Guest guest Posted July 9, 2010 Report Share Posted July 9, 2010 Does the 75 seem to be helping? My daughter is on 50 and doing well. We give it in the a.m. It was very activating at first but leveled out a bit. We use benadryl or melatonin for sleep. Sent from my iPhone > Ok, I just came from the dr. and he said that he did not really want > to raise the 75 mg of zoloft. I was also wondering what time of day > you give your children the medicine? I give it to my daughter at > bedtime. She is having trouble getting to sleep. I am going to > switch it to mornings. He said he will raise the dose, but he does > not want to. What do you think about this? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2010 Report Share Posted July 9, 2010 My daughters doctor does blood tests to determine the blood level of drug in her system to know whether the dose has reached a therapeutic level or not. If not she raises the dose. But my daughtrer also had trouble with sleep on zoloft and she took it in the mornings the whole time she was on it. No problem and no need for addiitonal sleeping meds. M Subject: Medication To: Date: Friday, July 9, 2010, 6:46 PM  Ok, I just came from the dr. and he said that he did not really want to raise the 75 mg of zoloft. I was also wondering what time of day you give your children the medicine? I give it to my daughter at bedtime. She is having trouble getting to sleep. I am going to switch it to mornings. He said he will raise the dose, but he does not want to. What do you think about this? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2010 Report Share Posted July 9, 2010 Is this doctor a psychiatrist? Much higher dosages are typically used for pediatric OCD. If he is a pediatrician, he may not be familiar with the dosages used in OCD and that may be the problem. My dd takes Zoloft in the morning and has not had trouble with it. (mom w/OCD, 10 yo dd w/OCD) > > Subject: Medication > To: > Date: Friday, July 9, 2010, 6:46 PM > Ok, I just came from the dr. and he > said that he did not really want to raise the 75 mg of > zoloft. I was also wondering what time of day you give > your children the medicine? I give it to my daughter > at bedtime. She is having trouble getting to sleep. I > am going to switch it to mornings. He said he will > raise the dose, but he does not want to. What do you think > about this? > > > > ------------------------------------ > > Our list archives feature may be accessed at: http://health.groups.yahoo.com/group// > by scrolling down to the archives calendar . Our links > may be accessed at http://health.groups.yahoo.com/group//links > . Our files may be accessed at > http://health.groups.yahoo.com/group//files > . > Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ), Tamar Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. ( > http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 > ). You may ask a question of any of these mental health > professionals by inserting the words " Ask Dr.(insert name) " > in the subject line of a post to the list. Our list > moderators are Castle, Judy Chabot, BJ Closner, and > Barb Nesrallah. You may contact the moderators at -owner > . OCDKidsLoop membership may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ > . Our group and related groups are listed at http://health.groups.yahoo.com/group/ocdsupportgroups/links > . IOCDF treatment providers list may be viewed at http://www.ocfoundation.info/treatment-providers-list.php > . > NLM-NIH Drug Information Portal may be viewed at > http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\ l > . IOCDF recommended reading list may be accessed at http://www.ocfoundation.org/Books.aspx . IOCDF > glossary of terms may be accessed at http://www.ocfoundation.org/glossary.aspx > . IOCDF membership link may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com > pill identification wizard may be accessed at http://www.drugs.com/imprints.php . Mayo Clinic > Drug and Herb Index may be accessed at http://www.mayoclinic.com/health/drug-information/DrugHerbIndex > . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2010 Report Share Posted July 9, 2010 tRUE - My daughter was on 200Mg > > Subject: Medication > To: > Date: Friday, July 9, 2010, 6:46 PM > Ok, I just came from the dr. and he > said that he did not really want to raise the 75 mg of > zoloft. I was also wondering what time of day you give > your children the medicine? I give it to my daughter > at bedtime. She is having trouble getting to sleep. I > am going to switch it to mornings. He said he will > raise the dose, but he does not want to. What do you think > about this? > > > > ------------------------------------ > > Our list archives feature may be accessed at: http://health.groups.yahoo.com/group// > by scrolling down to the archives calendar . Our links > may be accessed at http://health.groups.yahoo.com/group//links > . Our files may be accessed at > http://health.groups.yahoo.com/group//files > . > Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ), Tamar Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. ( > http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 > ). You may ask a question of any of these mental health > professionals by inserting the words " Ask Dr.