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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Focalin Safe While Taking Clonidine For Cerebral Palsy?

My 16 year old son with cerebral palsy was prescribed Clonidine Hydrochloride ER to use in combination with Focalin for his ADD type symptoms. His pediatrician is hoping this may alleviate his loss of appetite from taking the stimulant. However, we are concerned as we read about side effects and drug interactions because of his medical history, including strokes in-utero and other damage that occurred during TTTS with their demised triplet. We feel he could be vulnerable to some of the high risk side effects. He is high functioning with spastic hemiplegic cp. We worry that he tires easily just getting around a large high school, unable to consume enough calories to sustain his energy level, weight, and ability to function well in his more technical subjects. There is a 30+ pound weight differential with his twin brother. I m not finding much about the interaction or negative side effects with stroke patients. Please advise. Thank you, Lisa Stacey
Thu, 12 May 2016
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General & Family Physician 's  Response
When clonidine is used alone it will lead to 35%improvement but only 30% improvement when it is combined with stimulant according to clinical trials submitted to FDA.It is better for you to go for second opinion regarding focalin because one of its side effect is loss of appetite,and you have to get your son regularly checked for his heart rate,BP,height and weight when using focalin. You have to tell your doctor if your child is not growing at a normal rate while taking this medicine
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Is Taking Focalin Safe While Taking Clonidine For Cerebral Palsy?

When clonidine is used alone it will lead to 35%improvement but only 30% improvement when it is combined with stimulant according to clinical trials submitted to FDA.It is better for you to go for second opinion regarding focalin because one of its side effect is loss of appetite,and you have to get your son regularly checked for his heart rate,BP,height and weight when using focalin. You have to tell your doctor if your child is not growing at a normal rate while taking this medicine