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The Good, The Bad, and The Out and Out UGLY
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<blockquote data-quote="susiestar" data-source="post: 442793" data-attributes="member: 1233"><p>First of all, abilify is NOT NOT NOT a medication for adhd. I don't know WHO told you it was, but they were mistaken, misinformed, lying or nuts. It is NOT effective on ADHD. None of the medications you listed are. SOMETIMES a beta blocker is used (blood pressure medication) because it makes people tired - some docs try to use it off label for adhd but it isn't terribly successful. Otherwise adhd is treated with stimulants (adderall or ritalin or related medications, usually extended release formulas) or strattera. Strattera is similar to prozac but isn't terribly effective for depression, it was found pretty much by accident to work on adhd. If bipolar is suspected, or other mood disorders, then strattera is NOT a desirable first choice because medications from that class can trigger mood cycling. Otherwise it can be very effective.</p><p></p><p>Many people are afraid of giving stimulants to children because risk of addiction. Research actually shows very clearly that treating adhd in children as early as possible with stims can actually keep them from becoming addicted to drugs. The stimulants work to help synchronize their brain and body and they don't go looking for things like pot or other illegal drugs to self medicate. Continuing treatment into adulthood is also effective - those that stop stimulants and don't use strattera but go with-o medication are likely to start looking for other ways to create the effects of stimulants, and they often do this with illegal medications. I looked into this quite a number of times over the years as we treated my difficult child for adhd. </p><p></p><p>Adhd is actually a symptom of many autistic spectrum disorders, not a separate disorder. Quite a few autism specialists have explained this, as have 2 neuropsychs. It is treated as a separate disorder because if listed as a symptom the insurance co's don't want to pay for treatment, stupid as that is. It is also listed separately because schools are more willing to work with kids with adhd than with autism, and esp with both mroe than one or the other. non-psychiatrist type people seem to grasp the reality of adhd more as a separate disorder rather than as a symptom. It is discounted in importance if they are told it is a symptom and then treatment is not followed or initiated. NOT saying YOU or anyone specifically does this, just that it is the trend.</p><p></p><p>Abilify may be activating him, but changing a medication like abilify with-o a doctor's instructions can be dangerous. Keeping him on it a few days until the doctor can help you safely lower the level is far less risky than stopping it suddenly. I know it is hard, but try not to adjust medications with-o the doctor's okay. </p><p></p><p>I am glad that Daniel is doing better - that is an awesome thing. Assuming the bro's are twins biologically, you may want to consider exploring if the medications that help one will help the other. OFten people in the same family react similarly to a medication. Not always, but often. My mother is allergic to codeine in that she vomits it every time. So does my oldest and my daughter feels sick to her stomach from it. Many of the medications that my mother cannot tolerate I also cannot tolerate, and we also react well to many fo the same medications - some we have positive reactions that are NOT typical from but we do it and so do her sisters and their daus.</p></blockquote><p></p>
[QUOTE="susiestar, post: 442793, member: 1233"] First of all, abilify is NOT NOT NOT a medication for adhd. I don't know WHO told you it was, but they were mistaken, misinformed, lying or nuts. It is NOT effective on ADHD. None of the medications you listed are. SOMETIMES a beta blocker is used (blood pressure medication) because it makes people tired - some docs try to use it off label for adhd but it isn't terribly successful. Otherwise adhd is treated with stimulants (adderall or ritalin or related medications, usually extended release formulas) or strattera. Strattera is similar to prozac but isn't terribly effective for depression, it was found pretty much by accident to work on adhd. If bipolar is suspected, or other mood disorders, then strattera is NOT a desirable first choice because medications from that class can trigger mood cycling. Otherwise it can be very effective. Many people are afraid of giving stimulants to children because risk of addiction. Research actually shows very clearly that treating adhd in children as early as possible with stims can actually keep them from becoming addicted to drugs. The stimulants work to help synchronize their brain and body and they don't go looking for things like pot or other illegal drugs to self medicate. Continuing treatment into adulthood is also effective - those that stop stimulants and don't use strattera but go with-o medication are likely to start looking for other ways to create the effects of stimulants, and they often do this with illegal medications. I looked into this quite a number of times over the years as we treated my difficult child for adhd. Adhd is actually a symptom of many autistic spectrum disorders, not a separate disorder. Quite a few autism specialists have explained this, as have 2 neuropsychs. It is treated as a separate disorder because if listed as a symptom the insurance co's don't want to pay for treatment, stupid as that is. It is also listed separately because schools are more willing to work with kids with adhd than with autism, and esp with both mroe than one or the other. non-psychiatrist type people seem to grasp the reality of adhd more as a separate disorder rather than as a symptom. It is discounted in importance if they are told it is a symptom and then treatment is not followed or initiated. NOT saying YOU or anyone specifically does this, just that it is the trend. Abilify may be activating him, but changing a medication like abilify with-o a doctor's instructions can be dangerous. Keeping him on it a few days until the doctor can help you safely lower the level is far less risky than stopping it suddenly. I know it is hard, but try not to adjust medications with-o the doctor's okay. I am glad that Daniel is doing better - that is an awesome thing. Assuming the bro's are twins biologically, you may want to consider exploring if the medications that help one will help the other. OFten people in the same family react similarly to a medication. Not always, but often. My mother is allergic to codeine in that she vomits it every time. So does my oldest and my daughter feels sick to her stomach from it. Many of the medications that my mother cannot tolerate I also cannot tolerate, and we also react well to many fo the same medications - some we have positive reactions that are NOT typical from but we do it and so do her sisters and their daus. [/QUOTE]
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