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Re: Meds For Bipolar, CD and ADHD Son

Posted by Karen on April 5, 1999, at 13:38:58

In reply to Re: Meds For Bipolar, CD and ADHD Son, posted by Matt on April 5, 1999, at 3:11:41

> Karen,
> I'm really sorry to hear about all you've been through--I can't imagine what it all must be like, both for your family and for your son.
> I don't know tons about ADHD, but I know a bit. So take this with a grain
> of salt. Cylert is one possibility, certainly Another is an
> activating antidepressant like Wellbutrin or a less sedating TCA
> (nortriptyline or perhaps protriptyline). Wellbutrin (which is sometimes
> used for ADHD) would seem a better choice, because of your son's prior
> experience with Imimpramine. Wellbutrin also would be a good choice for
> the depression side of the bipolar.
> Zyprexia 2.5mg is used in more than a few patients for relief of anxiety,
> unclear thinking, etc.. 10mg is a normal dose for antipsychotic use, though anywhere from
> 5-20mg is used for this purpose. If the doc thinks that Zyprexia would be
> useful for treating the anger (and I could see how it would be), I don't
> see why upping the dose (perhaps to 7.5 mg) and seeing what happens would be a
> problem. Seroquel, another atypical antipsychotic might be useful in this
> regard, as well. It (probably) carries with it a lower risk of TD, also, it would
> seem. I'd give the Zyprexia a shot, first, though--I suspect that it might
> be better for your purposes than Seroquel.
> However, the nature of your son's condition puts this way out of my league.
> I responded because I wanted to do anything I could to help, but hopefully
> Toby or someone will respond also.
> Best of luck to you, and please keep us posted on how you are doing.
> Best wishes,
> Matt

Thank you so much for responding Matt. I appreciate the input. Karen




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