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<blockquote data-quote="klmno" data-source="post: 123102" data-attributes="member: 3699"><p>Thanks, Jennifer- I appreciate the info!</p><p> </p><p>WW: In Oct. difficult child was switched from 1200 mg og lithium to 900 mg of lithobid due to the other making him be sick at his stomach about all the time (vomiting/diareahea-sp) for 3 weeks. Depakote was also added. The psychiatrist oon the MDE team recommended adding prozac back to the lithobid, instead of a second mood stabilizer. We didn't go that route. difficult child was depressed at the time due to justifiable reasons and his grades went from A's and B's to D's and F's in Oct. Well, this medication change helped with some things, but grades are still as bad, and there are the side effects of weight gain, and bad acne. Along with that, it almost seems like the medication advantage is "wearing off" a little- it's not as effective as it was. The depakote - he's only on 500 mg a day and has a blood level of 69, but can't go up on it because when we tried 750 mg/day, difficult child looked like an absolute madman by the third day and I really beleived he had no control over anything he was saying or doing- it was worse than any rage I'd seen in him and I've never seen his eyes look that wild. So, I dropped that dose back down immediately.</p><p> </p><p>psychiatrist told me to watch for the same thing in the trilptol and lower his dose immediately if I saw this reaction to it. I had asked him today, in desparation, if there was not another mood stabilizer that might be more effective without killing him academicly. That's when he mentioned ADHD again and I reponded to that negatively. When he wrote this prescription, he said go back down on the lithobid- so I tend to think the plan would be to increase trileptol and keep decreasing lithobid.</p><p> </p><p>The lithobid takes the edge off his inability to control raging- in a very successful way (remember the trumpet incident?) and it keeps him from staying awake almost 24 hours. The depakote has been successful with the inability to sit still and EXCESSIVE talking, althoough he's been doing that the past 2 days. (That might be a result of getting to go to a hockey game with "guys" last night- which is rare for him- and not getting enough sleep last night)</p><p> </p><p>Oh- one of his tell-tale signs for depression is bending paper clips. From holidays until spring break is his worst period- so I've watched for this. I haven't had to look hard- I don't find bent paper clips this time, but he is hoarding paper clips. He's never had signs of Obsessive Compulsive Disorder (OCD), but when I do laundry and check his pockets, I pull out handfuls of paper clips from the pockets of pants he has worn to school. He's not bending them- so what does this mean?</p></blockquote><p></p>
[QUOTE="klmno, post: 123102, member: 3699"] Thanks, Jennifer- I appreciate the info! WW: In Oct. difficult child was switched from 1200 mg og lithium to 900 mg of lithobid due to the other making him be sick at his stomach about all the time (vomiting/diareahea-sp) for 3 weeks. Depakote was also added. The psychiatrist oon the MDE team recommended adding prozac back to the lithobid, instead of a second mood stabilizer. We didn't go that route. difficult child was depressed at the time due to justifiable reasons and his grades went from A's and B's to D's and F's in Oct. Well, this medication change helped with some things, but grades are still as bad, and there are the side effects of weight gain, and bad acne. Along with that, it almost seems like the medication advantage is "wearing off" a little- it's not as effective as it was. The depakote - he's only on 500 mg a day and has a blood level of 69, but can't go up on it because when we tried 750 mg/day, difficult child looked like an absolute madman by the third day and I really beleived he had no control over anything he was saying or doing- it was worse than any rage I'd seen in him and I've never seen his eyes look that wild. So, I dropped that dose back down immediately. psychiatrist told me to watch for the same thing in the trilptol and lower his dose immediately if I saw this reaction to it. I had asked him today, in desparation, if there was not another mood stabilizer that might be more effective without killing him academicly. That's when he mentioned ADHD again and I reponded to that negatively. When he wrote this prescription, he said go back down on the lithobid- so I tend to think the plan would be to increase trileptol and keep decreasing lithobid. The lithobid takes the edge off his inability to control raging- in a very successful way (remember the trumpet incident?) and it keeps him from staying awake almost 24 hours. The depakote has been successful with the inability to sit still and EXCESSIVE talking, althoough he's been doing that the past 2 days. (That might be a result of getting to go to a hockey game with "guys" last night- which is rare for him- and not getting enough sleep last night) Oh- one of his tell-tale signs for depression is bending paper clips. From holidays until spring break is his worst period- so I've watched for this. I haven't had to look hard- I don't find bent paper clips this time, but he is hoarding paper clips. He's never had signs of Obsessive Compulsive Disorder (OCD), but when I do laundry and check his pockets, I pull out handfuls of paper clips from the pockets of pants he has worn to school. He's not bending them- so what does this mean? [/QUOTE]
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