Pharmaceutical Medicine Questions Pharmacist

Medicine interactions?

My son was weaned off Celexa and put on Risperidone. He has ASD and ADHD. His anxiety and OCD has gotten worse, but his hyper and aggressive behavior has gotten better. They now want him to go ba k on the Celexa, with Risperidone. The interaction with the 2 medicine says major. There are other options like Prozac and Zoloft that have moderate interactions. Please advise your thoughts.

4 Answers

Please understand that Risperdal has its own set of side effects. So Alexa is an excellent medication and the important issue is that it has worked in a specific way, apparently very beneficially, and that might steer Wein into going back to it. Importantly, Celexa does have some cardiac issues. Prozac may cause weight loss. Zoloft because we can. All of these an anti-depressant medication‘s, the serotonin reuptake inhibitors, when added to Respert all, can increase the likelihood of serotonin syndrome. Very important to discuss all of this with your Health care provider.

Lance Steinberg MD, Inc.
Assistant Clinical Professor
UCLA (Geffen) NPI
In terms of interactions, it is always better to try the medications with
less risk first. If they are not effective, then other alternatives can be
discussed with his psychiatrist.
Hi: Using citalopram or sertraline together with risperidone can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. An option is to use Fluoxetine (Prozac) with risperidone. However, Prozac may
increase the blood levels and effects of risperidone. You may need a dose adjustment of risperidone or more frequent monitoring by your doctor to safely use both medications. Hope this is helpful.
There are a lot of complexities when it comes to diagnosing a cluster of symptoms and treating with medications and caring for the person. It is not ethical and responsible for me to offer any recommendations outside of my area of expertise as well as when I do not have enough information.

Trying to find the correct cocktail of medication for a specific person is very difficult. This is primarily the reason I am a clinical psychologist that helps parents and not a psychiatrist who has the responsibility of prescribing medication. Finding the right medication and therapeutic interventions and healthy parenting strategies and philosophies is a sophisticated process. It relies on accurate feedback from the client and also interventions with several professionals. The interventions with professionals for you and your child are important to participate in order to improve overall. For medication specific questions, I am intentionally referring to your prescribing physicians for help.

I will say, even if you don't know the answer, know what is within your capacity and know what is within your son's capacity and start from there. If you are warm and understanding of your child and go through experiences together in a supportive manner, you can foster growth now and in the future.