resperidol

Nurses General Nursing

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Okay. update on my daughter. The psych. started her on Adderall. She was on it for about 5 days and it made her WILD!!Even more than she already is. She was totally out of control. So we stopped that on Sunday.

About three nights ago she was supposed to be going to bed and she was complaining of hearing noises, monsters,etc. so she came out to me and we started talking and she told me that she was hearing voices in her head that were telling her to kill herself. She adamantly denied that she would ever hurt herself and told me that she would tell me if she ever had those feelings (I believe her) But she said that the voices started when she began taking the Adderall. She has been off of the Adderall since Monday and she said she hasn't heard anymore voices.

Today the psych. wants to start her on Resperidol. I have seen this drug given at the LTC where I work and it just scared me. Have you heard of it being given to a 9 year old before? Some thoughts on this??

Seroquel does some good things, but you gotta watch that BP.

Risperadol

is indeed helpful to a lot of psych patients and its also used for sleep. It works right away I've seen.

Lynn- I really feel for you. My son is now 13 and just came home in Novenber after spending 3 years living in a residential PMIC program for children. He was hearing voices, telling him to hurt himself, told me that sometimes he would stand over me while I was sleeping and want to hurt me, and countless other nightmare things. He has been on darn near everything. Ritalin, Adderall. Paxil, Effexor, and was finally diagnosed with ADHD, and schizoeffective disorder. He is now on Lithobid, Clozapine, and Depakote. He falls asleep all the time in school unless I give him Mountain Dew for breakfast. He sleeps so hard at night that he has to be on DDAVP for bedwetting. We have managed to get his symptoms under control, but at the price of new ones. I used to feel like a pushy nurse when I asked too many questions and wanted rationale for medication use, along with time to research it myself before consenting to it's use. Now I know from experience that sometimes drugs aren't fully understood by those who try to prescribe them, and sometimes used indescriminately out of carelessness. Advocate for your child, and when you have to, roar like the mother bear!!! Best of luck to you.

I am just so paranoid about using this. I am considering trying it and seeing how she does with it, watching her VERY closely. She actually did say that she figured it was from the Adderall but that the Risperdal would help calm her down in school-which is one of the major problems. She did suggest Depakote at our previous visit, which actually sounds alot safer to me!!!

You know what..........SCREW THAT!!!!!...............I refuse to put my daughter on a medication that I have to be scared to death to give her!!! HOW FU*&^%^ING ridiculous is that? She did have a previous appointment with her pediatrician for tommorow (we had that appt. before the psychiatrist appt.) and I think I will keep that appt. and ask my pediatrician about what she recommends. I have enough worries without worrying about whether my daughter will develop neuromalignant syndrome or tardive dyskinesia for petes sake!!!

Okay, just for the record, I meant screw the medication, not you guys advice!! Just wanted to make that clear!Thanks for all the helpful replies!~

Caution!! In the UK Rispiridal (Respiridone) is not reccommended to children under 15years old.

Source. British National Formulary(BNF) which is produced by the British Pharmaceutical Society.

Oh geeze, now ya'll have me concerned. I have a 12 yo daughter that is on Risperdal 0.75 BID along with bunches of other meds... She was under the care of a shrink (no disrespect intended, just easier to spell) for 8 years before we moved here.... no one here in the state will see her as she is MR and non-verbal and...

I think I need to check into all of her meds now.

Cheryl M

carol, I don't recall why your daughter was started on the adderal, I'm assuming ADD. My 15 yr. old, 13 at the time was diagnosed with add, the adderal made her very hyper. then psycosis set in with the use of paxil, for depression, then risperidol was added for that.

We found out, this year, now 15, that she is Bipolar, Bipolar shows many symptoms similar to ADD, but the stimulant in adderal sends them over the edge, so does ANY anti depressant... which did in my daughters case.

I did all this with the psyc. doc..... it is a course of trial and error... just like blood pressure meds.... Difference is that a trained professional does multiple screening tools with your daughter, you and teachers to determine the right diagnosis.

If the general MD just goes by what you as a parent sees, they miss what is really going on INSIDE your child... that's why so much mis diagnosis occurrs.

Do not let people scare you off meds!!!!! You would give her tylenol for headache.... BP meds for hypertension despite their terrible side effects.... children with mental illness ARE SUFFERING and deserve meds to stabalize them with the help of a therapist to learn coping skills to function in life.

my thoughts and prayers go out to you as I'm going through this myself. Please buy many books and keep reading on multiple mental illnesses..... they are invaluable

carol

Risperidol 0.75mg BID for a child. I'm not a peds nurse, but that seems like a lot. My geriatric clients are rarely given more than 0.5mg BID. One of the interesting (and counterintuitive) things about risperidol is that sometimes people will actually do better on a smaller dose as opposed to a larger dose.

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