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General Parenting
Well, I Think We're Going To Play With Some Drugs
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<blockquote data-quote="smallworld" data-source="post: 20150" data-attributes="member: 2423"><p>FWIW, my son is on a stimulant (Focalin XR) with a mood stabilizer (Lamictal -- we'll be weaning off Depakote soon), and he's doing fine. But he did fine with stimulants for several years before Zoloft sent him into mania. We use a low dose and watch his moods like a hawk. So far, so good.</p><p></p><p>This is just my thought, and obviously you should run it by the psychiatrist, but I'm wondering whether you should just trial regular Ritalin before going to Concerta, which is simply long-acting Ritalin. The reason I'm suggesting this is because Ritalin lasts 4 hours and Concerta lasts 10 to 12. If you have a problem with Concerta, it's going to take a whole lot longer to leave Dylan's system. Once you know he does OK with Ritalin, you can easily switch over to Concerta.</p><p></p><p>One reason not to deep-six the Abilify before starting a stimulant is if you think Abilify is helping with anxiety. Stimulants are notorious for exacerbating anxiety. And stimulants often help with appetite suppression. My son frequently doesn't eat very much at lunchtime (not a problem because he's overweight, too).</p><p></p><p>Another thought: Are you sure his inattentive ADD symptoms are not caused by cognitive dulling from Lithium? Lithium, like the mood stabilizers Topamax and Neurontin, are known for cognitive dulling side effects. I'm not sure what is done to ameliorate this side effect, but I think it's something to consider.</p></blockquote><p></p>
[QUOTE="smallworld, post: 20150, member: 2423"] FWIW, my son is on a stimulant (Focalin XR) with a mood stabilizer (Lamictal -- we'll be weaning off Depakote soon), and he's doing fine. But he did fine with stimulants for several years before Zoloft sent him into mania. We use a low dose and watch his moods like a hawk. So far, so good. This is just my thought, and obviously you should run it by the psychiatrist, but I'm wondering whether you should just trial regular Ritalin before going to Concerta, which is simply long-acting Ritalin. The reason I'm suggesting this is because Ritalin lasts 4 hours and Concerta lasts 10 to 12. If you have a problem with Concerta, it's going to take a whole lot longer to leave Dylan's system. Once you know he does OK with Ritalin, you can easily switch over to Concerta. One reason not to deep-six the Abilify before starting a stimulant is if you think Abilify is helping with anxiety. Stimulants are notorious for exacerbating anxiety. And stimulants often help with appetite suppression. My son frequently doesn't eat very much at lunchtime (not a problem because he's overweight, too). Another thought: Are you sure his inattentive ADD symptoms are not caused by cognitive dulling from Lithium? Lithium, like the mood stabilizers Topamax and Neurontin, are known for cognitive dulling side effects. I'm not sure what is done to ameliorate this side effect, but I think it's something to consider. [/QUOTE]
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