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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Mental Health Problem

Good day,My daughter is 11 years old and has been taking Serdep together Concerta since April 2014. She is in her own world and is doing worse at school now than ever. When she falls asleep in the afternoon it is difficult to wake here again. If she opens her eyes her pupil as as large as her brown of the eye. She complains of feeling sick.
Tue, 5 Aug 2014
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Psychiatrist,  's  Response
Hello; thanks for the query. I would like to know who has prescribed your daughter Serdep (Sertraline) & Concerta (methylphenidate) tablets, in what doses, what time of the day & for what set of symptoms. Usually Methylphenidate is a stimulant & if taken in morning; it helps to improve attention, concentration & helps improving tasks involving some sustained effort. So kindly let me know what time you are giving her concerta; shift it to morning & NO later than 2pm. Similarly sertraline in high doses (>100mg) may cause sedation in some patients & hence entire dose can be shifted to prior to bedtime or given in 2 divided doses with larger chunk of dose in evening. If there is recent dose change; wait for 8-10 days as most side effects of these 2 drugs occur in first 15 days & subside later as body adapts to these drugs. Do revert back for further help. Good Luck
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Suggest Remedy For Mental Health Problem

Hello; thanks for the query. I would like to know who has prescribed your daughter Serdep (Sertraline) & Concerta (methylphenidate) tablets, in what doses, what time of the day & for what set of symptoms. Usually Methylphenidate is a stimulant & if taken in morning; it helps to improve attention, concentration & helps improving tasks involving some sustained effort. So kindly let me know what time you are giving her concerta; shift it to morning & NO later than 2pm. Similarly sertraline in high doses ( 100mg) may cause sedation in some patients & hence entire dose can be shifted to prior to bedtime or given in 2 divided doses with larger chunk of dose in evening. If there is recent dose change; wait for 8-10 days as most side effects of these 2 drugs occur in first 15 days & subside later as body adapts to these drugs. Do revert back for further help. Good Luck