Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Dana: I know when we tried to wean Tori off her Prozac, we had to stop at 1 ml. She was just a mess any lower than that. She is on that, plus Risperdal, plus Ritalin at this time. Liz meds vs no meds I realize this has been discussed in the past. It's now an issue and I have some questions for the group. 's pediatrition wanted me to slowly try taking him off Risperdal as he is concerned with the long term side effects.( Obesity, diabetes, and the yearly blood work to check cardiac and liver enzymes.) I've started decreasing the dose and at this point haven't seen any remarkable changes. I'm curious what some of your thoughts are re: this issue. Do any of you out there have other things you've tried other than prescription meds? I realize this question includes the " sanity " issue, hence the risperdal in the first place! Dana Hal, Dana, Frazer 15, 13 10, DS-Autism Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Liz, Would you mind describing to me what some of Tori’s behaviors were like prior to the meds and how each has helped? I certainly want a quality of life for , and want to find that balance for him. Thanks for sharing. Dana _____ From: [mailto: ] On Behalf Of Liz D Sent: Monday, November 13, 2006 1:23 PM To: Subject: Re: meds vs no meds Dana: I know when we tried to wean Tori off her Prozac, we had to stop at 1 ml. She was just a mess any lower than that. She is on that, plus Risperdal, plus Ritalin at this time. Liz meds vs no meds I realize this has been discussed in the past. It's now an issue and I have some questions for the group. 's pediatrition wanted me to slowly try taking him off Risperdal as he is concerned with the long term side effects.( Obesity, diabetes, and the yearly blood work to check cardiac and liver enzymes.) I've started decreasing the dose and at this point haven't seen any remarkable changes. I'm curious what some of your thoughts are re: this issue. Do any of you out there have other things you've tried other than prescription meds? I realize this question includes the " sanity " issue, hence the risperdal in the first place! Dana Hal, Dana, Frazer 15, 13 10, DS-Autism Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Dana: I was dead set against Meds but when Tori's behaviors started to interfere with living, I gave in. She stopped sleeping, she developed a lot of sensory issues. She is a major head-banger and has been since infancy. She also flaps her hand/arms and stiffens out her legs. She acts aggressively at times for no reason, alot of OCD things happening all the time, alot of Echolalia (repeating the same word/phrase over & over), very high pain tolerance, no safety awareness. We started with Prozac to help with moods. Then we went to Risperdal to try and control some of the " inappropriate " behaviors. And we just started on Ritalin recently to try to calm down the aggressiveness. We started on the smallest dosages possible and brought them up slowly until we saw an improvement. Hope this helps with your decision. Once again, I am against meds big time-but it got to a point where we really needed this type of intervention. Liz meds vs no meds I realize this has been discussed in the past. It's now an issue and I have some questions for the group. 's pediatrition wanted me to slowly try taking him off Risperdal as he is concerned with the long term side effects.( Obesity, diabetes, and the yearly blood work to check cardiac and liver enzymes.) I've started decreasing the dose and at this point haven't seen any remarkable changes. I'm curious what some of your thoughts are re: this issue. Do any of you out there have other things you've tried other than prescription meds? I realize this question includes the " sanity " issue, hence the risperdal in the first place! Dana Hal, Dana, Frazer 15, 13 10, DS-Autism Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Hello Dana: I thought I would reply to this thread just to add another perspective on this issue of meds, to help you make the decision that's right for your child. My son Landon is 15. He has many of the same issues as Liz described, though not as severe. He sleeps well, but is a " human alarm clock " . His body will wake him at the same time everyday reguardless of how much sleep he gets. He has many OCD tendencies, pinching(never pinches others tho, just his own arm), throwing things, pacing(we have a path worn on our carpet from this). He also doesn't know his own strength but is getting better with that. He self-stims obsessively, and slaps his own ears. No saftey awareness, and an escape artist. his moods are usually very calm(shockingly)and happy. I chose not to medicate him, though the doctors were all for it. He does take Risperdal, however, he only takes it on a very limited basis before Doctor's visits and invasive medical procedures(heart clinics, echos, EEGs). We use it to keep him from laying out the doctors and myself. I, personally, am dead set against stimulant or sedative meds of any kind unless it's needed for medical care to be administered. However, in my opinion, Landon's situation is not as dire and sself destructive as many others are. And had the risk to himself or others been more dangerous, I probably would have chosen to medicate him. My prayers are with you and your family during this key time. > > Dana: I was dead set against Meds but when Tori's behaviors started to interfere with living, I gave in. She stopped sleeping, she developed a lot of sensory issues. She is a major head-banger and has been since infancy. She also flaps her hand/arms and stiffens out her legs. She acts aggressively at times for no reason, alot of OCD things happening all the time, alot of Echolalia (repeating the same word/phrase over & over), very high pain tolerance, no safety awareness. We started with Prozac to help with moods. Then we went to Risperdal to try and control some of the " inappropriate " behaviors. And we just started on Ritalin recently to try to calm down the aggressiveness. We started on the smallest dosages possible and brought them up slowly until we saw an improvement. > > Hope this helps with your decision. Once again, I am against meds big time-but it got to a point where we really needed this type of intervention. > > Liz > meds vs no meds > > I realize this has been discussed in the past. It's now an issue and I > have some questions for the group. > 's pediatrition wanted me to slowly try taking him off Risperdal > as he is concerned with the long term side effects.