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4 yr old just started taking Abilify
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4 yr old just started taking Abilify

At age three my son was diagnosed with severe ADHD. After a year of changing medications the Pediatrician referred us to a Child Psychiatrist. The initial thought was 50 mg of vavanse was  too high for him but to continue the .1 mg of Clonidine. After 3 weeks of 30 mg of vavanse it seemed like my son was taking no medication. He was hyper active, unable to focus, aggressive, having melt downs, moody, extremely impulsive and not sleeping. At our last appointment the Psychiatrist added ODD to my son's diagnosis(after witnessing a very big melt down my son was having at the time of the appointment). He also increased the vavanse to 50 mg and put my son on 5 mg of Abilify and continue .1 mg of Clonidine. The stipulation was to give my son 1/2 a pill of Abilify for 7 days then the full 5 mg dose for the next 7 days and we would meet with the Psychiatrist again after the two weeks. I read every bit of the side effects paper work given with the Abilify. My son after 2 doses of the 1/2 a pill of Abilify is having tremors. The paper work I was given do NOT state this as a side effect but some websites did state this was a side effect for children taking this medication. My question is are tremors a common side effect or an extreme side effect that would mean my child should not take this medication. He does seem calmer( we have not had a melt down or an aggressive behavior) and a positive side effect is the his appetite is increasing. I am just concerned about the tremors and our pharmacy is closed on the weekends. I was not sure if I should call the Psychiatrist about my concerns.
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23 Comments Post a Comment
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535822_tn?1413656274
Oh my goodness I am horrified a child of this age is prescribed these drugs .I can actually not believe what I am reading regarding a 3yearold...
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Avatar_n_tn
He was 3 was diagnosed with ADHD. He is 4 1/2 now with his ADHD/ODD diagnosis and taking these medications. If you can't post relevant information then maybe you should not post. I was not looking for criticism. What wasn't on the 1st post was going to doctor after doctor, talking to specialist after specialist. Scared that at age 2 he was thought to be autistic. After many tests Autism was ruled out.Trying "herbal" remedies, diets and all the new age stuff did not help my son. B/c of his severe ADHD..lack of attention he is very delayed in academics..and is currently in a special education classroom in hopes that one day he can be in a regular classroom. He is so impulsive that at age 2 he unlocked a bedroom window climbed out (6 ft drop) and ran away to splash in rain puddles in the street..( I happened to be in the restroom) After Screwing the windows shut, the next week he threw a can good through another window to escape. At least this time I was in the kitchen and heard the crash of glass and stopped him before he climbed out of the shattered glass. You have no idea what it is to have a child with severe ADHD and ODD. A child the hits you because he can't go outside in the rain. A child who gauged his walls with a screw driver in the middle of the night. For what reason, who knows but was extremely lucky not to hit an electrical line. So I get maybe 3 hours of sleep a night because he does not sleep and I am concerned he will hurt himself in the middle of the night. A child who is a danger to themselves, and you have to child proofed you house to extreme measures to keep them safe. All I was asking if tremors are a typical side effect of Abilify in children. Not asking for criticism.
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757137_tn?1347200053
It is irresponsible to diagnose such a young child with this ailment, and unpardonable to drug him. Find yourself better medical help, if in fact he needs any. What he seems to need is behavioral guidance.
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535822_tn?1413656274
Your remarks directed at us do not change the fact that this small child was given strong medications at a very early age if you read the first sentence the poster started with...This is the problem very young children are being dosed up ..I suggest that you go to your search engine for information and dont come on the forum to attack others.
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535822_tn?1413656274
I have googled for information and if you want to check out this link  Journal of the  American Academy of child and Adolescent  Psychiatry there are several articles on preschoolers. There is a real concern regarding medication in very young children as their brains are still developing .Good luck to your child
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757137_tn?1347200053
So your father is a pharmacist. So what? That does not mean he has common sense. Just for the record, my father was a pharmacist, my brother is a food chemist, my uncle is a doctor, my daughter is a behavioral therapist and I used to be a medical writer/editor. That does make me smart or correct, just as your father-pharmacist does not make you an expert. And as for the doctors drugging this young kid, they should have their licenses taken away for malpractice.
