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<blockquote data-quote="klmno" data-source="post: 229590" data-attributes="member: 3699"><p>I don't know the exact numbers, but they have been checked and are all good. difficult child tends to have bad reactions on medications if he takes doses as high as most kids- so his lithium was at 900 mg for over a year. That had him at the very low end of therapuetic range. I think psychiatrist said the 1200 mg now has him in the mid-range. I'm just speculating, but maybe that is why it hasn't effected his thyroid yet.</p><p></p><p>psychiatrist checked depakote and lithium levels, glucose, thyroid, and something else (don't remember what) in Oct. psychiatric hospital psychiatrist checked depakote, lithium, thyroid, levels in Dec and all came back good. psychiatric hospital also checked for non-rx'd drugs and that was negative.</p><p></p><p></p><p></p><p>I, too, am not a big fan of depakote, for those reasons and because of weight gain, acne, and cognitive dulling. But, lamictal was the first MS tried- even before liithium. difficult child showed no signs of improvement and was actually getting worse. When we changed and tried lithium, difficult child showed signs of improvement quickly. His symptoms at the time of tril were similar to what we see now- inability to sleep, aggression, raging,compulsion to find porn on the internet (mania or rap[id cycling indicators). Are you thinking of trialing lamictal and lithium together? That might be a possibility- I didn't consider depakote a first line MS and didn't realize that two first line MS's should be used together, but apparently, from other threads I've been reading, I must have been mistaken.</p><p></p><p></p><p></p><p>psychiatrist didn't like seroquel for difficult child. He said that with difficult child's sensitivity to medications, it would take a while to get him to a high enough dose to be effective and during that time, difficult child would be knocked out and it would make worse problems with difficult child getting to school and being able to do school work. I suspect the weight gain might have been a concern for psychiatrist too- he's getting on our cases now about difficult child weighing so much. If the depakote could be removed altogether and the seroquel used instead, that might work, because the depakote has been causing weight gain.</p><p></p><p>If difficult child ends up staying at home to live and things keep going well with his therapist, I plan to switch to a psychiatrist at therapist's office. I just don't want to do that until I'm more comfortable that I won't end up in a frantic search for both a new therapist and psychiatrist at the same time. I want to be pretty comfortable that I'll be happy with them both- difficult child has seen his psychiatrist for almost 3 years. I'd love another opinion a lot of times, but it's hard to switch from the only one we've worked with on a regular basis.</p><p></p><p>So, I take it that you wouldn't try the celexa at all?</p><p></p><p>I wonder if when the lithobid was raised, maybe the depakote should have been lowered... it seems like psychiatrists never consider lowering a medication, only adding more.</p><p></p><p>Thank you, ML!</p></blockquote><p></p>
[QUOTE="klmno, post: 229590, member: 3699"] I don't know the exact numbers, but they have been checked and are all good. difficult child tends to have bad reactions on medications if he takes doses as high as most kids- so his lithium was at 900 mg for over a year. That had him at the very low end of therapuetic range. I think psychiatrist said the 1200 mg now has him in the mid-range. I'm just speculating, but maybe that is why it hasn't effected his thyroid yet. psychiatrist checked depakote and lithium levels, glucose, thyroid, and something else (don't remember what) in Oct. psychiatric hospital psychiatrist checked depakote, lithium, thyroid, levels in Dec and all came back good. psychiatric hospital also checked for non-rx'd drugs and that was negative. I, too, am not a big fan of depakote, for those reasons and because of weight gain, acne, and cognitive dulling. But, lamictal was the first MS tried- even before liithium. difficult child showed no signs of improvement and was actually getting worse. When we changed and tried lithium, difficult child showed signs of improvement quickly. His symptoms at the time of tril were similar to what we see now- inability to sleep, aggression, raging,compulsion to find porn on the internet (mania or rap[id cycling indicators). Are you thinking of trialing lamictal and lithium together? That might be a possibility- I didn't consider depakote a first line MS and didn't realize that two first line MS's should be used together, but apparently, from other threads I've been reading, I must have been mistaken. psychiatrist didn't like seroquel for difficult child. He said that with difficult child's sensitivity to medications, it would take a while to get him to a high enough dose to be effective and during that time, difficult child would be knocked out and it would make worse problems with difficult child getting to school and being able to do school work. I suspect the weight gain might have been a concern for psychiatrist too- he's getting on our cases now about difficult child weighing so much. If the depakote could be removed altogether and the seroquel used instead, that might work, because the depakote has been causing weight gain. If difficult child ends up staying at home to live and things keep going well with his therapist, I plan to switch to a psychiatrist at therapist's office. I just don't want to do that until I'm more comfortable that I won't end up in a frantic search for both a new therapist and psychiatrist at the same time. I want to be pretty comfortable that I'll be happy with them both- difficult child has seen his psychiatrist for almost 3 years. I'd love another opinion a lot of times, but it's hard to switch from the only one we've worked with on a regular basis. So, I take it that you wouldn't try the celexa at all? I wonder if when the lithobid was raised, maybe the depakote should have been lowered... it seems like psychiatrists never consider lowering a medication, only adding more. Thank you, ML! [/QUOTE]
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