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Need advice on medications...
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<blockquote data-quote="mattsmum" data-source="post: 67837" data-attributes="member: 3532"><p>Background: Prior to Bipolar diagnosis, difficult child was on Straterra and Concerta for ADHD. Post Bipolar, he was on just Depakote. The ADHD symptoms were bad so the Concerta was reintroduced. As time went on, I requested that we try the Straterra instead of the Concerta, since the Concerta is a stimulant. So, he is on...</p><p></p><p></p><p>250mg Depakote and 40mg Strattera (added August 10th) in <strong>AM</strong></p><p>1000mg Depakote in <strong>PM</strong></p><p></p><p>I know that Strattera builds up in your system over time. However he seems to be fine in the morning...and gets more irritable, defiant, angry after taking AM doses. Could it be the Strattera???</p><p></p><p>On the other hand...</p><p>His dr. gave us 10mg Methylin to give him as an afternoon "boost" dose because Concerta seemed to be wearing off. The methylin has worked beautifully. I haven't tried it though since switching to Strattera. I may try it today.</p><p></p><p>Questions....</p><p>1. Could Strattera be aggrivating his anger?</p><p></p><p>2. Is Methylin a good option...only lasts 3-4 hours?</p><p></p><p>3. Any other options for ADHD symptoms for a child with-Bipolar as well??</p><p></p><p>4. Is 40mg Strattera too low of a dose. He used to be on 60mg.</p><p></p><p>Thanks for your insight!! :smile:</p><p></p><p>Linda</p></blockquote><p></p>
[QUOTE="mattsmum, post: 67837, member: 3532"] Background: Prior to Bipolar diagnosis, difficult child was on Straterra and Concerta for ADHD. Post Bipolar, he was on just Depakote. The ADHD symptoms were bad so the Concerta was reintroduced. As time went on, I requested that we try the Straterra instead of the Concerta, since the Concerta is a stimulant. So, he is on... 250mg Depakote and 40mg Strattera (added August 10th) in [b]AM[/b] 1000mg Depakote in [b]PM[/b] I know that Strattera builds up in your system over time. However he seems to be fine in the morning...and gets more irritable, defiant, angry after taking AM doses. Could it be the Strattera??? On the other hand... His dr. gave us 10mg Methylin to give him as an afternoon "boost" dose because Concerta seemed to be wearing off. The methylin has worked beautifully. I haven't tried it though since switching to Strattera. I may try it today. Questions.... 1. Could Strattera be aggrivating his anger? 2. Is Methylin a good option...only lasts 3-4 hours? 3. Any other options for ADHD symptoms for a child with-Bipolar as well?? 4. Is 40mg Strattera too low of a dose. He used to be on 60mg. Thanks for your insight!! [img]:smile:[/img] Linda [/QUOTE]
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