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General Parenting
Sara PA & Shari
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<blockquote data-quote="smallworld" data-source="post: 158513" data-attributes="member: 2423"><p>I'm not Sara or Shari, but I'll chime in anyway.</p><p> </p><p>Did you read the paragraph about Tenex in The Bipolar Child that follows the Clonidine section (page 119, 3rd edition)? </p><p> </p><p>"Because clonidine can cause mood swings in bipolar children, there is speculation as to whether Tenex does as well, as they are in the same class of drugs. If a child seems unstable or irritable and he or she is taking Tenex, its use should be examined."</p><p> </p><p>Clonidine and Tenex are very closely related. I'd wager the side-effect profiles are very similar. </p><p> </p><p>When my son was on Clonidine just at bedtime to help with sleep, his psychiatrist warned us that it can cause a hung-over feeling that can increase irritiability. That may be what you're seeing.</p><p> </p><p>In your shoes, I'd stick with true mood stabilizers and possibly an add-on of an atypical antipsychotic. There are lots of combos and doses to play with until you get it right. He's still on relatively low doses of both Trileptal and Seroquel. You have room to go up. by the way, Geodon can activate kids and make them manic.</p><p> </p><p>My son's psychiatrist at the day treatment program last winter warned us to just worry about the mood issues and forget about medicating ADHD symptoms because those medications cause problems with mood stability.</p></blockquote><p></p>
[QUOTE="smallworld, post: 158513, member: 2423"] I'm not Sara or Shari, but I'll chime in anyway. Did you read the paragraph about Tenex in The Bipolar Child that follows the Clonidine section (page 119, 3rd edition)? "Because clonidine can cause mood swings in bipolar children, there is speculation as to whether Tenex does as well, as they are in the same class of drugs. If a child seems unstable or irritable and he or she is taking Tenex, its use should be examined." Clonidine and Tenex are very closely related. I'd wager the side-effect profiles are very similar. When my son was on Clonidine just at bedtime to help with sleep, his psychiatrist warned us that it can cause a hung-over feeling that can increase irritiability. That may be what you're seeing. In your shoes, I'd stick with true mood stabilizers and possibly an add-on of an atypical antipsychotic. There are lots of combos and doses to play with until you get it right. He's still on relatively low doses of both Trileptal and Seroquel. You have room to go up. by the way, Geodon can activate kids and make them manic. My son's psychiatrist at the day treatment program last winter warned us to just worry about the mood issues and forget about medicating ADHD symptoms because those medications cause problems with mood stability. [/QUOTE]
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