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How to get teens to take medications?!
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<blockquote data-quote="emotionallybankrupt" data-source="post: 322161" data-attributes="member: 8226"><p>medication compliance was a huge issue here, and we never got it completely under control except during certain stretches of time. For my difficult child, it was a matter of routine. Morning compliance was the best it ever got, and that is because her morning routine was more consistent, even if the time schedule ran a bit later on the weekends. The pill box had to be at a specific place in the kitchen cabinet, and she got her medications along with her morning juice. If anything at all disrupted that consistency, all bets were off. If I tried to be "nice" and take the medications and juice to her in her bedroom--if she were sick, for instance--she'd say ok but wouldn't take them. She'd always be "going to do it in a minute," and it didn't happen.</p><p> </p><p>I'd caution against using any incentive or consequence plan, because my experience was to then find pills here and there in her room, from when she had forgotten but didn't want to tell me. Then you get to worry not only about difficult child, but about smaller children or pets that could find the pills. I always thought it was strange she didn't just flush them to get rid of the evidence, but she didn't.</p><p> </p><p>We simply had the agreement here that I would not scold, reprimand, etc. as long as she was honest about what she had and had not taken. Once we had that deal, things were a lot better.</p><p> </p><p>Because some medications/dosages are dangerous to zig-zag around, another strategy we tried was to get the routine set using something that didn't matter so much--like a multivitamin or calcium supplement. I loaded the pill boxes just like I would for other medications, and we got the consistency going that way before moving ahead to prescriptions.</p><p> </p><p>I don't think it's going to work if you don't have a way to monitor the pill box and its contents, though. If the box is coming and going to different houses and/or staying in her room or purse, you're going to have a hard time knowing what's happening, and it's also going to be hard for her to establish that consistent routine.</p><p> </p><p>How many doses a day does she need? Is there any time of day at all when you could count on her being at home consistently, just long enough to take the medication? Anything you can get in an extended release form is helpful.</p></blockquote><p></p>
[QUOTE="emotionallybankrupt, post: 322161, member: 8226"] medication compliance was a huge issue here, and we never got it completely under control except during certain stretches of time. For my difficult child, it was a matter of routine. Morning compliance was the best it ever got, and that is because her morning routine was more consistent, even if the time schedule ran a bit later on the weekends. The pill box had to be at a specific place in the kitchen cabinet, and she got her medications along with her morning juice. If anything at all disrupted that consistency, all bets were off. If I tried to be "nice" and take the medications and juice to her in her bedroom--if she were sick, for instance--she'd say ok but wouldn't take them. She'd always be "going to do it in a minute," and it didn't happen. I'd caution against using any incentive or consequence plan, because my experience was to then find pills here and there in her room, from when she had forgotten but didn't want to tell me. Then you get to worry not only about difficult child, but about smaller children or pets that could find the pills. I always thought it was strange she didn't just flush them to get rid of the evidence, but she didn't. We simply had the agreement here that I would not scold, reprimand, etc. as long as she was honest about what she had and had not taken. Once we had that deal, things were a lot better. Because some medications/dosages are dangerous to zig-zag around, another strategy we tried was to get the routine set using something that didn't matter so much--like a multivitamin or calcium supplement. I loaded the pill boxes just like I would for other medications, and we got the consistency going that way before moving ahead to prescriptions. I don't think it's going to work if you don't have a way to monitor the pill box and its contents, though. If the box is coming and going to different houses and/or staying in her room or purse, you're going to have a hard time knowing what's happening, and it's also going to be hard for her to establish that consistent routine. How many doses a day does she need? Is there any time of day at all when you could count on her being at home consistently, just long enough to take the medication? Anything you can get in an extended release form is helpful. [/QUOTE]
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