My 6 year has been diagnosed with ADHD and possible Bi-polar. He has been on so many different medications and I am afraid that they are conteracting each other. He has shown agressive behavior and terrible outbursts lately at school. In May he was taken off of Adderrall and continued with Risperdahl now on Dextradine and Risperdahl but still showing signs of agressive behavior within the last two weeks. I asked his doctore whether taking Singular was affecting the meds and he said it shouldn't be. He increased the Dextradine to 15 mg in the morning with a pm dosage of 10 milligrams. He said to keep a close eye on my son by watching his heart rate. I am scared. He shows signs of anger even while playing his Nintendo DS and he gets emotional but apologizes later for his outbursts. I don't want his life to be in danger if the meds are counteracting each other.
Both of these medications are used with young children to reduce volatility or angry reactivity. Many medications are listed by the Food and Drug Administration as not approved for use with children, even though the medications are used in clinical practice with children. Your doctor is not doing something that is irresponsible. The drug manufacturers conduct clinical trials as they develop a medication, and the clinical trials almost always are conducted with adults. That is the reason the FDA does not indicate that a medication is approved for use with children. It is up to the individual doctor to make a decision, based on standards of medical care, about when to use a medication in the treatment of children (and teens).