Posted by brussell on January 2, 2004, at 21:50:52
In reply to Any advice about meds?, posted by cherdi814 on January 1, 2004, at 20:12:35
Hello,
I'm sorry you have to deal with such difficult choices.
I have a couple concerns:
Your daughter's biggest problem right now seem to be with the manic pole of her condition (rage, psychotic symptoms).
People with BPI can be pushed into a manic state by conventional antidepressants. It is possible that the Effexor and Prozac are contributing to the problem.
I think your daughter needs a real anti-manic agent, like lithium or Depakote. If you can control the mania you can probably get a handle on your daughter's behavior problems.
The medications you have listed do not sound like good choices for Bipolar I disorder. I think you need to consult with a psychiatrist (with a child/adolescent specialty if at all possible) who has experience treating Bipolar I.
Best of luck to you and your daughter.
P.S. If you can control the mania with lithium or Depakote, your daughter may need antipsychotics only occasionally, if at all.
poster:brussell
thread:295548
URL: http://www.dr-bob.org/babble/20031231/msgs/295905.html