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Best wishes. Never give up and please don't blame the child-they can't help it. It takes real love and a special person to push for help.
Don't want to get to far into this, as I do not have the patients file, but in general, psychiatrist's make me want to punch them in the face sometimes. In the course of my day I see some baffling prescribing practices. A quick example. I have a patient who is a 15 year old girl who is on 30 mg xr adderall in the AM, and 20 mg immediate release adderall in the afternoon. That in an of itself isnt odd, but then you have the same Doctor prescribing her (high dose too) Ativan for anxiety!! WTF do you expect a**hole, you have her on 50 mg of amphetamines a day, I would be a little anxious too
1. Time Span
How long did you take Risperdal? In general, the longer you take an antipsychotic, the more difficult it is to withdraw from. People that have been on an antipsychotic for a couple months should have an easier time withdrawing in comparison to those who have taken one for years. Additionally the longer you are on a drug, the more dependent you become on it for everyday functioning.
2. Dosage (.25 mg to 16 mg)
How much Risperdal did you take? People that take this medication for schizophrenia tend to need higher dosages to help manage symptoms. For schizophrenia, the average daily dose ranges between 4 mg to 16 mg. Individuals who take it for bipolar disorder generally take anywhere from 1 mg to 6 mg. Additionally those who have autism may take a very low dose from .25 mg to 3 mg to manage irritability.
Obviously the higher the dose you take, the more you are becoming dependent on the drug for functioning. Therefore it is always recommended to be on the minimal dose for symptom management. Being on the minimal dose makes withdrawal easier and also helps minimize unpleasant side effects. If you have been taking large amounts of Risperdal over an extended term, it is likely going to be much more difficult to withdraw from.
3. Cold Turkey vs. Tapering
It is never advised to quit a powerful antipsychotic drug like Risperdal “cold turkey.” If you quit without conducting a gradual taper, you may end up with an array of symptoms that are overwhelmingly difficult to cope with. By conducting a conservative gradual taper, you are allowing your nervous system to adjust to very small decreases in medication over time until you are down to 0 mg.
sometimes cold turkey withdrawals are deadly, if you guys havent done serious research and or have experience with tapering off a medication you could literally be putting this childs life in danger.
My son has Oppositional defiance. When at school, he's a totally different kid then when at home. Something triggers him and he flys off the handle and goes bat snip. He was prescribed a slew of different "coping" medications including an antipsychotic. He never touched them. We pulled him out of that school, and register him with the Children's centre. It's a sort of special school that still follows the set curriculum for his grade. But as opposed to a class room of 20-30 kids. It's class sizes are of 5-8 kids. They also do cognitive therapy, so he learns what his triggers are and how to apply coping mechanisms. The kid is the smartest kid I have ever seen. And I'm not just saying that because I'm his step father. When he was in grade 4, his teacher signed him up for an online learning program called Prodigy. He was successfully completing grade 9 school work. So he's got the brains, he just doesn't know how to deal with criticism or being around large groups of people. But his new school, actuall focuses on the students individually. Teaching him the tools he needs to integrate back into a normal class room. It's a stepping stone to get him back on track. Have your wife look into one of these types of schools in your area. I'm sure the boy will benefit from this type of focus more than anti-psycho meds. But then again, I don't know the entire back ground or history.
originally posted by: annoyedpharmacist
...psychiatrist's make me want to punch them in the face sometimes...
originally posted by: randyvs
a reply to: PorteurDeMort
They gave this to my great aunt who had Alzheimer's. Even though the contraindications said not to prescribe to elderly patients with dementia. One of the side effects is sudden death in those patients. Within 3 months, she was dead. No one should take risperidone.
You just sent chills down my spine.
My wife says his guardian dropped one of the pills on the floor
and said, " Oh sh1t don't let my cat get that, it'll kill her."
But she gives it to her grandson?
WTF is that?