have this book, go and get it. It is a very valuabel resource.</p></blockquote><p></p>
[QUOTE="susiestar, post: 426914, member: 1233"] Elavil, aka amitryptiline, is one I have a lot of experience with. If it activates her, benadryl can help stop it. Benadryl will actually counteract some problems taht can be caused by elavil. Elavil is often used for migraine prevention and anxiety. It is also often used for insomnia. One reason he may like it is that it has been around forever, is cheap and the side effects are pretty well known. Not like some newer medications where in a couple years we may learn all sorts fo things to watch for. Wiz was on risperdal for years before anyone put guidelines out there for blood sugar monitoring, etc... He was actually off it for over a year before that came around. You won't find that there are unknown side effects for elavil. It can be very sedating. I know ssri antidepressants have been bad for difficult child, but elavil is not that type of a/d. It is a tricyclic and some say is is not as activating for people with bipolar. It is very often used for anxiety, which is a huge part of difficult child's problems. It is also fast in and fast out of the system. You should know in a few days if it is going to work, esp for sleep. I actually had it as a prn at one point for anxiety as I was dealing with some abuse issues. It is often sedating at first, but if taken during the day this can wear off after a couple of weeks. Next time you go in, take a copy of the bipolar child with the medication protocol marked with a postit so you can find it. ask him why he doesn't want to follow that if she has a bipolar diagnosis. It is a valid question, esp if he wants to know what you think on every medication. I know this isn't the best way for a psychiatrist to work, but if he is all you can find then you will have to take info with you to help try to figure this out by asking the right questions, like why not follow the protocol for treating bipolar that is approved by the board of psychiatrists?? that is the one in the bipolar child book. If you do not have this book, go and get it. It is a very valuabel resource. [/QUOTE]
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