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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by DanielJ on March 5, 2004, at 10:45:45
For the last 8 months my 16 yr old son has been being treated for Schizophrenia with Zyprexa and Zoloft. Both medications are working OK but he is suddenly gaining weight (40 lbs in 2 mo.) and it is becoming difficult to get him to excercise. We are trying though, getting him to walk 2 miles nightly and shoot some hoops but since his psychosis virtually disappeared he leans toward being sedentary. His Psych. recommended a few options but of course, there is the risk of "losing it". One was Topomax which I have read conflicting reports on. Another of course is abilify which he had before but couldn't relax or sleep. He is 2 months away from completing 10th grade and is seems iffy to risk a switch that might not work. What does everyone think. Weight gain vs. Unknowns and risk?
Posted by HappyGirl on March 5, 2004, at 16:55:50
In reply to Is it work the Risk to Switch Now?, posted by DanielJ on March 5, 2004, at 10:45:45
Hi:
I totally understand 'Weight Issue' as being a 16 years' old. However, in my experience along with the reading and hearing, ... those psycho.-med. are pretty sensitive to 'the touch,' ... even a slight change/dosage, time of taking the med. and etc. affects the moods, not a big thing to fuss around, ... but again if the study involved, it's very tricky.
In my opinion, ... if he's NO big complain about weight issue, then keep the same med. combo.
H.G.
Posted by rod on March 5, 2004, at 17:29:21
In reply to Is it work the Risk to Switch Now?, posted by DanielJ on March 5, 2004, at 10:45:45
> For the last 8 months my 16 yr old son has been being treated for Schizophrenia with Zyprexa and Zoloft. Both medications are working OK but he is suddenly gaining weight (40 lbs in 2 mo.) and it is becoming difficult to get him to excercise. We are trying though, getting him to walk 2 miles nightly and shoot some hoops but since his psychosis virtually disappeared he leans toward being sedentary. His Psych. recommended a few options but of course, there is the risk of "losing it". One was Topomax which I have read conflicting reports on. Another of course is abilify which he had before but couldn't relax or sleep. He is 2 months away from completing 10th grade and is seems iffy to risk a switch that might not work. What does everyone think. Weight gain vs. Unknowns and risk?
You may consider this option:-----------
"Effect of amantadine on weight gain during olanzapine treatment."
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11313165&dopt=Abstract
Patients treated with olanzapine may gain weight, especially in the first months of therapy. Amantadine (100-300 mg/day) was started in 12 patients having a mean weight gain of 7.3 kg during olanzapine treatment. The patients' weight stabilised and over 3-6 months they lost an average of 3.5 kg. No clinical deterioration occurred and no adverse effects were reported. These observations merit confirmation in randomised, controlled trials.
----------OR
http://www.psycheducation.org/depression/meds/amantadine.htmthere is a lot of information on the web. It is worth to google a bit
Mybe this works for your son.good luck
Roland
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