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need help with medications
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<blockquote data-quote="smallworld" data-source="post: 211751" data-attributes="member: 2423"><p>Unfortunately, getting the right medication mix is a trial-and-error process. What works for my kid (or kids) isn't necessarily going to work for your kid. As you can see from my signature, my three biologically related children are even on three different combos of medications.</p><p> </p><p>If your difficult child has a mood disorder, that should be the first disorder medicated because medications traditionally rxed for anxiety (SSRI antidepresessants) and ADHD (stimulants) make mood disorders worse. In addition, Strattera is an antidepressant that often makes kids with mood disorders worse. Finally, kids with mood disorders have even had paradoxical reactions to Tenex. Instead of calming them down, it hypes them up. </p><p> </p><p>To treat a mood disorder, a combination of a first-line mood stabilizer (Lithium, Lamictal, Depakote, Trileptal, Tegretol) with an atypical antipsychotic (Seroquel, Zyprexa, Geodon, Risperdal) should be rxed. I personally would not want my child to have Thorazine, an older antipsychotic, without ruling out all of the newer atypical antipsychotics, which have a better side-effect profile. It can take time and trial-and-error to hit on the right combo, but once you do, the child often is calmer and more focused and doesn't need ADHD medications.</p><p> </p><p>How often is your difficult child seeing the psychiatrist? You might want the appointments to be weekly until your difficult child is more stable. If that is not possible, you might want to consider a day treatment program or inpatient hospitalization to do a medication wash and start from square one.</p><p> </p><p>Good luck. I know it's not easy.</p></blockquote><p></p>
[QUOTE="smallworld, post: 211751, member: 2423"] Unfortunately, getting the right medication mix is a trial-and-error process. What works for my kid (or kids) isn't necessarily going to work for your kid. As you can see from my signature, my three biologically related children are even on three different combos of medications. If your difficult child has a mood disorder, that should be the first disorder medicated because medications traditionally rxed for anxiety (SSRI antidepresessants) and ADHD (stimulants) make mood disorders worse. In addition, Strattera is an antidepressant that often makes kids with mood disorders worse. Finally, kids with mood disorders have even had paradoxical reactions to Tenex. Instead of calming them down, it hypes them up. To treat a mood disorder, a combination of a first-line mood stabilizer (Lithium, Lamictal, Depakote, Trileptal, Tegretol) with an atypical antipsychotic (Seroquel, Zyprexa, Geodon, Risperdal) should be rxed. I personally would not want my child to have Thorazine, an older antipsychotic, without ruling out all of the newer atypical antipsychotics, which have a better side-effect profile. It can take time and trial-and-error to hit on the right combo, but once you do, the child often is calmer and more focused and doesn't need ADHD medications. How often is your difficult child seeing the psychiatrist? You might want the appointments to be weekly until your difficult child is more stable. If that is not possible, you might want to consider a day treatment program or inpatient hospitalization to do a medication wash and start from square one. Good luck. I know it's not easy. [/QUOTE]
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