Q: Concerned about
I`m from Chile(I don't speek very well english)and I´m writting for your
My child was
diagnosys by a Several Bipolar Disorder 3 years ago (he was 10) and he has been
hospitalizated in 4 ocassions (he is highly suicidal).
My consern is
about the medication. He is taking the following pills each day:
mg ( 12.5 - 50 - 212.5 )
800 mg. ( 400 - 0 - 400 )
0 - 100 )
Metilfenidato (Concerta): 18 mg. (18 - 0 - 0)
Gamalate B6: 1 Spoon (0 - 0 - 1)
mg. ( 40 - 40 - 0 )
mg. ( 100 - 100 - 100 )
mg. ( 50 - 0 - 0 )
Also he has
problems in school, he doesn´t understand academic things, his mind is about a 7
years old boy (now he has 13).
He is stable, in
his mind doesn´t exist suicidal thoughts, is more down than up, and some times
he has a little mania but with all his therapeutic team, we know how to react
and stop it in time.
But since the
treatment took place, he has a lot of obesstions just when he takes the
clozapine at night. Too, since some month he started with a lot of fears, all
kind... he is afraid of sea waves (he use to surf) about Michael Jackson
person, adrenaline games at the enterteinent park (he liked very much), going to
same friend place because some of them smoke... etc.
What do you think
about this combination?
for your answer,
Thank you very
Lo seinto por non hablando en su lingua; su Englais es mas mejor que mi Espanol!
I’m sorry to hear that your son has had such a difficult time. There is nothing
obvious on his list of medications that is a bad idea. The list suggests that he
has a very severe case of bipolar disorder.
The medications are probably causing some of his difficulty in school, but his
symptoms might cause even more trouble if they are not controlled. So this is a
very difficult choice sometimes.
The only medication that might possibly be making his symptoms worse is the
stimulant (metilfenidato/Concerta). Do not stop it. But you could ask his doctor
of she/he thinks the stimulant is clearly helping, or it if might possibly be
making things worse. Do not change things on your own. But you could ask about
Otherwise I fear I have nothing new to add here. Even if my Spanish or your
English was better, I would probably have arrived at the same conclusion. Good
luck getting a better solution worked out. I hope you and your son have success
at that soon.
Published June, 2010