(insert name) " > in the subject line of a post to the list. Our list > moderators are Castle, Judy Chabot, BJ Closner, and > Barb Nesrallah. You may contact the moderators at -owner > . OCDKidsLoop membership may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ > . Our group and related groups are listed at http://health.groups.yahoo.com/group/ocdsupportgroups/links > . IOCDF treatment providers list may be viewed at http://www.ocfoundation.info/treatment-providers-list.php > . > NLM-NIH Drug Information Portal may be viewed at > http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\ l > . IOCDF recommended reading list may be accessed at http://www.ocfoundation.org/Books.aspx . IOCDF > glossary of terms may be accessed at http://www.ocfoundation.org/glossary.aspx > . IOCDF membership link may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com > pill identification wizard may be accessed at http://www.drugs.com/imprints.php . Mayo Clinic > Drug and Herb Index may be accessed at http://www.mayoclinic.com/health/drug-information/DrugHerbIndex > . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2010 Report Share Posted September 1, 2010 Hi Steffanie, Yes, this is a common effect with ssris. But it can also be just part of dealing with OCD. The combination, and if I can say it, a boy (I have one too!) can just amp everything up. It is also often an indicator that the medication is having an impact and that it will impact the OCD. Since it is only a week, give it time to settle down. Usually it does within three weeks or so, usu gradually. The brain/body needs to adjust to the med. During the start of medication and any dose changes I notice more reactivity, and it usually subsides. If it does not, or if it keeps getting worse, then you may want to consider another med. You will know clearly if bipolar symptoms are being triggered, it becomes pretty extreme pretty fast, it did with ours. You will literally feel like this is no longer your kid. At least that was our experience of it. It's hard to not know anything for sure and to be watching and wondering, but this is the nature of medication trials. Focus on postive improvement while being mindful of any negative aspects. It is always a balance of these two and there is rarely an ideal, unfortunately. The other thing to consider is how slow can you go with the dose. Often kids are very sensitive to these medications and if you can go very slowly with dosing they can adapt better and it is less bumpy. Not sure what dose you are at and if there is room to go lower? Warmly, Barb > > > Hi Everyone. My son has been on Zoloft for a week. My husband just mentioned today that he thinks Liam is more aggressive and defiant since starting the medication. I have noticed him be crabbier at times, but he's so up and down normally that I didn't think anything of it. I'm sure I've heard you say on here that antidepressants can do this. This is so very discouraging. I have had such high hopes that we could get him medicated and feeling better. I pray that the medication is not affecting him adversely. My mom has bipolar, so I've thought off and on that maybe he could have some of that going on. Advice, suggestions, input? Thanks so much. > > Steffanie > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2010 Report Share Posted September 1, 2010 Okay, thank you Barb. I did phone the nurse and left a message. He's on 25 mg. Maybe the doc will keep him on 25 mg a little longer. He was going to go to 50 mg next week. I'm copying my husband on this. Thanks a bunch! Steffanie To: From: barbnesrallah@... Date: Wed, 1 Sep 2010 14:41:49 +0000 Subject: Re: Medication Hi Steffanie, Yes, this is a common effect with ssris. But it can also be just part of dealing with OCD. The combination, and if I can say it, a boy (I have one too!) can just amp everything up. It is also often an indicator that the medication is having an impact and that it will impact the OCD. Since it is only a week, give it time to settle down. Usually it does within three weeks or so, usu gradually. The brain/body needs to adjust to the med. During the start of medication and any dose changes I notice more reactivity, and it usually subsides. If it does not, or if it keeps getting worse, then you may want to consider another med. You will know clearly if bipolar symptoms are being triggered, it becomes pretty extreme pretty fast, it did with ours. You will literally feel like this is no longer your kid. At least that was our experience of it. It's hard to not know anything for sure and to be watching and wondering, but this is the nature of medication trials. Focus on postive improvement while being mindful of any negative aspects. It is always a balance of these two and there is rarely an ideal, unfortunately. The other thing to consider is how slow can you go with the dose. Often kids are very sensitive to these medications and if you can go very slowly with dosing they can adapt better and it is less bumpy. Not sure what dose you are at and if there is room to go lower? Warmly, Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2010 Report Share Posted September 1, 2010  Hi Steffanie,        As a mom of a son with OCD, I have gone down the same path you are experiencing now with SSRI's                              When my son was first diagnosed at 13 yrs. he too went on zoloft, and he did respond by being more agitated and                               agressive. Then we switched to anafranil for 8 years and then to prozac for the last 2 years.  The doctor would then                               prescribe mood disorder drug as a solution to the agression as well as antipsychotics.  Finally we took him OFF the SSRI                               and he is no longer moody, no ups and downs with his emotions and not agressive and makes an effort to let go .  I felt the                               SSRI heightened his emotions no matter what the subject or circumstance. It definitely skewed his perceptions.                               