Re: Laurie (was Re: meds and BSEs)

[Guest guest]

Hi Laurie, I asked Kel's pdoc yesterday about a source that describes BSEs

diminishing or resolving once a child has been at a therapeutic dose for

awhile. He couldn't cite a specific reference, but did say this has been

his experience and he also thought this was a fairly well-known phenomenon

among docs treating children with SSRIs.

Haven't been too much help yet,

Kathy R. in Indiana

> From: " Kathy " <klr@...>

>

> Hi Laurie, I can't think of anything you could print out and take to your

> doc, but tonight I'll try to take a look through my bookmarks, or maybe

> someone else can help here. I know the OC Foundation website has some

> information about med BSEs in children, but I remember reading it shortly

> after Kel was diagnosed--when we were in middle of her titrating up on

> Prozac--and not finding much comfort there. Kel's first doctor just kept

> saying " that's very unusual " when I would describe some of the things she

> was doing--but she was the first young child he'd treated. It was Kel's

> current doctor (who has several younger kids with OC/TS in his practice)

who

> wrote out a list of things I might notice while she was titering up on her

> second SSRI, Luvox, and who told me that many if not all the behavior

things

> would probably fall away over time, but certainly to call if she was doing

> anything that particularly concerned me, etc. He also told me that BSEs

are

> often more pronounced in younger kids, less so in teens for example, which

> he said is due to younger kids' lower levels of impulse control, whether

> taking an SSRI or not.

>

> We have an appointment with Kel's doctor this afternoon, I'll ask if he

can

> point me toward a reference of SSRI BSEs diminishing after the initial

> titering up phase.

>

> I believe it was who raised her daughter's Prozac on a very gradual

> schedule and was able to avoid BSEs altogether. Probably using the liquid

> Prozac would make it possible to make tiny adjustments in dose--I'm not

sure

> if any other SSRI is available in liquid form.

>

> Kathy R. in Indiana

>

> > From: SEnLE@...

> >

> > Dear Kathy R.,

> > I was very interested in your great post (not too long at all! btw)

to

> > Terri about Evan taking zoloft and having his impulsivity increased etc.

> >

> > That has happened to my daughter (as I mentioned in a post to Terri

> too)

> > and we always ended up dropping her dose and/or changing meds. The

> > psychiatrist never talked about these BSEs being " temporary " like other

> side

> > effects might be. But I have always wondered about this because if,

> indeed,

> > the SSRIs need generally to be at higher doses for OCD (than say for

> > depression) then how do we get to the higher dose when the BSE gets

pretty

> > severe on the way there. I would love to have any info that I could

show

> the

> > pdoc about this phenomena....if you know where I could find it online,

or

> in

> > research, or in books, etc.

> >

> > Thanks again, kathy R.

> >

> > take care,

> > laurie in WI