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Help with medications!
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<blockquote data-quote="smallworld" data-source="post: 320545" data-attributes="member: 2423"><p>You might want to take a look at the Treatment Guidelines for treating depression and mania in pediatric patients on the Child and Adolescent Bipolar Foundation website. These guidelines, which are based on clinical literature and were formulated by a consensus group of child and adolescent psychiatrists, can be found at this link:</p><p></p><p><a href="http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf" target="_blank">http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf</a></p><p></p><p>Some kids with BiPolar (BP) can handle <em>low</em> doses of stimulants once their moods are stabilized; others can't. Stimulants are problematic in that they can exacerbate pre-existing anxiety, cause depression over time and cause rebound (mostly irritable mood) when they wear off in the afternoon or early evening.</p><p></p><p>My own son has down well with Wellbutrin XL, a stimulatory antidepressant that is the least likely of all antidepressants to cause mania in BiPolar (BP) patients and is used off-label for ADHD symptoms. Unlike stimulants, antidepressants are not in and out of the system every day so there is no rebound. You might want to ask your son's psychiatrist about Wellbutrin.</p><p></p><p>Does your son seem more depressed on Depakote? The problem with Depakote is that it works so well on mania that it can push the patient down into depression. If that is the case, you might want to look into switching to or augmenting with the mood stabilizer Lamictal.</p><p></p><p>How much Abilify is your son taking? Because it increases dopamine in certain parts of the brain that affect memory and attention, Abilify is sometimes used in low doses to help BiPolar (BP) patients with ADHD-like symptoms. Our psychiatrists have mentioned it as a possible option for our son, who began to struggle with academics at his Residential Treatment Center (RTC) once his Seroquel was weaned (Seroquel also affects dopamine, and we've long thought that J has ADHD, but stimulants affect his mood negatively). So I'm wondering if you're now seeing problems because the dopamine level is getting too high from Abiliy plus Concerta.</p><p></p><p>Just my thoughts this morning.</p></blockquote><p></p>
[QUOTE="smallworld, post: 320545, member: 2423"] You might want to take a look at the Treatment Guidelines for treating depression and mania in pediatric patients on the Child and Adolescent Bipolar Foundation website. These guidelines, which are based on clinical literature and were formulated by a consensus group of child and adolescent psychiatrists, can be found at this link: [url]http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf[/url] Some kids with BiPolar (BP) can handle [I]low[/I] doses of stimulants once their moods are stabilized; others can't. Stimulants are problematic in that they can exacerbate pre-existing anxiety, cause depression over time and cause rebound (mostly irritable mood) when they wear off in the afternoon or early evening. My own son has down well with Wellbutrin XL, a stimulatory antidepressant that is the least likely of all antidepressants to cause mania in BiPolar (BP) patients and is used off-label for ADHD symptoms. Unlike stimulants, antidepressants are not in and out of the system every day so there is no rebound. You might want to ask your son's psychiatrist about Wellbutrin. Does your son seem more depressed on Depakote? The problem with Depakote is that it works so well on mania that it can push the patient down into depression. If that is the case, you might want to look into switching to or augmenting with the mood stabilizer Lamictal. How much Abilify is your son taking? Because it increases dopamine in certain parts of the brain that affect memory and attention, Abilify is sometimes used in low doses to help BiPolar (BP) patients with ADHD-like symptoms. Our psychiatrists have mentioned it as a possible option for our son, who began to struggle with academics at his Residential Treatment Center (RTC) once his Seroquel was weaned (Seroquel also affects dopamine, and we've long thought that J has ADHD, but stimulants affect his mood negatively). So I'm wondering if you're now seeing problems because the dopamine level is getting too high from Abiliy plus Concerta. Just my thoughts this morning. [/QUOTE]
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