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psychiatrist just added an AD
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<blockquote data-quote="smallworld" data-source="post: 215491" data-attributes="member: 2423"><p>I'll clarify: You need to bring the Depakote up to a therapeutic level before adding Celexa. Otherwise, you risk pushing your difficult child into mania. I'm not sure your difficult child will be at a therapeutic level within 4 days -- that seems too fast to me.</p><p> </p><p>Depakote may further depress your difficult child (because it works so well on mania). That happened with both J and A. I hate to admit it, but even on a therapeutic level of Depakote, my son became manic on an AD within 5 days. </p><p> </p><p>FWIW, some kids with BiPolar (BP) do fine on subtherapeutic levels of ADs. You may not need to go up to 20 mg Celexa because it does pose a higher risk for mania. My daughter is on a low dose of Lexapro because she was still depressed on Lamictal and needed a boost. In your shoes, I'd start at 5 mg (cut a Celexa tablet in half) and wait for a week, then go up to 10 mg and hold until you see the psychiatrist again. But our psychiatrists are very conservative and make medication changes very slowly.</p></blockquote><p></p>
[QUOTE="smallworld, post: 215491, member: 2423"] I'll clarify: You need to bring the Depakote up to a therapeutic level before adding Celexa. Otherwise, you risk pushing your difficult child into mania. I'm not sure your difficult child will be at a therapeutic level within 4 days -- that seems too fast to me. Depakote may further depress your difficult child (because it works so well on mania). That happened with both J and A. I hate to admit it, but even on a therapeutic level of Depakote, my son became manic on an AD within 5 days. FWIW, some kids with BiPolar (BP) do fine on subtherapeutic levels of ADs. You may not need to go up to 20 mg Celexa because it does pose a higher risk for mania. My daughter is on a low dose of Lexapro because she was still depressed on Lamictal and needed a boost. In your shoes, I'd start at 5 mg (cut a Celexa tablet in half) and wait for a week, then go up to 10 mg and hold until you see the psychiatrist again. But our psychiatrists are very conservative and make medication changes very slowly. [/QUOTE]
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psychiatrist just added an AD
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