The increase in the dosage did not make a difference either no matter how high, it was the SSRI itself that did not work                               for my son.     ________________________________ To: OCD Group < > Sent: Wed, September 1, 2010 9:14:59 AM Subject: Medication  Hi Everyone. My son has been on Zoloft for a week. My husband just mentioned today that he thinks Liam is more aggressive and defiant since starting the medication. I have noticed him be crabbier at times, but he's so up and down normally that I didn't think anything of it. I'm sure I've heard you say on here that antidepressants can do this. This is so very discouraging. I have had such high hopes that we could get him medicated and feeling better. I pray that the medication is not affecting him adversely. My mom has bipolar, so I've thought off and on that maybe he could have some of that going on. Advice, suggestions, input? Thanks so much. Steffanie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2010 Report Share Posted September 1, 2010 Hi , Just curious if your son is on any medication at all now, and how he is doing now. Wondering that he was on these medications for over 10 years, is that right? Are you saying he was aggressive and unstable during all of this time, and nothing worked well. Just wanting to be clear. We also had big difficulties with ssri's well with any medication. Our son is able to tolerate a low dose ssri(celexa) quite well now, and it takes the edge off at least. Hope things ARE somewhat better with your son now... Barb > >  Hi Steffanie,        As a mom of a son with OCD, I have gone down the same > path you are experiencing now with SSRI's >                              When my son was first diagnosed at 13 yrs. he too > went on zoloft, and he did respond by being more agitated and >                               agressive. Then we switched to anafranil for 8 > years and then to prozac for the last 2 years.  The doctor would then >                               prescribe mood disorder drug as a solution to the > agression as well as antipsychotics.  Finally we took him OFF the SSRI >                               and he is no longer moody, no ups and downs with > his emotions and not agressive and makes an effort to let go .  I felt the >                               SSRI heightened his emotions no matter what the > subject or circumstance. It definitely skewed his perceptions. >                               The increase in the dosage did not make a > difference either no matter how high, it was the SSRI itself that did not work >                               for my son.     > > > > > ________________________________ > > To: OCD Group < > > Sent: Wed, September 1, 2010 9:14:59 AM > Subject: Medication > >  > > Hi Everyone. My son has been on Zoloft for a week. My husband just mentioned > today that he thinks Liam is more aggressive and defiant since starting the > medication. I have noticed him be crabbier at times, but he's so up and down > normally that I didn't think anything of it. I'm sure I've heard you say on here > that antidepressants can do this. This is so very discouraging. I have had such > high hopes that we could get him medicated and feeling better. I pray that the > medication is not affecting him adversely. My mom has bipolar, so I've thought > off and on that maybe he could have some of that going on. Advice, suggestions, > input? Thanks so much. > > Steffanie > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2010 Report Share Posted September 2, 2010 Hi again . Well I'm glad if you have found a combination that works well and keeps your son calm. Barb > > Hi Barb, My son was given seroquel only with inderol (blood pressure > medication) for anxiety.  He is calm but the reason before with use of SSRI >               was for motivation and help keep him focused. But its use > contributed to the agression and up/down mood swings that for now are not >                there.   He does struggle with keeping focused in daily > hygiene.  Thanks for your thoughts.   > > > > > ________________________________ > > To: > Sent: Wed, September 1, 2010 2:07:16 PM > Subject: Re: Medication > >  > Hi , > > Just curious if your son is on any medication at all now, and how he is doing > now. Wondering that he was on these medications for over 10 years, is that > right? Are you saying he was aggressive and unstable during all of this time, > and nothing worked well. Just wanting to be clear. > > We also had big difficulties with ssri's well with any medication. Our son is > able to tolerate a low dose ssri(celexa) quite well now, and it takes the edge > off at least. > > Hope things ARE somewhat better with your son now... > > Barb > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2010 Report Share Posted September 2, 2010 It requires watchful waiting. I would not increase the dose for a bit yet and if he still gets worse, he may not be able to tolerate the drug or he might have a mood disorder. No short answer. PS don't let anyone tell you that activation on an SSRI always indicates bipolar it does not though your son has some increased risk for bipolar due to family history. Take care, Bonnie > > > Hi Everyone. My son has been on Zoloft for a week. My husband just mentioned today that he thinks Liam is more aggressive and defiant since starting the medication. I have noticed him be crabbier at times, but he's so up and down normally that I didn't think anything of it. I'm sure I've heard you say on here that antidepressants can do this. This is so very discouraging. I have had such high hopes that we could get him medicated and feeling better. I pray that the medication is not affecting him adversely. My mom has bipolar, so I've