( Obesity, > diabetes, and the yearly blood work to check cardiac and liver > enzymes.) > I've started decreasing the dose and at this point haven't seen any > remarkable changes. > I'm curious what some of your thoughts are re: this issue. > Do any of you out there have other things you've tried other than > prescription meds? > I realize this question includes the " sanity " issue, hence the > risperdal in the first place! > > Dana > > Hal, Dana, Frazer 15, 13 10, DS-Autism > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Hello Dana and All, Pete ( Ben) has also been on risperdal since he was around 11, I think. He is now 16. He is also on clonidine and metadate, an extended-release form of ritalin. Like many others, Pete's behaviors (aggression towards others, screaming, impusliveness that compelled him to be agressive or disruptive and sometimes destructive) plus the running off at every opportunity all put him at great risk for removal from school (let alone learning anything while he was there). Adults and children were fearful of him; our dreams of having him included were never possible. And he was also getting bigger and stronger, including pushing over his fragile grandmother when she lived with us. Pete gained maybe 8 pounds in the first few months on the risperdal. He gets blood work done twice a year. Our doctor has been fastidious about keeping up with the research and long term possible problems. We have been fortunate that our pediatrician happens to see a large number of kids with disabilities (this has been for over 35 years) so we have never had to convince him of the need to stay up on the Down syndrome or the autism health issues. Combined with the metadate particularly, Pete is simply more available for learning. He is much more social, and I think he is one of those kids for whom risperdal has helped improve language. (It is possible that it stimulates the language center of the brain.) Since Pete didn't begin to say much until after age 11, we suspect it may have helped. Over the years, he has been better able to co-operate with the blood draws as well as doctor visits and dental work. He accepts getting his head buzzed (he has alopecia) and he does pretty well with brushing his teeth every day. The impulsiveness has toned down (we have had our share of hair raising scary stories so like many others here). Pete eats a well-balanced diet and we push him to keep moving, exercise wise. (He swims and runs/walks on the track) so we are trying to keep his weight in balance. But, like others have said, meds are not magic bullets. We still have behavior management strategies, major stress on communcation, and healthy habits all a part of the plan. School is not the constant battle it had been. Every once in a while I think about decreasing something he is on. The " if it's not broke don't fix it " comes to mind. We have only seen steady progress for Pete in the last three years since he has been on the same drugs with no experimenting. Not that it's not 2 steps forward, one step back. I think what Margaret mentioned about Gareth is probably true for Pete- he has been a happier, more tuned-in kid. All that being said, I can totally understand your wanting to avoid meds if you possibley can. But if you are already pedalling as fast as you can and your child is still falling apart, it is enormous relief to know that your child can get some relief with the right match of meds. One of the things that I did early on this meds journey (and still do) is when Pete and I are saying his night prayers, I ask that his meds only help, and never hurt him. I figured, it's worth a shot! Take good care, Beth Pete's mum Central Ohio (Columbus area) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2006 Report Share Posted November 14, 2006 Dana, For us, it was the only route to go. His particular form of autism gives him some behaviors, while not giving him others. He doesn't scream or attack us. In fact, even when we are at the Doc's office and are holding him down for shots or other invasive things(he can't stand being poked and prodded), he doesn't scream, he does cuss us out very well though. So really, I knew that I didn't really need to medicate him on a regular basis. I have done many other life-changing things though. My house is like Fort Knox because he escapes. I have alarms on everything. I don't leave my house alot and we don't go places because he doesn't like the public as a whole, and doesn't go out well. We just avoided situations that would upset him, in general. My family is used to that. He does small gatherings just fine, but I couldn't get him into a church, movie theater, or a Wal Mart now if my life depended on it. He likes family only, and loves people in general, just not large groups of them. The Risperdal for him, works like a muscle relaxer. He wants to fight us still, but doesn't have the motivation. It works, but not to the extent of him being as sedated as giving him a total sedative would be. He's still combative, don't get me wrong, but he's not as hard for me to hold him still. He out weighs me and is taller than I am now. Our last Dr. visit before the Risperdal, it took 2 men from maintenence, the Doc, myself and two nurses to hold him down for a Hep shot and blood work. He'd had a seizure a couple days before so it was necessary. With the Risperdal, he still fights me, but not as bad. I should say though, for us, the Risperdal is not an option for things as invasive as dental work. I doubt that would work at all for him, all his dental work is done under total sedation. They do it when they check his ear tubes. I give him only 1ML of Risperdal 2 hrs before Dr. visits. It's the only med he's ever taken besides Klonopin when he was an infant. > > Thanks Margaret, Laci and Liz for your responses. Greatly appreciated. > > Laci, your comments about medicating prior to a procedure were very > interesting. I have never considered this before. 's Pediatrition has > never offered it as an option either. It's something I'm definitely going to > look into as 's last dental appointment was probably his worst! > > God bless, > > Dana > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2006 Report Share Posted November 15, 2006 Dana, My husband was totally against meds in the beginning but after seeing what a difference the meds make my husband thinks this is the best move " he " made.No one ever wants to think about side affects but even holistic meds and vitamins can have side affects.Watch the commericials like helps headache but make cause abdominal cramps, vomiting etc.Has the Dr. offered any alternatives? Cyndi > > I realize this has been discussed in the past. It's now an issue and I > have some questions for the group. > 's pediatrition wanted me to slowly try taking him off Risperdal > as he is concerned with the long term side effects.( Obesity, > diabetes, and the yearly blood work to check cardiac and liver > enzymes.) > I've started decreasing the dose and at this point haven't seen any > remarkable changes. > I'm curious what some of your thoughts are re: this issue. > Do any of you out there have other things you've tried other than > prescription meds? > I realize this question includes the " sanity " issue, hence the > risperdal in the first place! > > Dana > > Hal, Dana, Frazer 15, 13 10, DS-Autism > Quote Link to comment Share on other sites More sharing options...
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