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Medication for 13 year old - your experiences please

Dizzy

Hi, my 13 year old daughter has a psychiatric appointment on Friday to discuss possible medication. She is highly anxious, specifically in school, to the point that she hallucinates because of the anxiety and is currently at the point where she hasn't been able to attend school for the last few weeks and when she does go in, she comes home after an hour or so. She is not depressed, other than when she thinks about having to attend school, and has a recent ASC diagnosis. 

A friend suggested Propranolol as a good way of managing anxiety but apparently when our GP (who was happy to prescribe this with the permission of CYPMHS) spoke to the psychiatrist about it, he said it wouldn't be suitable. He wants to discuss Sertraline or Fluoxetine, along with possibly Melatonin or Promethazine for sleep. I am nervous about things like Sertraline, so wondered if anyone could tell me about their experiences of any meds that have helped with anxiety (or any that have caused problems)? 

Parents

  • My limited experience is that Sertraline is manageable in low does with out huge side effects. Most noticeable side effects for me were slightly reduced sense of taste / smell, difficulty getting up in the mornings (more so than usual for a night owl like me) Slightly harder to concentrate but difficult to differentiate that effect from depression which also had that effect. Like most anti anxiaty / anti depresent medication its probably not a long term solution. That will require counciling.

    Fluoxetine I never tried but Fluoxetine is just the generic name for prozac who's side effects are well documented on  the internet. according to wikipedia common side effects include abnormal dreams, abnormal ejaculation, anorexia, anxiety, asthenia, diarrhea, dry mouth, dyspepsia, flu syndrome, impotence, insomnia, decreased libido, nausea, nervousness, pharyngitis, rash, sinusitis, somnolence, sweating, tremor, vasodilation, and yawning. The one you hear people complaining about on the internet more than any other though is sexual disfunction.

    Of the people I've known who've tried both most say Sertraline was easier to tolerate. But I was told when I was put on it it was primarily a stop gap as I was waiting for therapy and to help me engage with therapy when it started. It was the therapy it self that was put forward as the long term solution.

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  • My limited experience is that Sertraline is manageable in low does with out huge side effects. Most noticeable side effects for me were slightly reduced sense of taste / smell, difficulty getting up in the mornings (more so than usual for a night owl like me) Slightly harder to concentrate but difficult to differentiate that effect from depression which also had that effect. Like most anti anxiaty / anti depresent medication its probably not a long term solution. That will require counciling.

    Fluoxetine I never tried but Fluoxetine is just the generic name for prozac who's side effects are well documented on  the internet. according to wikipedia common side effects include abnormal dreams, abnormal ejaculation, anorexia, anxiety, asthenia, diarrhea, dry mouth, dyspepsia, flu syndrome, impotence, insomnia, decreased libido, nausea, nervousness, pharyngitis, rash, sinusitis, somnolence, sweating, tremor, vasodilation, and yawning. The one you hear people complaining about on the internet more than any other though is sexual disfunction.

    Of the people I've known who've tried both most say Sertraline was easier to tolerate. But I was told when I was put on it it was primarily a stop gap as I was waiting for therapy and to help me engage with therapy when it started. It was the therapy it self that was put forward as the long term solution.

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