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Update on difficult child
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<blockquote data-quote="Sheila" data-source="post: 25490" data-attributes="member: 23"><p>If difficult child's doctor can't help you with this problem, I'd get another. You might also want to consider getting a pediatric (child and adoloscent) psychiatrist to help manage difficult child medications.</p><p></p><p><strong>I'd also call the pharmacist immediately with a list and dosage of all difficult child's medications.</strong> A pharmacist would be aware of medication interactions and side affects -- more than some doctors. It's their "specialty."</p><p></p><p>You may want to do some research on Tardive Dyskinesia and other causes of tics besides Tourettes. From <a href="http://www.childbrain.com/ticdisorder.shtml" target="_blank">http://www.childbrain.com/ticdisorder.shtml</a> .</p><p></p><p>Quote: Other tic suppressing medications included pimozide, fluphenazine, and haloperidol. These are highly effective, but may be associated with some serious side effects, including liver and blood clot dysfunctions, weight gain, allergic reactions, dystonic reactions, and tardive dyskinesia. Tardive dyskinesia is a potentially irreversible movement disorder that involves the mouth, tongue, and extremities.</p><p></p><p>Quote: Tics may be caused by extreme stress, some medications including Ritalin, Dexedrine, and Adderall (stimulants), or Tegretol may cause them. On rare occasions, some infections that involve the brain (encephalitis) may be associated with tics. Other genetic and metabolic disorders, mostly those that affect the basal ganglia may be associated with tics or with tic-like phenomenon. Also viral infections may rarely cause tics. Streptococcal infections have been associated with the development of tics and obsessive-compulsive behaviors. PANDAS or pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, is a known entity in which the antibodies to the streptococcal bacteria attack the basal ganglia causing the above-mentioned symptoms.</p><p></p><p>Tics must be differentiated from chorea. Chorea is a movement disorder that unlike tics, cannot be reproduced by an observer, is more difficult to suppress, and is incorporated into voluntary movements. Rarely some seizures may be brief and rapid imitating tic disorders.</p><p></p><p>I noticed your signature says difficult child is on Clonidine. Another site I browsed said, "Overdosing on Tenex can have severe effects." Yet another said, "Like another antihypertensive drug, Catapres etc. (Clonidine), Tenex regulates levels of the neurotransmitter norepinephrine and may be effective in reducing ADHD symptoms alone or in combination with stimulants." So it ran through my mind that if difficult child is taking Clonidine and Tenex, is there a possibility of inadvertent overdosing?</p><p></p><p>Very worrisome.</p></blockquote><p></p>
[QUOTE="Sheila, post: 25490, member: 23"] If difficult child's doctor can't help you with this problem, I'd get another. You might also want to consider getting a pediatric (child and adoloscent) psychiatrist to help manage difficult child medications. [B]I'd also call the pharmacist immediately with a list and dosage of all difficult child's medications.[/B] A pharmacist would be aware of medication interactions and side affects -- more than some doctors. It's their "specialty." You may want to do some research on Tardive Dyskinesia and other causes of tics besides Tourettes. From [URL]http://www.childbrain.com/ticdisorder.shtml[/URL] . Quote: Other tic suppressing medications included pimozide, fluphenazine, and haloperidol. These are highly effective, but may be associated with some serious side effects, including liver and blood clot dysfunctions, weight gain, allergic reactions, dystonic reactions, and tardive dyskinesia. Tardive dyskinesia is a potentially irreversible movement disorder that involves the mouth, tongue, and extremities. Quote: Tics may be caused by extreme stress, some medications including Ritalin, Dexedrine, and Adderall (stimulants), or Tegretol may cause them. On rare occasions, some infections that involve the brain (encephalitis) may be associated with tics. Other genetic and metabolic disorders, mostly those that affect the basal ganglia may be associated with tics or with tic-like phenomenon. Also viral infections may rarely cause tics. Streptococcal infections have been associated with the development of tics and obsessive-compulsive behaviors. PANDAS or pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, is a known entity in which the antibodies to the streptococcal bacteria attack the basal ganglia causing the above-mentioned symptoms. Tics must be differentiated from chorea. Chorea is a movement disorder that unlike tics, cannot be reproduced by an observer, is more difficult to suppress, and is incorporated into voluntary movements. Rarely some seizures may be brief and rapid imitating tic disorders. I noticed your signature says difficult child is on Clonidine. Another site I browsed said, "Overdosing on Tenex can have severe effects." Yet another said, "Like another antihypertensive drug, Catapres etc. (Clonidine), Tenex regulates levels of the neurotransmitter norepinephrine and may be effective in reducing ADHD symptoms alone or in combination with stimulants." So it ran through my mind that if difficult child is taking Clonidine and Tenex, is there a possibility of inadvertent overdosing? Very worrisome. [/QUOTE]
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