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Dr. G (may contain triggers)
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mommaange1 posted:
Do you think 200mg of serequel is realistic for a boy who is 15 and weighs about 190? He has been having suicidal thoughts and is doing things like stabbing furniture. He is in IOP and they just raised the dosage to see if it would help. I am just wondering if is appropriate for a adolescence to take such a dose. He seems much more relaxed with the higher dose. Just a bit sleepier then usual. But I wonder what side effects I should watch for in a child. Would they be the same as an adult? I worry because I OD'd on serequel and lithium, and was in the hospital for about a month and a half. I just want to be sure he is safe and I see any warning signs. I control his meds but am afraid of the anger and fetish with knives. I have discussed this with the therapist but of course they can't guarantee me that he wont hurt himself or me since I seem to flip his mood. Any advice?

Thank you,
Angel
If We Couldn't Laugh, We Would All Go Insane :)
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Joseph F Goldberg, MD responded:
Dear Angel,

In the FDA registration studies of Seroquel for adolescent mania (as young as age 10), the typical dosing range was 400-600 mg/day. The manufacturer advises dosing to 400 mg/day in teenagers who are manic within 5 days of starting. 200 mg/day would probably be considered a low or subtherapeutic dose if one were treating acute mania in an adolescent. In adolescents with psychosis (ie, delusions or hallucinations), dosing typically goes as high as 800 mg/day per the manufacturer.

- Dr. G.


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