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General Parenting
Medication Crossroad? Any thoughts/experience?
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<blockquote data-quote="smallworld" data-source="post: 221444" data-attributes="member: 2423"><p>Was the itching definitely from the Nortriptyline? </p><p> </p><p>Seroquel is dosed by clinical response, not by a "number." However, 800 mg is typically the highest dose most psychiatrists feel comfortable going, although I've heard of some going as high as 1200 mg in cases of extreme mania or psychosis (it's unusual). My son is currently taking 600 mg with good results (he was at a high of 800 mg, but we've been able to reduce it over time). He was prescribed Seroquel a year ago for anxiety, depression and sleep problems. Over time, your difficult child could settle down on Seroquel, but it would have to be at the right dose.</p><p> </p><p>I'm a little confused by your psychiatrist's decision to trial Wellbutrin. It's a stimulatory antidepressant, and our psychiatrist is thinking about rxing it for our son because he seems shut down, not wound up. Wellbutrin is on occasion rxed for ADHD, but it is generally used for inattention, not hyperactivity. Did your psychiatrist say why he chose Wellbutrin?</p><p> </p><p>by the way, kids can have both Pervasive Developmental Disorder (PDD) and mood disorders. According to The Bipolar Child, estimates for co-morbidity are in the 10 to 35 percent range.</p></blockquote><p></p>
[QUOTE="smallworld, post: 221444, member: 2423"] Was the itching definitely from the Nortriptyline? Seroquel is dosed by clinical response, not by a "number." However, 800 mg is typically the highest dose most psychiatrists feel comfortable going, although I've heard of some going as high as 1200 mg in cases of extreme mania or psychosis (it's unusual). My son is currently taking 600 mg with good results (he was at a high of 800 mg, but we've been able to reduce it over time). He was prescribed Seroquel a year ago for anxiety, depression and sleep problems. Over time, your difficult child could settle down on Seroquel, but it would have to be at the right dose. I'm a little confused by your psychiatrist's decision to trial Wellbutrin. It's a stimulatory antidepressant, and our psychiatrist is thinking about rxing it for our son because he seems shut down, not wound up. Wellbutrin is on occasion rxed for ADHD, but it is generally used for inattention, not hyperactivity. Did your psychiatrist say why he chose Wellbutrin? by the way, kids can have both Pervasive Developmental Disorder (PDD) and mood disorders. According to The Bipolar Child, estimates for co-morbidity are in the 10 to 35 percent range. [/QUOTE]
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