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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Vyvanse, Aripiprazole And Clonidine Simultaneously Good For My 17-year-old?

My son is 17, has autism, takes 50 mg of vyvanse and 7.5 mg of aripiprazole (abilify) just added 2 months ago. His Dad wants to add clonidine. I need more info. I asked the psychiatrist if there are any studies or even if she know of any anecdotal evidence that the 3 of these would be a good combination for him. His behaviors are short attention span, some anxiety (although that is under control from adding the abilify). She had no studies, she had no patients currently on the combination of the 3. She knew of no situations where these 3 meds are being given to anyone much less a 17 year old with autism, who would have difficulty articulating any problems. The only thing she did say is that as far as she could tell there were no adverse interactions with these 3 meds. My son can speak, but has trouble actually having a meaningful conversation with adults and peers. I don t think that he would be able to identify and articulate any side effects he may have, so unless the side effects were really obvious I may not know what s going on. Any guidance/advise is greatly appreciated. She also said if we didn t go with clonidine, we could try concerta.
Thu, 12 Dec 2019
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General & Family Physician 's  Response
Hi

It is not safe to take clonidine while on aripiprazole. If taken together clonidine and aripiprazole may have additive effects in lowering your son's blood pressure. He may experience headache, dizziness, lightheadedness, fainting and an increased heart beats. These side effects are most likely to be seen initially, following a dose increase, or when treatment is restarted after an interruption. Your son should avoid activities requiring mental alertness such as driving or swimming and should getup slowly from a sitting or lying position.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali, General & Family Physician
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Is Taking Vyvanse, Aripiprazole And Clonidine Simultaneously Good For My 17-year-old?

Hi It is not safe to take clonidine while on aripiprazole. If taken together clonidine and aripiprazole may have additive effects in lowering your son s blood pressure. He may experience headache, dizziness, lightheadedness, fainting and an increased heart beats. These side effects are most likely to be seen initially, following a dose increase, or when treatment is restarted after an interruption. Your son should avoid activities requiring mental alertness such as driving or swimming and should getup slowly from a sitting or lying position. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician