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Need To Change Course

We are in the middle of 9 weeks of Prozac and we pulled Ewen's dosage down to 4ml's from 5 because 5ML's made his tics worse and a new one developed. He was happiest at 5 but seeing him develop new weird behaviors and never be able to relax makes us feel like we shouldn't keep him on Prozac.

He had tics before though and I know that Prozac doesn't help with tics but there is a chance it isn't causing these, although we did see a substantial increase in jittery and jerky behaviors when he went up to 5ml's, especially after 4 days. We don't know what to do. Here are our options

1. keep him at 4ml's and see how he does
2. take him off the medicine and hope he does OK
3. switch him to Zoloft
4. add a tic medication
5. look into and ask about rTMS?
6. take the dose slowly back up to 5 and see if going slow helps
7. stay at 4 ml's and add antibiotics again incase it is PANDA's

The only reason I wrote option number 6 is because he was happiest then and he seems more troubled and dissatisfied again now that we have brought the dosage down.

I looked back at my notes about his medication and how he did over the past couple of month and he was in very bad shape before the prozac started working. And he was huffing before we even gave him prozac. It seems that the Prozac has made him better and aggravated his tics. The worst thing is that he can't relax. At night his is a mess and huffs and flexes his muscles, moves his legs around and taps them again the bed and swishes saliva in his mouth. He does this until he finally just passes out asleep and all the huffing stops. He is never able to relax and go to sleep. He says it is physically impossible to stop moving and when I asked if it was like this at all before all this happened he said, no.

I wish I knew what to do. I wan to ask his psychiatrist but I worry that he tried to prescribe Ewen a hard core antihistamine when he was having some hives, instead of just advising to do Benadryl which has so much fewer side effects. So I feel that he is a bit too pill happy. Also he told me on the phone that it isn't true that it takes Prozac up to 8 weeks to work and wanted to know where I got that from. The answer is all the other doctors, nurses and online articles out there.

I think that maybe we should switch to Zoloft but I am hesitant because I hated Zoloft. It helped me for a while but it did weird things, like I had muted emotions, I got the yawns when I exercised, then when I tried to take it again in my 40's I got headaches every day then it gave me a horrible urge to clench my jaw all the time. It also messed with my memory. So I don't want to put my 11-year-old son on it. But at the same time it got me out of a hole that I didn't want to be in and I would still choose Zoloft over that hole. I don't think I want to give him Zoloft. I don't know. I do know that he mustn't be back in that hole again.

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