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Old 11-15-2012, 09:06 PM   #1
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Meds?

DS saw his specialist today. She wanted to put him on antipsychotic meds. She said the worst side effect was weight gain. Then I looked it up: http://m.youtube.com/#/watch?v=4-Vou...%3D4-VouCjp_eI

Ugh. No way I'm giving that to DS! I feel like we're stuck between a rock and a hard spot. She said its the only thing she can prescribe to him, but I find that hard to believe. Anyway, I'd love to know what you guys have had success with for treating hyperactivity, aggression, etc. you can pm me too, if you don't want to post here.

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Old 11-15-2012, 09:59 PM   #2
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Re: Meds?

I've known a few littles on it & it helped tremendously with behavior and no side effects that i've ever witnessed.
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Old 11-16-2012, 05:26 AM   #3
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Re: Meds?

As far as meds go I'd say risperdal is the best choice. Otherwise I would highly suggest changing his diet. No processed foods, definitely no food dyes, no high fructose corn syrup. We don't quite do the feingold diet but I have seen amazing results with it. We have more hyperactivity than aggression. Getting rid of processed foods helped my boys. Honestly I think getting my oldest to have a really great breakfast made a huge difference. His teacher and my son could tell a difference.

A good book that's practical and easy to read is optimistic parenting. It has great home ideas.
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Old 11-16-2012, 07:27 AM   #4
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Re: Meds?

My DS is on a clonidine patch for hyperactivity, he also was dx with distruptive behavior disorder. It's worked great for us, we change it once a week and the constant dose vs. pills 2-3 times a day has really helped him. I thought it would be hard to keep him from taking it off, but it usually forgets about it really quickly. Hope you can find something that works for him.
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Old 11-16-2012, 08:19 AM   #5
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Re: Meds?

I'd like to change his diet but he barely eats as it is. I can count on one hand the foods he will eat. he lost 6 pounds in the last few months because he has gotten even pickier! He also has grown and inch and a half, so he is much thinner than he used to be. But I'm going to look into some things we can do to make the transition to better eating. We try to avoid dyes and HFCS.

The other thing that worried me about risperdal is the weight gain that happens with most people who get put on it and the subsequent chnage blood sugar levels.
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Old 11-16-2012, 08:58 AM   #6
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Re: Meds?

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The other thing that worried me about risperdal is the weight gain that happens with most people who get put on it and the subsequent chnage blood sugar levels.
Keep in mind that the people with the biggest problems with metabolic syndrome from antipsychotics usually already have risk factors. If he continues to be active and not eat heavily it's unlikely he would put on weight. I'mnot a huge fan of meds in general because I'm afraid of side effects but if my son does need medication I wouldn't be afraid of a small dose of. Risperdal.

His limited diet(which I totally understand btw) is hard. There is a process to help get kids to eat better that slp's use. The name of it escapes me. My son wasn't super picky but he had some key nutrients he was missing. The gist of it is to make tiny food changes and keep the food as close to his faves as possible. More moms on here know a ton about it.

Clonidine is a good suggestion and is usually a first line med for many disruptive/anxiety type issues. I'm guessing there was a reason your doc didn't think it was appropriate.i
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Old 11-16-2012, 09:09 AM   #7
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Re: Meds?

She said because of his age (he is turning 3 next week) that the meds she would prescribe are very limited. :/
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Old 11-16-2012, 01:27 PM   #8
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Re: Meds?

I personally would not touch Risperdal with a ten foot pole but I have had bad experiences with it. I wouldn't let my son's doctor prescribe it to him either. We started with Abilify and it made him violent, I wasn't willing to risk his reaction to Risperdal. Did your doctor give you a diagnosis or is she just treating symptoms? I am not a fan of antipsychotics but I don't know about options at your son's age or without any knowledge of the diagnosis you're working with. I am bipolar and so is my youngest son, so far he has reacted to most meds the same way I do and is now being treated with lamictal, it is an anticonvulsant used off label as a mood stabilizer. Untreated he is aggressive, argumentative, impulsive and hyperactive. Medicated he is driven, confident, outgoing and charming.

I have found that each doctor has drug preferences. My psychiatrist has certain drugs that she prefers vs my neurologist. My neurologist won't prescribe depakote unless he has to, it is his "drug of last resort" because it almost always causes substantial weight gain and tends to lead to brain fog. My psych on the other hand will almost always prescribe it because it is effective as a mood stabilizer. She doesn't care so much about side effects. She is also pretty old school (probably because she is old) and prescribes lithium routinely. My son's doctor offers antipsychotics first before moving into mood stabilizers because that is what he feels most comfortable with prescribing to children. There is a good chance you have more choices but this is the med this particular doctor prefers to prescribe.
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Old 11-16-2012, 01:45 PM   #9
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Re: Meds?

He has autism. It's basically to control his hyperactivity, aggression, oppositional defiant behavior, and tantruming/meltdowns.

I wonder if I should just try to wait it out. He is MUCH better than he used to be a year ago. We couldn't even have any furniture in the house... We had no lamps, no night stands, no bed frame. We literally had a mattress on the floor in our bedroom and that was it! He would break and throw everything CONSTANTLY.
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Old 11-16-2012, 01:57 PM   #10
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Re: Meds?

How much therapy are you doing with him? I think you have posted about it before but I don't remember? This is the sort of thing that a good behavioral therapist can really help with. 3 was a rough age with my oldest (he is ASD) and I know it is such a cliche thing to say but it did get better. Unfortunately it is getting worse again (darn pre-teen hormones) but things got pretty smooth for a long time through 4-10. We did a lot of work with a behavioral therapist from ECI then got into private therapy for feeding (he didn't eat) and occupational and it really changed things for him. I always hear a lot about ABA but we have never done it. I can't even get any of the local places to call me back so it looks unlikely that we will be doing it. Right now he is at a point where I may consider meds for him in the future but I can't say what a great difference therapy made.
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