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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mood Disorders While On Risperidone

My grandson, age 9, is on Risperidone 3mg and Lamectal ,25 or 25. His behavior has become more aggressive. He is now overweight and has feminine tendencies. His hygiene is poor and seems to care about nothing but having his own way. He will hit and become very angry if things are not his way. His dad, now divorced, physically abused him 3 years ago; told him not to tell mommy. When he told me, we called police and dad denied it and CYFD believed him. That is when grandson became ANGRY and was unable to stay in school. He was combative and destructive. The doctors say he now has a mood disorder. The medications are not helping. He is worse now than 3 yrs ago. His mom has had him on some kind of medication since he was 5. She started with melatonin, then psychiatrist prescribed psychotic medication. She said he was hard to handle, but no one else had any trouble. Could this psychotic medication cause problems through side effects? He keeps getting worse. I feel like he should be removed from medication to see who this young boy really is. He is not autistic and for the first 4 years of life seemed very normal to me. What do you think?
Fri, 23 Mar 2018
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General & Family Physician 's  Response
Hello,

Switching to newer antipsychotic like Geodon along with Lamictal will help to stabilize mood better than risperidone. Moreover, the more potent dopamine blockage by risperidone is responsible for the onset of feminine features, which to an extent can be minimized with newer antipsychotics. Also, Geodon is an antipsychotic known to cause least or minimal weight gain compared to others.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Lekshmi Rita Venugopal
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Suggest Treatment For Mood Disorders While On Risperidone

Hello, Switching to newer antipsychotic like Geodon along with Lamictal will help to stabilize mood better than risperidone. Moreover, the more potent dopamine blockage by risperidone is responsible for the onset of feminine features, which to an extent can be minimized with newer antipsychotics. Also, Geodon is an antipsychotic known to cause least or minimal weight gain compared to others. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lekshmi Rita Venugopal