Q. I have a 14 yr. old daughter who has been diagnosed with ADHD, LD, ODD, and
possibly bi-polar. It is difficult to for the doctor to say for sure whether
she is bi-polar because she has so many overlapping symptom: hyper, excessive
talking, loud, impulsive, irritable, angry, tantrums if try to make her do
something, etc. etc. We have been going to counselors, psychiatrists, etc.
since she was 3. She is in a wonderful school in Atlanta for Children with
her problems. At a young age (7-9) one psychiatrist prescribed every
anti-depressant drug you can think of for her(lithium, Depakote, Effexor,
Prozac, clonidene, and more) with no positive results, only bad side effects.
I finally said ENOUGH and we took her off everything but Adderall for her
ADHD. It helps with concentration, but she still has all the other symptoms
listed above and all our counseling on how to discipline doesn't help a lot.
A new doctor has suggested I research the following three drugs that he
thinks could possibly help her(Zyprexa-she's already overweight, Lamictal,
and Topamax). She refuses to take a drug where she has to have blood drawn
and believe me it's not worth it to go through that every month. Can you
give me your opinion on the three drugs listed. Also in my search I came
across Neurontin. What about it?
A. Topamax causes weight loss, and is touted as beneficial in bipolars. It seems
to help many of our bipolar patients. It is the least repugnant of the drugs
you describe from a potential side effect standpoint. It is also the
medication with the least amount of clinical trials to support its use.
Zyprexa is sedating and usually causes weight gain. Lamictal is mildly
sedating and causes modest weight gain. It is pretty good for mood swings.

