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General Parenting
New diagnosis...bipolar
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<blockquote data-quote="smallworld" data-source="post: 53653" data-attributes="member: 2423"><p>The therapeutic dose of Depakote is determined both by clinical repsonse and blood level. Some kids with BiPolar (BP) do fine at a blood level of 80 to 90; others require a blood level of 100 to 125. My 120-pound adolescent reached a therapeutic blood level with a dose of 1000 mg (500 mg BID) a day. So 750 mg may be fine for a 7-year-old. It should, however, be determined by how he does and by blood level, not by a so-callled target dose. Blood tests should be done to determine these levels approximately 6 days after every dose increase (unless there is a quick titraton at the beginning; in that case, the blood test should be done when the dose is stable for 6 days).</p></blockquote><p></p>
[QUOTE="smallworld, post: 53653, member: 2423"] The therapeutic dose of Depakote is determined both by clinical repsonse and blood level. Some kids with BiPolar (BP) do fine at a blood level of 80 to 90; others require a blood level of 100 to 125. My 120-pound adolescent reached a therapeutic blood level with a dose of 1000 mg (500 mg BID) a day. So 750 mg may be fine for a 7-year-old. It should, however, be determined by how he does and by blood level, not by a so-callled target dose. Blood tests should be done to determine these levels approximately 6 days after every dose increase (unless there is a quick titraton at the beginning; in that case, the blood test should be done when the dose is stable for 6 days). [/QUOTE]
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