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Medication

My situation is unique or maybe it its not.  My son was diagnosed with ADD 2 years ago and then started getting bullied and eventually tried to commit suicide.  At that point the doctors said it was not ADD but depression.  I home schooled him at the end of the school year and while he was having problems emotionally, I knew he had ADHD.  We open enrolled him in a new school with just taking Celexa.  He keeps falling asleep in the morning classes and no matter what we did, he could not stay awake.  While the doctors did not want to put him on any other medication, my son kept saying he did not like how Concerta made him feel.  He lost SO much weight and has gained all of that back and then some (Concerta and depression).  They recently changed his anti-depressants to Zoloft.  He used to be a straight A student and now its a struggle to get him to pass.  New school, middle school, lockers, changing classes, anxiety (he was on medication for that but that made him sleep more), he loses things, doesn’t turn them in, morning he sleeps, then he is a tornado.  He has said he can’t do this anymore and needs help.  We have an appointment Tuesday.  I would like to know what other medications works.  I have read that Wellbutrin works well for ADHD and depressions but I don’t know if they will put him on that.  The concern of losing weight or being on TOO much really upsets me.  He is 13 years old and only weighs 86 lbs.  He is 5’ 2” so he isn’t a big kid.  Just looking for some recommendations.

Replies

I’m confused.  Celexa is an antidepressant, but then after saying the doctors said depression not ADHD and not wanting to put him on anything else, suddenly Concerta appears (so I don’t know if that was a typo—meant to write “Celexa”)...????

Posted by BC on Feb 16, 2014 at 5:03am

I am going to go ahead and assume the doctors went ahead and added something for ADHD, Concerta, and thus far it is the only drug he’s tried for ADHD…because of the weight loss reference.

The docs want to switch antidepressants apparently (Why?) so you’re wondering if you should suggest that they switch to Wellbutrin (bupropion) instead of what they are recommending (Zoloft)?

There is really too much information that is missing here to give any solid medical recommendations, btw.  And even if every single missing detail that is vitally important to reconstruct his past clinical history were given, there is no way to predict what will work for a given person in advance (for ADHD especially, and for depression to a somewhat lesser degree).  There are some new modalities being used which may one day be used more widely by practitioners to be able to give a better prediction of what antidepressants will work better for someone but that is not yet widely used or widely available or widely accepted as being valid & fool-proof.

To my knowledge nobody has come up with any experimental trials of trying to find out how to predict what works for ADHD…(or maybe I read something recently, will need to go look for that article I put in the Read It Later category)...

Posted by BC on Feb 16, 2014 at 5:22am

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