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General Parenting
running out of ideas for medications - any suggestions?
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<blockquote data-quote="ellenr1" data-source="post: 16097" data-attributes="member: 2547"><p>Our daughter started on Zoloft alone 3 1/2 years ago. At the time she was diagnosis'd with-MDD, she was acting out a lot, throwing stuff, raging, cursing, defying authority. Within a year, she was "cutting" and making suicidal gestures. </p><p></p><p>During her first hospital stay they switched SSRI's to Lexapro and added Risperadal. The side effects of Risperadal were nasty (breast discharge, huge weight gain) so they replaced it with Lamictal. </p><p></p><p>A year later Welbutrin XL was added. Six months after that the Lamictal was discontinued. The levels of Welbutrin and Lexapro were tweaked. At one point she was up to 450 mg. Welbutrin.</p><p></p><p>Last August we discontinued the Lexapro (she was sick of medications and we didn't see much reason to continue with the same "cocktail") and restarted the Lamictal. </p><p></p><p>In October we added Effexor and upped the Lamictal to 125 mg. </p><p></p><p>In November we upped the Effexor to 150, the Lamictal to 150, and stopped the Welbutrin.</p><p></p><p>In December we stopped the Lamictal abruptly after she developed a rash on her neck and shoulders. The new doctor weaned her off the Effexor and added Abilify. </p><p></p><p>So, what I'm seeing is that although my daughter has never been diagnosis'd as Bipolar, she has usually had some kind of atypical antipsychotic or mood stabilizer to control mania. She went from hurting the furniture to hurting herself on SSRI's. I should also mention, that on at least two occasions, she stopped taking her medications without telling us and then had a bad reaction from the withdrawal/sudden restart. She also experimented with pot in her freshman/sophomore year, not a lot, but we know that some of it was contaminated with PCP, which probably worsened her depression. </p><p></p><p>We've changed insurance carriers at least four times over the year (my ex-husband's business kept trying to find a better deal) so we've changed docs as well, and they all have different ideas about medications. We chose this new guy because we heard he is on top of things and he is not adverse to supervising a medication wash. Some of the others seemed to throw pills at everything and did their damndest to keep her medicated, to the point that I think we've been poisoning my little sweetie. She has suffered a lot. I'd be angry if I wasn't so exhausted!</p><p></p><p>Anyway, I thank you all for your thoughtful, prompt replies. It makes me feel so much better to know that I can post a frantic rant and I'll always get answers from you all. Thank you so much for that.</p></blockquote><p></p>
[QUOTE="ellenr1, post: 16097, member: 2547"] Our daughter started on Zoloft alone 3 1/2 years ago. At the time she was diagnosis'd with-MDD, she was acting out a lot, throwing stuff, raging, cursing, defying authority. Within a year, she was "cutting" and making suicidal gestures. During her first hospital stay they switched SSRI's to Lexapro and added Risperadal. The side effects of Risperadal were nasty (breast discharge, huge weight gain) so they replaced it with Lamictal. A year later Welbutrin XL was added. Six months after that the Lamictal was discontinued. The levels of Welbutrin and Lexapro were tweaked. At one point she was up to 450 mg. Welbutrin. Last August we discontinued the Lexapro (she was sick of medications and we didn't see much reason to continue with the same "cocktail") and restarted the Lamictal. In October we added Effexor and upped the Lamictal to 125 mg. In November we upped the Effexor to 150, the Lamictal to 150, and stopped the Welbutrin. In December we stopped the Lamictal abruptly after she developed a rash on her neck and shoulders. The new doctor weaned her off the Effexor and added Abilify. So, what I'm seeing is that although my daughter has never been diagnosis'd as Bipolar, she has usually had some kind of atypical antipsychotic or mood stabilizer to control mania. She went from hurting the furniture to hurting herself on SSRI's. I should also mention, that on at least two occasions, she stopped taking her medications without telling us and then had a bad reaction from the withdrawal/sudden restart. She also experimented with pot in her freshman/sophomore year, not a lot, but we know that some of it was contaminated with PCP, which probably worsened her depression. We've changed insurance carriers at least four times over the year (my ex-husband's business kept trying to find a better deal) so we've changed docs as well, and they all have different ideas about medications. We chose this new guy because we heard he is on top of things and he is not adverse to supervising a medication wash. Some of the others seemed to throw pills at everything and did their damndest to keep her medicated, to the point that I think we've been poisoning my little sweetie. She has suffered a lot. I'd be angry if I wasn't so exhausted! Anyway, I thank you all for your thoughtful, prompt replies. It makes me feel so much better to know that I can post a frantic rant and I'll always get answers from you all. Thank you so much for that. [/QUOTE]
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running out of ideas for medications - any suggestions?
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