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Help choosing medications
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<blockquote data-quote="HMBgal" data-source="post: 735189" data-attributes="member: 13260"><p>We did the DNA testing on my grandson and all the ADHD medications, Intuniv, abilify, Strattera, Concerta...all had limited effect and we didn't know why. According to these tests, his genetics simply don't allow the drugs to work the way they're supposed to. Right now we're trying to get rid of the Abilify. We tried the anti-anxiety class medications (BuSpar) with limited success, even though it was in the category that was likely to work the best. So now we've switched to an anti-depressant and having some luck with it (Viibryd). He was diagnosed with ADHD, General Anxiety Disorder, and most recently,. Disruptive Mood Dysregulation Disorder (DMDD). That last one was the one they added when they suspected that bipolar might be in his future, but he's too young to make that diagnosis for sure. And it changed the classification of medications. That's when they added the Abilify (aripiprazole). He will coming off that as soon as we can find something works for his anxiety. We're trying to change one thing at a time, controlling the variables so we know what's what. He's never been on more than two at a time (Concerta and Intuniv, for example) and an anti-anxiety and the Abilify. I've sometimes that I would like to just titrate him slowly off of everything, give him a few months and see how he does. A medication wash/vacation. But we haven't done it yet, and he's really not aggressive anymore, unless he gets lit up and goaded by other kids. And he's generally anxious all the time, and irritable. </p><p></p><p>The DNA testing is something that some doctors really like and insist on if a child has been on a ton of different medications and not having much relief from their struggles. Some say the tests don't work at all. It has been a proven test for other classes of medications, but doing it for psychiatric and ADHD is a fairly new use of the test. My grandson's insurance company paid for it 100%. Kaiser (if you're California) wouldn't even consider it; they just trialed medications to see what would stick. United Healthcare and Aetna both said they would pay for it. </p><p></p><p>Grandson has also had social groups, behavioral specialist at school, group art therapy every week, one-to-one school based therapy weekly as well as facilitated group meetings every day with his class (8 other kids with emotional/behavioral challenges to the extent that they need a special classroom to provide the support and smaller environment.</p><p></p><p>My big takeaway is that having you do the research doesn't pass the smell test. I looked long and hard for a doctor that had medications as his speciality.</p></blockquote><p></p>
[QUOTE="HMBgal, post: 735189, member: 13260"] We did the DNA testing on my grandson and all the ADHD medications, Intuniv, abilify, Strattera, Concerta...all had limited effect and we didn't know why. According to these tests, his genetics simply don't allow the drugs to work the way they're supposed to. Right now we're trying to get rid of the Abilify. We tried the anti-anxiety class medications (BuSpar) with limited success, even though it was in the category that was likely to work the best. So now we've switched to an anti-depressant and having some luck with it (Viibryd). He was diagnosed with ADHD, General Anxiety Disorder, and most recently,. Disruptive Mood Dysregulation Disorder (DMDD). That last one was the one they added when they suspected that bipolar might be in his future, but he's too young to make that diagnosis for sure. And it changed the classification of medications. That's when they added the Abilify (aripiprazole). He will coming off that as soon as we can find something works for his anxiety. We're trying to change one thing at a time, controlling the variables so we know what's what. He's never been on more than two at a time (Concerta and Intuniv, for example) and an anti-anxiety and the Abilify. I've sometimes that I would like to just titrate him slowly off of everything, give him a few months and see how he does. A medication wash/vacation. But we haven't done it yet, and he's really not aggressive anymore, unless he gets lit up and goaded by other kids. And he's generally anxious all the time, and irritable. The DNA testing is something that some doctors really like and insist on if a child has been on a ton of different medications and not having much relief from their struggles. Some say the tests don't work at all. It has been a proven test for other classes of medications, but doing it for psychiatric and ADHD is a fairly new use of the test. My grandson's insurance company paid for it 100%. Kaiser (if you're California) wouldn't even consider it; they just trialed medications to see what would stick. United Healthcare and Aetna both said they would pay for it. Grandson has also had social groups, behavioral specialist at school, group art therapy every week, one-to-one school based therapy weekly as well as facilitated group meetings every day with his class (8 other kids with emotional/behavioral challenges to the extent that they need a special classroom to provide the support and smaller environment. My big takeaway is that having you do the research doesn't pass the smell test. I looked long and hard for a doctor that had medications as his speciality. [/QUOTE]
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