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Question on Antidepressants - Zoloft / Welbutrin
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<blockquote data-quote="smallworld" data-source="post: 19914" data-attributes="member: 2423"><p>Jamie, it is VERY frustrating. Believe me, I know -- I'm doing it with 3 kids.</p><p></p><p>Just so you know, we do a lot of pill splitting here. My difficult child 1 started at 6.25 mg Zoloft (1/4 of a 25 mg tablet) and went up a 1/4 of a tablet with each dose increment. If we had increased him from 25 mg, we wouldn't have jumped all the way up to 50 mg -- we would have gone to 31.25 mg. With Lexapro, which comes in a 5 mg tablet, we cut the pill in half to give difficult child 1 2.5 mg. As I mentioned earlier, we may stay at this dose. We also use liquid Prozac with easy child so we can make very small incremental dose increases. She started at 2 mg in August and has worked her way very slowly to 12 mg. </p><p></p><p>With each small increase, you can see how the child responds without rocking the boat, so to speak. Doubling doses quickly can seem to send some kids over the edge. I just wanted you to be aware of this method in the event you might want to ask the psychiatrist about a slow incremental approach to titrating ADs (we learned to do this from our 3 psychiatrists, who are very conservative with medications).</p><p></p><p>Good luck. Please let us know what the psychiatrist recommends.</p></blockquote><p></p>
[QUOTE="smallworld, post: 19914, member: 2423"] Jamie, it is VERY frustrating. Believe me, I know -- I'm doing it with 3 kids. Just so you know, we do a lot of pill splitting here. My difficult child 1 started at 6.25 mg Zoloft (1/4 of a 25 mg tablet) and went up a 1/4 of a tablet with each dose increment. If we had increased him from 25 mg, we wouldn't have jumped all the way up to 50 mg -- we would have gone to 31.25 mg. With Lexapro, which comes in a 5 mg tablet, we cut the pill in half to give difficult child 1 2.5 mg. As I mentioned earlier, we may stay at this dose. We also use liquid Prozac with easy child so we can make very small incremental dose increases. She started at 2 mg in August and has worked her way very slowly to 12 mg. With each small increase, you can see how the child responds without rocking the boat, so to speak. Doubling doses quickly can seem to send some kids over the edge. I just wanted you to be aware of this method in the event you might want to ask the psychiatrist about a slow incremental approach to titrating ADs (we learned to do this from our 3 psychiatrists, who are very conservative with medications). Good luck. Please let us know what the psychiatrist recommends. [/QUOTE]
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