Re: Ask Dr. Geller - BJ....my $0.2 - Stormy

[Guest guest]

Thanks for your well wishes. My son does not have AS, but does have some

autistic traits. The seroquel and melatonin that we give him helps him sleep,

but when he's breaking down, sleep is defintiely an issue as he wakes in the

middle of the night to pace the floors. It's so sad to see him like that. He

says that sleeping is his favorite part of the day because it's the only time he

isn't nervous. He's not irritable or agitated what so ever and this has always

been my concern...that even if he does have some affective disorder, his anxiety

disorder is his primary and most troubling symptom and I think it drives his

moods. This is why my primary focus has been to work on his anxiety in hopes

that it will prevent any affective trigger. I wish things were more simple, it

would be so much easier to manage. I'm crossing my fingers for a better day

today.

Bonnie

..

> > >

> > > I believe that there is such a thing as treatment emergent serotonin

> >syndrome, but it usually has a cause that alters the concentration of drug in

> >the system such as the addition of a new medication, exposure to food

substances

> >that affect serotonin, recreational drug use, large change in body mass,

> >sometimes dehydration.

> >

> > >

> > > A couple of things to consider is whether or not he ingested any kind of

> >supplement (tryptophan, St. 's Wart) or any other kind of drugs lately (a

> >certain antibiotic, prilosec, or something else) that may have contributed to

> >the symptoms of serotonin syndrome (look up celexa drug-drug interactions).

> >

> > >

> > > Also, I am wondering if he has a fever at all (if so, he needs to have

some

> >blood and urine tests). There is a drug, Cyproheptadine, that can be given

to

> >treat serotonin syndrome, and benzodiazepines can help with the discomfort

that

> >may be associated with a lower dose or discontinuation of SSRI.

> > >

> > > I sure hope you get an answer soon and that he starts feeling better.

> > >

> > > Bonnie

> > >

> >

>

>

>

>

>

>

>

>