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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Me An Alternative Drug In Place Of Nomenda For ADHD

My son is 12 and has been diagnosed with ADHD when he was 6 years old. He was just released from a behavioral center for his suicidal thoughts and He is having a lot of difficulties with depression, seeing things, and hearing voices. He is still very impulsive and just does and says the first thing that comes into his head with no regard for any one else s thoughts and feelings. In the center they prescribed Nomenda 5mg once per day, focalin xr 30mg once per day, Zoloft 50mg once per day and Trazodone 50mg to take at night. He was there for 12 days and was doing very well, however they stated that wanted to keep him a couple of days longer because they wanted to up the Nomenda (they stated that this was given to him to help with his impulses and aggression). Insurance denied the extra time so they sent him home the next day. When he went to be released they didn t write him a RX for the Nomenda medication. When I asked, they stated that it was for Alzheimer patients and should have never been prescribed to him. Is there any medications that I could research and suggest to his new therapist to try in place of the Nomenda?
posted on Wed, 12 Mar 2014
Twitter Wed, 2 Dec 2015 Answered on
Twitter Thu, 3 Dec 2015 Last reviewed on
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Psychiatrist, Child,  's  Response
U CAN TRY TAB ATOMOXETINE. START WITH 10 MG IN DIVIDED DOSES MORNING AND AFTERNOON, AFTER 1 WEEK INCREASE THE DOSE TO 20 MG IN DIVIDED DOSES( 10 MG MORNING AND 10 MG AFTERNOON) FOR ANOTHER 1 WEEK. THE DOSE CAN BE FURTHER INCREASED DEPENDING UPON RESPONSE AND TOLERABILITY. KINDLY MENTION HIS BODY WEIGHT ALSO

HIS HYPERACTIVITY AND IMPULSIVITY WILL COME DOWN WITH THIS MEDICATION.

OFTEN PATIENTS WITH ADHD HAVE CO-EXISTING DEPRESSION AND OTHER BEHAVIORAL PROBLEMS. FOR THAT U CAN START A SMALL DOSE OF FLUOXETINE WHICH WILL HELP IN DEPRESSION AS WELL AS IN IMPULSIVITY. ALSO FOR ANGER AND AGITATION, I RECOMMEND TAB RESPERIDON 1MG HALF IN MORNING, HALF IN AFTERNOON AND HALF AT NIGHT.

KINDLY GO FOR BEHAVIURAL THERAPY ALSO

DR SMRITHI
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Suggest Me An Alternative Drug In Place Of Nomenda For ADHD

U CAN TRY TAB ATOMOXETINE. START WITH 10 MG IN DIVIDED DOSES MORNING AND AFTERNOON, AFTER 1 WEEK INCREASE THE DOSE TO 20 MG IN DIVIDED DOSES( 10 MG MORNING AND 10 MG AFTERNOON) FOR ANOTHER 1 WEEK. THE DOSE CAN BE FURTHER INCREASED DEPENDING UPON RESPONSE AND TOLERABILITY. KINDLY MENTION HIS BODY WEIGHT ALSO HIS HYPERACTIVITY AND IMPULSIVITY WILL COME DOWN WITH THIS MEDICATION. OFTEN PATIENTS WITH ADHD HAVE CO-EXISTING DEPRESSION AND OTHER BEHAVIORAL PROBLEMS. FOR THAT U CAN START A SMALL DOSE OF FLUOXETINE WHICH WILL HELP IN DEPRESSION AS WELL AS IN IMPULSIVITY. ALSO FOR ANGER AND AGITATION, I RECOMMEND TAB RESPERIDON 1MG HALF IN MORNING, HALF IN AFTERNOON AND HALF AT NIGHT. KINDLY GO FOR BEHAVIURAL THERAPY ALSO DR SMRITHI