thought off and on that maybe he could have some of that going on. Advice, suggestions, input? Thanks so much. > > Steffanie > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2010 Report Share Posted September 3, 2010 Hi steffanie - I wanted to let you know that my son was on zoloft as well and it seemed go make him very crabby and irritable. Nothing needed to trigger this feeling her just woke up that way and seemed to be very frustrated all day. I know many have had success with zoloft but for us it was not a good fit. I have since taken him off. Good luck! - Sent from my iPhone Hi Everyone. My son has been on Zoloft for a week. My husband just mentioned today that he thinks Liam is more aggressive and defiant since starting the medication. I have noticed him be crabbier at times, but he's so up and down normally that I didn't think anything of it. I'm sure I've heard you say on here that antidepressants can do this. This is so very discouraging. I have had such high hopes that we could get him medicated and feeling better. I pray that the medication is not affecting him adversely. My mom has bipolar, so I've thought off and on that maybe he could have some of that going on. Advice, suggestions, input? Thanks so much. Steffanie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2010 Report Share Posted September 3, 2010 Thank you, . We're at 12.5 mg right now. We see the doc on Tuesday. He's still getting in trouble, but it's not like it was last year. Usually when he's in trouble, there are other kids involved. That's so hard for him. He's such a follower which doesn't make sense because he's so stubborn and independent at home! Maybe the anxiety makes him desperate for friends at school? I'm okay with his behaviors at home, I just desperately want him to be good at school. He's having problems with a boy, the one who he shoved back. Almost daily. The kid also called him a " retard " which really made me angry. Am I repeating myself? Sorry if I am--holey brain here. I have avoided telling the teacher about it because I want him to learn how to handle these things without Mommyb stepping in. At least he's not being threatened with death like at the old school! We all have to learn to deal with bullies, right? Any suggestions for what I should tell him. I keep telling him to ignore the kid, don't react, etc., but he just can't! Steffanie To: From: juliegarceau@... Date: Fri, 3 Sep 2010 03:28:53 -0700 Subject: Re: Medication Hi steffanie - I wanted to let you know that my son was on zoloft as well and it seemed go make him very crabby and irritable. Nothing needed to trigger this feeling her just woke up that way and seemed to be very frustrated all day. I know many have had success with zoloft but for us it was not a good fit. I have since taken him off. Good luck! - Sent from my iPhone Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2012 Report Share Posted May 29, 2012 My 11 year old daughter (mostly anxiety-related OCD) takes the generic form of Zoloft, which is sertraline (I think). It should be relatively inexpensive, at least compared to the name brand. Kim A. From: felama5 Sent: Tuesday, May 29, 2012 12:36 AM To: Subject: Medication My 17 yr old daughter has been taking inositol and St 's word for 7 years. We would like to try medication. She is not currently seeing a counselor. Our insurance will allow 3 Dr appointments with only a copay of $35. We do not have prescription coverage so I am hoping for a generic. I am trying to decide if I should take her to her family practice physician or if we need to go to a psychiatrist. She was diagnosed by a psychologist. She has obsessions and compulsions with some depression also. The inositol and st s helped immensely at first, but I do think she could use a little more relief and she is willing to try something. I would like some input on both type of professional and recommended drugs. -------------------------------------------------------------------------------- No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1424 / Virus Database: 2425/5030 - Release Date: 05/29/12 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2012 Report Share Posted May 29, 2012 Ditto what said about which med to try. Though she could still take inositol, but would use a smaller dose. However, if you try prescription, I'd try it alone, may not need the inositol at all; inositol is sometimes added with an SSRI to sort of " boost " the effect. Don't know your income, of course, but most, if not all, drug companies offer prescription assistance for those who find it hard to afford the medication; believe it's based on income. Psychiatrists are more familiar with treating mental health and the drugs used, but if the family physician is comfortable with treating with this type med, should be fine. If any family member has been on this type medication before and it worked well, might be a good place to start. Way back when was going on one, he had to have a liquid so that narrowed my choices. You may just need to find out about cost and then start with the lower one, and hopefully that one will work well! > > My 17 yr old daughter has been taking inositol and St 's word for 7 years. We would like to try medication. She is not currently seeing a counselor. Our insurance will allow 3 Dr appointments with only a copay of $35. We do not have prescription coverage so I am hoping for a generic. I am trying to decide if I should take her to her family practice physician or if we need to go to a psychiatrist. She was diagnosed by a psychologist. Quote Link to comment Share on other sites More sharing options...
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