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General Parenting
medication Help Needed - A Complicated Case
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<blockquote data-quote="susiestar" data-source="post: 237312" data-attributes="member: 1233"><p>From what I have gone through with my docs over the years, having one beta blocker not help does NOT mean that all the beta blockers are useless. I get OK results from atenolol, NO results from metoprolol, and usually great results with propranolol - though over time the propranolol dose has to be increased until I max out on the dosage, then we try another one for a while.</p><p></p><p>Unless she has some strange reaction like the extrapyramidal reaction my Jess got from elavil (amtryptiline), then I would push the doctor to try another beta blocker and to give her several weeks to find the right dosage and get that level in her system. Beta blockers don't work the day you take them, it takes time for them to work. And the starting dose may not be enough, so it does take some patience.</p><p></p><p>I guess i am just more inclined to try several because they are not as likely to have the serious side effects that topomax and depakote and neurontin and lyrica have. Right now I am just on lyrica, but I am taking it for a totally separate reason, the migraine control is just a side benefit. </p><p></p><p>There are also a number of calcium channel blockers and tricyclic AD's that can work. </p><p></p><p>Not sure how these will impact the Obsessive Compulsive Disorder (OCD), that is a ??? for the neurologist. but make him explain WHY he recommends certain medications, because sometimes it makes good sense and sometimes you need to further discuss it.</p></blockquote><p></p>
[QUOTE="susiestar, post: 237312, member: 1233"] From what I have gone through with my docs over the years, having one beta blocker not help does NOT mean that all the beta blockers are useless. I get OK results from atenolol, NO results from metoprolol, and usually great results with propranolol - though over time the propranolol dose has to be increased until I max out on the dosage, then we try another one for a while. Unless she has some strange reaction like the extrapyramidal reaction my Jess got from elavil (amtryptiline), then I would push the doctor to try another beta blocker and to give her several weeks to find the right dosage and get that level in her system. Beta blockers don't work the day you take them, it takes time for them to work. And the starting dose may not be enough, so it does take some patience. I guess i am just more inclined to try several because they are not as likely to have the serious side effects that topomax and depakote and neurontin and lyrica have. Right now I am just on lyrica, but I am taking it for a totally separate reason, the migraine control is just a side benefit. There are also a number of calcium channel blockers and tricyclic AD's that can work. Not sure how these will impact the Obsessive Compulsive Disorder (OCD), that is a ??? for the neurologist. but make him explain WHY he recommends certain medications, because sometimes it makes good sense and sometimes you need to further discuss it. [/QUOTE]
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