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<blockquote data-quote="katya02" data-source="post: 208569" data-attributes="member: 2884"><p>Oh, man. difficult child had an acute dystonic reaction to his Geodon today, two days after restarting it. It was a bad one. It started with his jaw pulling sideways, then his neck and tongue muscles got involved, and the poor kid had his head wrenched around as far as it could go with his tongue sticking out and his jaw askew, and he was just crying with the pain. We gave him 100 mg of Benadryl as fast as we could, but he continued to get worse. He got a couple of minutes' respite at one point and we thought the Benadryl had kicked in, and then boom, it all happened to the other side! We took him in to the ER and husband called ahead to have the nurses pull Cogentin from the pharmacy and he got his shot asap on arrival. By then the Benadryl WAS kicking in, so within ten minutes of the shot he was significantly better; twenty minutes and it was gone.</p><p></p><p>difficult child is SO sensitive to medications; he's been unable to take almost everything the psychiatrist has tried him on this summer. Now this. He swears he won't take this medication again (who can blame him?) and the trouble is, the newer mood stabilizers are pretty much all second generation antipsychotics with the same risk of dystonic reaction. He won't want to touch them. Just as it was starting to look like a mood stabilizer would make a positive difference he's going to be afraid to take almost all of them. I've seen dystonic reactions on the ward and they were all pretty mild and responded quickly. This was bad.</p><p></p><p>Soooo frustrated.</p></blockquote><p></p>
[QUOTE="katya02, post: 208569, member: 2884"] Oh, man. difficult child had an acute dystonic reaction to his Geodon today, two days after restarting it. It was a bad one. It started with his jaw pulling sideways, then his neck and tongue muscles got involved, and the poor kid had his head wrenched around as far as it could go with his tongue sticking out and his jaw askew, and he was just crying with the pain. We gave him 100 mg of Benadryl as fast as we could, but he continued to get worse. He got a couple of minutes' respite at one point and we thought the Benadryl had kicked in, and then boom, it all happened to the other side! We took him in to the ER and husband called ahead to have the nurses pull Cogentin from the pharmacy and he got his shot asap on arrival. By then the Benadryl WAS kicking in, so within ten minutes of the shot he was significantly better; twenty minutes and it was gone. difficult child is SO sensitive to medications; he's been unable to take almost everything the psychiatrist has tried him on this summer. Now this. He swears he won't take this medication again (who can blame him?) and the trouble is, the newer mood stabilizers are pretty much all second generation antipsychotics with the same risk of dystonic reaction. He won't want to touch them. Just as it was starting to look like a mood stabilizer would make a positive difference he's going to be afraid to take almost all of them. I've seen dystonic reactions on the ward and they were all pretty mild and responded quickly. This was bad. Soooo frustrated. [/QUOTE]
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