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Abilify- worth another try?

Posted by Momof1BPKid on September 28, 2003, at 2:52:37

Long story Wont get it to it, so I'll just get down to business.

My 12 year old son is currently on 1000mg of depakote ER in the morning, 100mg of topamax 2x a day and 5 mg of zyprexa at bedtime.

He is diagnosed BP. His list of meds in the past range from inderal (his first med, made him extremely depressed), trileptal (did nothing for him at the highest dose he could be given!)
paxil (I REALLY THINK THIS HELPED HIM ALOT! BUT SINCE THE BP DIAGNOSIS the docs all say NO NO TO AN SSRI ON A BP KID)

After the trileptal failure we switched to depakote (250mg) and noone was even taking his levels! in which he was also on zyprexa at the time. (dont ask he had a bad pdoc!) After 6 months on zyprexa he went from a superior athlete with a natural athletic physique to gaining 50lbs in the first 3 months! I kept mentioning it the doc didnt do anything! So I took him back to his doc that treated him in a previous hospitalization. He took him off the zyprexa, and did a depakote level, he wasnt even on enough for it to be effective in the first place! He bumped him up to 750mg of depakote 2x a day an gave him 75mg of topamax, he had a severe manic episode about 3 months later (after stopping the zyprexa) he lost some of the puffiness and a little bit of weight, but now he bumped him up to 1000mg of depakote ER in the morning and 100mg of topamax 2x a day. He is back on the zyprexa as well, 5mg at night. He is so hungry! im nervous! His pdoc tried to put him risperdal, 5mg at night to see if we could stay away from the zyprexa cause of he weight, no go, he had sweats, tachycardia, and weird i could feel spasms in his neck and when i looked at him he was constantly blinking with each spasm, so pdoc took him off, he gets every bad side effect in the book! tried abilify about 2 months before the manic episode, for 1 day only! his arms and legs were jerking and twitching he couldnt sleep and he was so paranoid!
He finally fell asleep and was still twitching in his sleep! So he is back on the zyprexa, although it works well for him im very concerned about his weight! Im wondering if i should give abilify another try, I have been reading in some places that side effect diminish over time? that one night of abilify was enough to make me not want to give it to him the next day. but i wonder if side effects might decrease so he can take off some of he weight.
And what about the depakote I dont even know its doing much for him! the zyprexa works for him, but he is still a grumpy kid alot of the time.
and the weirdest thing that his pdoc disagrees on is, I see him do so much better when he takes his zyprexa at night and in the morning when i break up the doses. He really seems to do better on this med taking it in the morning! if i can get him up he wants to sleep 12 hours a night on this med, which does not work out with a school schedule.

any opinion on giving abilify another try would be helpful!


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poster:Momof1BPKid thread:263856
URL: http://www.dr-bob.org/babble/20030923/msgs/263856.html