My daugher was on Prozak last school year for anxiety and panic attacks. They took her off to see if she could manage them, but by middle of this school year (Dec) the panic attacks came back She just went back on 2 months ago. She is having suicidal thoughts and was not doing well in school all in this last month. She also did some cutting to her arm.
her Dr. wants to add either abilify, lamicatal or zileptal to the Prozak. The latter two being anticonvulsants to help
as a mood stabilizer.As parents we don't want her on anything else. Esp since I see on internet that prozac can cause these suicidal thoughts in teens. Anyone have thoughts on this?
I have had her thyroid checked, it was normal. But I guess I should have been more explanatory. She also has ADHD/ADD combined type. She is on 36 mg concerta. She has a history of separation anxiety since infancy through 3rd grade. The panic attacks didn't start untill 7th grade. We put her on Prozac before she started 8th grade. She is now in middle of 9th grade year.But I will look into adrenal glands.
Treating anxiety in young teens is so very tricky because of what you're describing...suicidal thoughts are one of the more common side effects...among others.
The first thing I would ask you is...is your daughter being treated by a child/adolescent psychiatrist? If not, that is absolutely essential, as they are the experts in treating young people, especially when meds are necessary. Has your daughter had therapy? That's also a vital part of her being able to explore her feelings and worries with a 3rd party person, to be monitored for any isues relating to self-harm, and to help teach her coping mechanisms that she can utilize for the rest of her life.
I personally am not crazy about giving young people (even very young adults) meds, simply because of the pretty significant potential for these kinds of side effects...but I also recognize that sometimes it is necessary to try. Just be sure she is being closely monitored and keep working with her doctor. I would think very hard about adding another med...carefully weigh the pros and cons and discuss your concerns in detail with your daughter's doctor.
I sincerely wish your daughter the best...and hope you see some improvement and relief for her soon. There would be nothing more heartbreaking and frustrating than to watch your child go through this and feel powerless to help.
Thank you all for your comments. To nursegirl: She has been seeing a therapist for 3 yrs now and a child psychiatrist for 1 1/2 yrs. We have decided to try Lamictal. We weren't crazy about it but the Dr. is really concerned of her suicidal thoughts and some breakdowns that she has had. They are worried that the side efffect of the prozak being suicidal thoughts could be an indicator of BPD or a mood disorder. They believe she should get treated now before she ever has a more serious break. It was a hard decision but her mood swings are very scary when they get severe andthey don;t think I should wait to see if she ever has one bad enough where she could be hospitalized.
We are still looking into your idea, but having a hard time like you said. We have an appt w/ a D.O. and hoping she will consider testing her for this. Cause Pediatrician and Psychiatrist were not on board! But I won't give up!! Thank you all for info.. I am always open to any more suggetions
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