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Need Advice about BiPolar Son
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<blockquote data-quote="Sara PA" data-source="post: 12732" data-attributes="member: 1498"><p>Zoloft is an SSRI (selective serotonin reuptake inhibitor) antidepressant. Strattera is an SNRI (selective norepinephrine reuptake inhibitor) antidepressant. Antidepressants can cause mood swings, mania, aggression, self harming, etc, even a condition known as "medication (or antidepressant) induced bipolar". This is more true for children than adults. No antidepressant is a bipolar medication and experts, the American Psychiatric Association and the FDA all warn against prescribing antidepressants without a mood stabilizer for people who might be bipolar (symptoms and/or family history) and to do so very cautiously <em>with</em> a mood stabilizer. There is very little chance there was a positive response to the Zoloft. The children who do have a positive response usually are taking it for anxiety or Obsessive Compulsive Disorder (OCD) but that doesn't rule out that it causing mania, aggression, self harming, etc. It can be quite a conundrum for parents and doctors when the drug does what it is precribed to do but the side effects cause equal unwanted behaviors. Generally speaking, adding other medications to control the psychiatric side effects doesn't work long term.</p><p></p><p>Focalin could have been making him manic, but the Zoloft wouldn't have countered it and could have been the cause or contributed greatly to it. Most of the problems with stimulants occur during the rebound phase, when the drug wears off. There is often a period of agitation when it wears off during which behavior can be aggressive, the person wants to eat and can't sleep.</p><p></p><p>How long has it been since your son was on no medication and for how long?</p></blockquote><p></p>
[QUOTE="Sara PA, post: 12732, member: 1498"] Zoloft is an SSRI (selective serotonin reuptake inhibitor) antidepressant. Strattera is an SNRI (selective norepinephrine reuptake inhibitor) antidepressant. Antidepressants can cause mood swings, mania, aggression, self harming, etc, even a condition known as "medication (or antidepressant) induced bipolar". This is more true for children than adults. No antidepressant is a bipolar medication and experts, the American Psychiatric Association and the FDA all warn against prescribing antidepressants without a mood stabilizer for people who might be bipolar (symptoms and/or family history) and to do so very cautiously [i]with[/i] a mood stabilizer. There is very little chance there was a positive response to the Zoloft. The children who do have a positive response usually are taking it for anxiety or Obsessive Compulsive Disorder (OCD) but that doesn't rule out that it causing mania, aggression, self harming, etc. It can be quite a conundrum for parents and doctors when the drug does what it is precribed to do but the side effects cause equal unwanted behaviors. Generally speaking, adding other medications to control the psychiatric side effects doesn't work long term. Focalin could have been making him manic, but the Zoloft wouldn't have countered it and could have been the cause or contributed greatly to it. Most of the problems with stimulants occur during the rebound phase, when the drug wears off. There is often a period of agitation when it wears off during which behavior can be aggressive, the person wants to eat and can't sleep. How long has it been since your son was on no medication and for how long? [/QUOTE]
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