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Avatar_m_tn
     Probably a longer reply coming, but I want to check a few things.  The answer is YES, you want to get back to your psyc.  Every child is different and doctors need  feedback so they will know how to adjust the meds.    I am a bit surprised that he said wait for two weeks before seeing him, given the dose increase of the vavanse and the new med.  I would think that it would also make it a bit difficult to tell which med would be responsible for any changes, although abilify works very differently then a stimulant med.    So do get in contact with him and don't be afraid to talk to him daily if you have to.
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Avatar_m_tn
    Yes, tremors are a side effect of the medication.  It is not one of the major ones listed, but it does happen.  Best site I found is this - http://www.rxlist.com/abilify-drug.htm   - it's kind of technical, but it tells it like it is.
   Back to you and your child.  I do feel for you.  I have been reading posts on the ADHD site for 4+ years now, and I don't remember anyone saying that there 2 year old dropped out of a window to go play in the rain.  Maybe a 4 year old - but 2?  That's gotta be super scary and heart stopping.  I can understand your seeking help for him at such an early age.  I can also understand why a psychologist wasn't a lot of help.  Its kind of tough to reason with a 3 year old.    I am glad to see the psyc recognized this and recommended a  child psychiatrist.   Probably my only surprise is the recommendation of  vavanse as that is more typically used for teenagers.  But it has less side effects and I don't know what was tried before.  
   Unfortunately, all of this is going to take some trial and error.  There is simply no other way.  A doctor with good communication skills is important.  And the more that you know about how to work with this disorder is very important.  If you need any resources please let me know.  I've compiled a ton of them.  Best wishes!
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Avatar_f_tn
Yes, I would run all this by the psychiatrist. I hope things can settle down for you.
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Avatar_f_tn
thank you this was very helpful.i will start as low as 2mg of abilify myself,i have aspergers and adhd.i hope your kid is very well!greetings from switzerland anna
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Avatar_m_tn
My daughter started taking intuniv and abilify at age 5, after she graduated kindergarten.  She is doing terrific compared to her kindergarten year.  On the first day of school I was called to the principal office during her kindergarten year because of her melt downs and not being able to focus, and so every week it seemed to be another meeting with teacher or pricipal.  She is always active and other parents would also tell me the same thing, so I had her tested by many counselors and specialist as well.  They did not want to give her any medication until she was in school for a couple of years to know if her attitude would change once she was around others her own age.  Her pre-school teacher had several problems with her as well and her kindergarten teacher would say it was immaturity, but once started she taking the medicine she began staying focus and her moods swings were more like normal kids her age.  She loves to read and has a more positive attitude towards school.  I was very hesitate on putting her on medication, I cried and prayed every night that I would make the correct choice, now that she is doing soooooo much better in school I feel that I did.
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Avatar_m_tn
Criticism can only come from someone who has experienced the personal effects of these disorders on our children - my son was diagnosed with adhd at 3 - no meds until 4 1/2 as we tried educational, therapy intervention prior to moving ahead to meds - he is developmentally delayed due to lack of focus and attention. He is now 5 1/2 - we started with focalin - didn't sustain its helpful effects, tried several others until we got a really great psychiatrist ( a patch adams type of therapy) we have also discovered that he is on the autism spectrum, high functioning and has a mood disorder - all of which are quite common to fall into place together with these types of issues. We are now using Kapvey, 4mg, for adhd and starting at 2mg of abilify for mood disorder - its all helping tremendously but we are still tweaking dosage. We go for full blood work ups every 6 months to be sure his system and organs are not being effected. Do I like handing a 5 yr a cocktail of meds? NO absolutely not! BUT if it helps him thrive and have a happier, mentally healthier way of life then Im all for it - hes much happier now as they are aware that their brains are on overload and he thanks us, even at his young age, that we did this for him - he is extremely intelligent and now he is on the road to doing great things with his life and we are so happy for him and any child whos parent is giving them every possible opportunity to thrive in this crazy world that they already face difficulties in -I applaud your efforts and am sad for those who would rather watch a child fall through the cracks rather than trying everything possible to help them under strict supervision - Lisa, a fellow involved parent
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Avatar_m_tn
what I meant to say is someone has NOT experienced
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Avatar_f_tn
Sorry but abilify is a very strong atypical antipsychotic at Any dose caused me panic and anxiety attacks never he until stopping this drug was on 5mg for only 3 1/2 weeks still have anxiety almost everyday been 7 months since stopping bad side effects racing heart sweats high body temp ect while on it sorry as a mom would never ever ever give my 4yr old that med or really any for that matter and my 4 yr old son autistic too young for meds
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