Yet another med change

Avatar for keke0116
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Registered: 03-26-2003
Yet another med change
3
Thu, 04-24-2003 - 6:42am
Called the doc yesterday ... why this never seems to happen BEFORE I spend $50-100 on a new 'script is beyond me! But, this combination of meds just doesn't seem to be doing it for Kevin. It did, for a bit, but lately he is overly emotional and weepy. Kevin is not one to cry very often, but lately if something doesn't go exactly his way, he is sobbing. Yesterday, he was upset because his friend's (Andy's) mom said Kevin couldn't go over their house because Andy was in trouble for a bad grade. Now, ANDY is the one in trouble, ANDY is the one who was being punished technically, yet Kevin got in the car with me and was really upset ... and, its not even like he was supposed to go over or anything. He had been there on Tues, and he had karate class, so he really couldn't go anyway. But, he was in tears about this. He does the same with DH at baseball practice ... DH is the coach, but if practice isn't going the way Kevin wants, he's uncontrollable. I got the same last weekend ... Sat. he wanted to go to a movie, but I was preparing for Easter AND we were going to a college baseball game at 5:00, so couldn't do both. It's not even like I said "no, we can't do anything" ... just "no, we can't do BOTH" and he was in tears. Like perpetually PMSing or something.

Anyway ... I called the doc who still feels that the Strattera IS working to some extent, and the moodiness is a side-effect from the Concerta (which he takes 18 mg to give the Strattera a boost.) He thinks we should go off the Concerta but go to Ritalin LA(?) instead. Now, that is NOT as long-lasting as the Concerta, which means he may need a 2nd dose in the afternoon. DH is supposed to pick up a 'script today for that. I'm just not so sure ... I'm tired of changing meds, hate using more than one as it is. I was anti-meds for years, and although I've changed my tune and understand and appreciate the benefits he gets from them, I'm still not comfortable when I'm medicating my kid and it's affecting his mood. When he first went on the Concerta, we saw nothing but benefits ... I'm not feeling the same way right now!

Nancy

Nancy 

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Registered: 08-26-2000
Thu, 04-24-2003 - 9:50am
I'm sorry things are not going well for you guys right now. I hate the medication adjusting thing, too.

We were lucky that we settled on our first Ritalin dosages pretty easily after diagnosis. Then after 8 months or so it didn't seem to be working too well, we switched to Concerta. First the 18 mg that didn't do much. Then 36 mg, which did seem to work. Then finally 27 mg. But it is not without side effects. Sleep is a lot more difficult, and some evenings he is really weepy and emotional with homework. He claims everything is fine at school, and his teacher echoes those sentiments. He says he just hates homework.

I hope you find the right combo soon. So many variations, it seems.

Karen

 


PJPIIadoration.jpg picture by Kimberly_sahm

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Registered: 03-27-2003
Thu, 04-24-2003 - 12:02pm
Nancy,

Out of curiosity why is the psychologist prescribing a non-stimulant with a stimulant? Also, doesn't this defeat the purpose of prescribing a non-stimulant? Is kevin on any anti-depressants?

Avatar for keke0116
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Registered: 03-26-2003
Thu, 04-24-2003 - 7:52pm
Kevin had been (successfully) taking Concerta (36 mg) for about 16-17 months. Around Jan., it seemed to not be working as well ... but rather than increasing the dose (since Kevin had actually LOST weight from his prior year checkup) the doc suggested we try something new ... our pediatrician (who also has an ADHD DS) suggested Strattera, which we mentioned to the psychiatrist, and he agreed it was worth a shot. Strattera, however, didn't seem to 'do it' ... went from 24 to 40 to 60 mg, and although Kevin had no negative side effects, it just wasn't working as well as we and the doc felt it should. I suggested we split a dose of Strattera (like 40 mg in the a.m. and 18 or 24 in the afternoon, so perhaps it would give more of that '24 hour coverage' it's supposed to) ~OR~ put him back on Concerta. Doc suggested we add a smaller dose of Concerta to the Strattera to give it a 'boost' as sometimes the non-stimulant needs a little help from the stimulant to really get the right effect. And, it actually was effective (for a brief period of time.) Unfortunately, it was short lived. He still thinks Kevin needs help from a stimulant which is why we're going to try the Ritalin route.

Nancy 

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