Pergunte ao perito

tada

Anti-anxiety Medication


Pergunta

Our son, age 21, has a high anxiety level. What medications would be a good replacement for Valium, to which he is sensitive and lacks tolerance?

Resposta dos nossos peritos

There are lots of anti-anxiety medications for kids  most have the common side effects of 1) sedation (which the child may "fight" and generate paradoxical agitation) and 2) disinhibition which may unmask more troublesome behavior which was being "controlled" before



I suggest very low doses of neuroleptic (drug inducing an altered state of consciousness) such as 0.125 to 0.25 mg of Risperdal, 1 mg to 2.5 mg of Zyprexa, or 12.5 mg of Seroquel if the "anxiety" is really mild agitation in familiar situations. Of the true "anti-anxiety" drugs, perhaps a trial of Ativan (lorazepam) at micro doses (0.25 mg to 0.5 mg). Lastly, there is Buspar (buspirone) which can reduce anxiety over a longer period  but which has side effects of stomach distress and may not be tolerated. Classic "sleepers," like Chloral hydrate, etc., are not good anti-anxiety agents.



DS/TK 7-13-10

Clonidine, Buspar, and antidepressants like serzone, low dose risperidone or zyprexa are all possibilities. I would start with serzone.



TG 4-10-01

A resposta é verificada e válida para
us
Encontrar outras páginas que partilhem o mesmo tópico que esta página Anxiety4 Anxiety2 Anxiety8

Recomendação(ões)

Anxiety

R59
Interventions targeting problematic repetitive behaviour in individuals with CdLS should be sensitive to anxiety, sensory problems and social demands. These interventions should also consider environmental factors.
R60
Atypical presentation of anxiety and mood disorder should be considered when behaviour changes occur.
R61
As anxiety is common in individuals with CdLS during periods of environmental change/transitions, a planned program should be implemented.
R62
Treatment of anxiety and mood disorders in individuals with CdLS should be considered using psychosocial interventions (therapies) and pharmacotherapy (medication).

Relatação legal

Por favor note que o Pergunte ao perito service/ é composto por profissionais voluntários em várias áreas de foco. As respostas não são consideradas uma consulta médica, comportamental, ou educacional. Perguntar ao Perito não substitui os cuidados e atenção que o médico pessoal, psicólogo, consultor educacional, ou assistente social do seu filho pode prestar.

Tem uma pergunta que gostaria de fazer?

Faça uma pergunta

Precisa de ajuda com urgência? Contacte o Linha Raríssimas - Linha Rara!