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Ticking Time Bomb
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<blockquote data-quote="smallworld" data-source="post: 170568" data-attributes="member: 2423"><p>Christy, both his Trileptal and Seroquel are low. According to the book The Bipolar Child, the Trileptal target dose for children is approximately 900 to 1200 mg, with some kids requiring as much as 1500 to 2400 mg a day.</p><p> </p><p>According to my son's psychiatrist at the day treatment program he attended last winter, the target dose for Seroquel used to be 200 mg. But psychiatrists were finding that it would work and then quit. It was discovered that Seroquel is metabolized faster and faster over time so in essence the dose goes down if you're on a low dose for a while. Mania is treated at 300 to 600 mg, with some kids needing as high as 800 to 1000 mg. My son was at 800 mg and doing well mood-wise, but he was still sedated after a couple months so we lowered it to 600 mg. He's still doing great at this dose (with his other medications, of course).</p><p> </p><p>You really can't judge how effective a medication will be for your child if you don't get it to a therapeutic level. I hope the psychiatrist is able to make some adjustments so your difficult child will stabilize.</p></blockquote><p></p>
[QUOTE="smallworld, post: 170568, member: 2423"] Christy, both his Trileptal and Seroquel are low. According to the book The Bipolar Child, the Trileptal target dose for children is approximately 900 to 1200 mg, with some kids requiring as much as 1500 to 2400 mg a day. According to my son's psychiatrist at the day treatment program he attended last winter, the target dose for Seroquel used to be 200 mg. But psychiatrists were finding that it would work and then quit. It was discovered that Seroquel is metabolized faster and faster over time so in essence the dose goes down if you're on a low dose for a while. Mania is treated at 300 to 600 mg, with some kids needing as high as 800 to 1000 mg. My son was at 800 mg and doing well mood-wise, but he was still sedated after a couple months so we lowered it to 600 mg. He's still doing great at this dose (with his other medications, of course). You really can't judge how effective a medication will be for your child if you don't get it to a therapeutic level. I hope the psychiatrist is able to make some adjustments so your difficult child will stabilize. [/QUOTE]
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