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Titrating off of Trileptal -long
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<blockquote data-quote="givnmegryhr" data-source="post: 27074" data-attributes="member: 2113"><p>difficult child's new psychiatrist has decided to take him off of Trileptal ,which is fine because we didn't think it was doing anything anyway. She said it actually works against lamictal in the way that you have to raise the lamictal dose when you add Trileptal , so if you raise the dose of the Trileptal you end up having to raise the dose of Lamictal usually. I didn't know that it lowered the effectiveness of the lamictal. So anyway he is down to half of the dose of Trileptal that he use to take. She is taking it down slowly. Yesterday the Learning Support teacher emailed me telling me that difficult child accidentally got hit by a seesaw/swing as he was running by and the kid got off the swing. He came over crying with 3 boys helping him and she asked if he wanted to go to the nurse. He shook his head no and she told him if he changed his mind to let her know . He ran off playing. After recess he did go to the nurse. She asked him what happened and he told her someone poked him with a stick. The LS teacher said this did NOT happen. When I asked him if he got hit by the swing he again said no , he was poked with a stick . I asked if that happened on his field trip and he said no. Then he tells me he and some boys got in trouble and he wasn't doing anything . They had to stay on the bus while everyone went into the gift shop. I asked who else had to stay on the bus and started naming names. He said NO, just me! I don't want to talk about it anymore. Later I asked who made him stay on the bus and he said a teachers name. I told the LS teacher about this and she said that teacher wasn't even there and nobody went into the gift shop because it is very small,all of them wouldn't fit and they didn't have time anyway. I am so confused. He doesn't seem to be lying. I think he really believes these things happened. The next day his homeroom teacher asked him about the inconsistencies with the stories and she said he got upset and shaky so she didn't press him. I am concerned as last year when he had his breakdown he thought he had to do a number of writing assignments and the teacher said that they did those things a long time ago. Everything in his mind came together and he thought that they had done them all that day. He cried uncontrollably ,nonresponsive for 2 hours and 45 minutes. He ultimately ended up in the psychiatric hospital. I will be calling his psychiatrist tomorrow morning ,but I just thought I would see if anyone had this happen with their difficult children . Do you think its from coming off of the Trileptal, could he need to lower the Lamictal or Risperdal now? I know all questions for the psychiatrist. Just wanted your opinions.</p></blockquote><p></p>
[QUOTE="givnmegryhr, post: 27074, member: 2113"] difficult child's new psychiatrist has decided to take him off of Trileptal ,which is fine because we didn't think it was doing anything anyway. She said it actually works against lamictal in the way that you have to raise the lamictal dose when you add Trileptal , so if you raise the dose of the Trileptal you end up having to raise the dose of Lamictal usually. I didn't know that it lowered the effectiveness of the lamictal. So anyway he is down to half of the dose of Trileptal that he use to take. She is taking it down slowly. Yesterday the Learning Support teacher emailed me telling me that difficult child accidentally got hit by a seesaw/swing as he was running by and the kid got off the swing. He came over crying with 3 boys helping him and she asked if he wanted to go to the nurse. He shook his head no and she told him if he changed his mind to let her know . He ran off playing. After recess he did go to the nurse. She asked him what happened and he told her someone poked him with a stick. The LS teacher said this did NOT happen. When I asked him if he got hit by the swing he again said no , he was poked with a stick . I asked if that happened on his field trip and he said no. Then he tells me he and some boys got in trouble and he wasn't doing anything . They had to stay on the bus while everyone went into the gift shop. I asked who else had to stay on the bus and started naming names. He said NO, just me! I don't want to talk about it anymore. Later I asked who made him stay on the bus and he said a teachers name. I told the LS teacher about this and she said that teacher wasn't even there and nobody went into the gift shop because it is very small,all of them wouldn't fit and they didn't have time anyway. I am so confused. He doesn't seem to be lying. I think he really believes these things happened. The next day his homeroom teacher asked him about the inconsistencies with the stories and she said he got upset and shaky so she didn't press him. I am concerned as last year when he had his breakdown he thought he had to do a number of writing assignments and the teacher said that they did those things a long time ago. Everything in his mind came together and he thought that they had done them all that day. He cried uncontrollably ,nonresponsive for 2 hours and 45 minutes. He ultimately ended up in the psychiatric hospital. I will be calling his psychiatrist tomorrow morning ,but I just thought I would see if anyone had this happen with their difficult children . Do you think its from coming off of the Trileptal, could he need to lower the Lamictal or Risperdal now? I know all questions for the psychiatrist. Just wanted your opinions. [/QUOTE]
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