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General Parenting
As if there ever were any doubt... difficult child 2 removed ALL of that with just one late dosing
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<blockquote data-quote="gcvmom" data-source="post: 354411" data-attributes="member: 3444"><p>Marg, we see similar problems occasionally with difficult child 1's stims... often times the ineffectiveness of his usual dose can be traced back to lack of sleep. Which makes sense to me.</p><p> </p><p>SW, we had Depakote levels checked twice in the last year -- the first time they were too high so we adjusted down, and the second time they were normal. But he's had this sensitivity for a long time -= even the psychiatrist has commented that he has a concern about it after last summer's episode when I was away in Ohio. He missed a full day of medications because husband was very ill and started towards mania. He called me at 5am my time to tell me in a torrent of words that he was making me brownies and when would I be home and by the way I never went to bed last night... Took about a week to get him settled back down. And over winter break, his sleep cycle was changed and he started having noticeable problems -- I dealt with it by sticking to a rigid bedtime and wake schedule, although when I recounted it to psychiatrist, he said I could have used Seroquel to help.</p><p> </p><p>It IS possible the Intuniv is activating him somewhat because I have noticed a slight change since starting it. But the working memory is so much improved that I really do not want to remove it (at least not while he's in school).</p><p> </p><p>CM, he takes Seroquel XR twice a day, but he takes a lot: 600mg bedtime and 400mg lunchtime. Plus 1000mg Depakote ER. (And Namenda and Intuniv). ANd yes, he's definitely at the manic end of this disease! He did not get husband's depressive gene, or at least it's not very strongly expressed <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p></blockquote><p></p>
[QUOTE="gcvmom, post: 354411, member: 3444"] Marg, we see similar problems occasionally with difficult child 1's stims... often times the ineffectiveness of his usual dose can be traced back to lack of sleep. Which makes sense to me. SW, we had Depakote levels checked twice in the last year -- the first time they were too high so we adjusted down, and the second time they were normal. But he's had this sensitivity for a long time -= even the psychiatrist has commented that he has a concern about it after last summer's episode when I was away in Ohio. He missed a full day of medications because husband was very ill and started towards mania. He called me at 5am my time to tell me in a torrent of words that he was making me brownies and when would I be home and by the way I never went to bed last night... Took about a week to get him settled back down. And over winter break, his sleep cycle was changed and he started having noticeable problems -- I dealt with it by sticking to a rigid bedtime and wake schedule, although when I recounted it to psychiatrist, he said I could have used Seroquel to help. It IS possible the Intuniv is activating him somewhat because I have noticed a slight change since starting it. But the working memory is so much improved that I really do not want to remove it (at least not while he's in school). CM, he takes Seroquel XR twice a day, but he takes a lot: 600mg bedtime and 400mg lunchtime. Plus 1000mg Depakote ER. (And Namenda and Intuniv). ANd yes, he's definitely at the manic end of this disease! He did not get husband's depressive gene, or at least it's not very strongly expressed ;) [/QUOTE]
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As if there ever were any doubt... difficult child 2 removed ALL of that with just one late dosing
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