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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Elevated Monocyte Level Signify In A 12 Years Old Child?

I AM CONCERNED ABOUT MY 12YR OLD ADOPTED SON'S BLOOD TESTS. HE HAS BEEN ON MANY MEDS FOR FETAL ALCOHOL SYNDROME/AND TRAUMA...MOST CAUSED WEIGHT GAIN TO THE POINT OF OBESITY. HE IS PRESENTLY 5'8" TALL AND WEIGHS 250LBS...THE DEPAKOTE...IS STILL INCREASING HIS EATING . HIS AST/ALT KEEP RISING WITH INCREASE OF DEPAKOTE...PLUS HE HAS ELEVATED MONOCYTES AT THIS TIME...THINGS SHOWED UP IN THE LAST 2MONTHS OF INCREASE OF DEPAKOTE ER...HE TAKES 1,000MG BID. I AM FEARING LIVER DAMAGE AND NEED TO TALK TO HIS DOCTORS THIS WEEK. WOULD THE AST/ALT SHOW HIGH MONOCYTES MEANING A VIRAL HEPATITIS?
Tue, 4 Aug 2015
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Pediatrician,  's  Response
Hi
I understand your concern regarding your son's problem. From your description I feel the dose of DEPAKOTE being given is very much in safe therapeutic range.But the duration of therapy might influence the liver function. His weight gain is of course a side effect of the drug. You can take a second opinion with a pediatric neurologist or pediatric gastroenterologist to evaluate his liver and hematologic status and decide on the further continuation of the drug. I would be glad to help you further in this regard.

Dr.V.S.Sri Vidhya
Chennai
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What Does Elevated Monocyte Level Signify In A 12 Years Old Child?

Hi I understand your concern regarding your son s problem. From your description I feel the dose of DEPAKOTE being given is very much in safe therapeutic range.But the duration of therapy might influence the liver function. His weight gain is of course a side effect of the drug. You can take a second opinion with a pediatric neurologist or pediatric gastroenterologist to evaluate his liver and hematologic status and decide on the further continuation of the drug. I would be glad to help you further in this regard. Dr.V.S.Sri Vidhya Chennai