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Lexapro??
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<blockquote data-quote="smallworld" data-source="post: 23536" data-attributes="member: 2423"><p>Were all three medication changes made at once? Our psychiatrists have a rule that only one medication change is made at a time. It's the only way you can tell what effect, positive or negative, the new medication is having. They also believe in titrating up slowly to decrease side effects. For example, I have two kids on Lamictal and Lexapro. For Lamictal, we increased in increments of either 12.5 mg or 25 mg every week or every other week (depending on which difficult child). We started Lexapro at 2.5 mg and went up 2.5 mg each increase (difficult child 1 is still at 2.5 mg and difficult child 2 is at 7.5 mg). We started low and gave it in the morning because our psychiatrists said it could jazz the kids up. difficult child 2 actually became sleepy on Lexapro so we now give it to her in the evening.</p><p></p><p>According to Lexapro's website, two side effects are nausea and insomnia. The other problem with giving an SSRI to a child with BiPolar (BP) is that it can cause hypomania/mania, particularly if the mood is not stabilized first. Maybe you should ask the psychiatrist to give the Lamictal a chance to work first and then add in a low (2.5 mg to start) dose of Lexapro if anxiety persists. You can avoid a lot of problems if you go slow with the medications. I definitely think a call to the psychiatrist first thing Monday morning is warranted.</p></blockquote><p></p>
[QUOTE="smallworld, post: 23536, member: 2423"] Were all three medication changes made at once? Our psychiatrists have a rule that only one medication change is made at a time. It's the only way you can tell what effect, positive or negative, the new medication is having. They also believe in titrating up slowly to decrease side effects. For example, I have two kids on Lamictal and Lexapro. For Lamictal, we increased in increments of either 12.5 mg or 25 mg every week or every other week (depending on which difficult child). We started Lexapro at 2.5 mg and went up 2.5 mg each increase (difficult child 1 is still at 2.5 mg and difficult child 2 is at 7.5 mg). We started low and gave it in the morning because our psychiatrists said it could jazz the kids up. difficult child 2 actually became sleepy on Lexapro so we now give it to her in the evening. According to Lexapro's website, two side effects are nausea and insomnia. The other problem with giving an SSRI to a child with BiPolar (BP) is that it can cause hypomania/mania, particularly if the mood is not stabilized first. Maybe you should ask the psychiatrist to give the Lamictal a chance to work first and then add in a low (2.5 mg to start) dose of Lexapro if anxiety persists. You can avoid a lot of problems if you go slow with the medications. I definitely think a call to the psychiatrist first thing Monday morning is warranted. [/QUOTE]
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