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[August1994]

My son is on 100mg of sertriline for his anxieties. He takes it in the morning. But when it gets to the afternoon his anxieties worsen. Does he need to take more sertriline in the afternoon or evening. Can anyone help please

[lecsmum]

I am unable to comment on the medications, however things I recommend you look into are Sensory Processing issues, The environments create much anxiety for our children, they cannot bear, Loud noisy crowded places, smells, touching, Bright lights, Tastes etc, can set off anxiety, Can you request formally an Occupational Therapist level 3 assessment for sensory processing? the Environment for example the school building itself often triggers anxiety.

[August1994 in reply to lecsmum]

Thanks

[Shue Community friend]

Hello, I would speak with your healthcare provider. The dose can be increased dependant on your sons age and it may be beneficial to ask to split the dose and give half in the morning and again in the afternoon. My own son takes meds for anxiety and I find activity and distraction beneficial too, the more he is able to do the more his anxiety decreases. I've found simple things such as a walk, colouring, a good dvd or game of cards help so much along with his medication. Best wishes.

[Hidden]

A 100ml is excessive. It’s quite possible that is what’s making him worse. I would contact stomp and stamp.

england.nhs.uk/learning-dis...

england.nhs.uk/learning-dis...

[August1994 in reply to Hidden]

No its not making him worse. He use to hot himself and self harm before and was very very agressive. So it's doing some good.

[Boeing-747]

I would agree that the medication maybe part of the problem and you should discuss this with your prescriber.You should also ask for an OT assessment for sensory processing

[Sanmup]

No sertraline stays in body system for long when taken regularly. Is he on other meds interacting with sertraline.

[August1994 in reply to Sanmup]

Yes he's on diazapam. Why doesn't the sertriline keep the serotonin levels. In the brain raised

So they can't start getting g anxious . I thought that's what they are sup pose to do?

?

[Hidden in reply to August1994]

Is he on diazepam every day? If that is so you need a medication review. Diazepam is extremely addictive and causes severe after effects. Because diazepam plus sertraline a 100ml of it’s really bad. He should be twice A day if he needs it 50ml not 100. And plus diazepam. Now diazepam is a drug called PRN it states given when needed. Abs should not me more the 2.5mls or in cases just5mls amd not to be used everyday. Mostly maybe once a week if that.

[August1994 in reply to Hidden]

It know all about diazapam and all the other type of sedatives. They do calm him down he has 1 2mg per day . But it does help. You know my son has severe anxiety problems .distraction doesn't work tried it lots of times .

[LDAutie in reply to August1994]

Hi August1994 I can relate with your son. I have been on diazepam for years for very severe anxiety that causes a lot of severe challenging behaviors,I’m on 10mg a day,and an anti psychotic to help with the same problem,I am on 3 anti epileptic drugs for epilepsy,lots of meds for severe pain and nerve damage to.

my meds are strictly controlled by my staff and the diazepam helps to give me a quality of life,now days most of us with LD are supported to try everything before been given a sedative like Diazepam due to STOMP,if you are on it long term there’s a good reason for it.

I ended up on a section 3 in an LD acute hospital For a long time because of how anxious and severely challenging I got I was been groomed and bullied online and coud not communicate this to my staff.

thanks to my SLT i use much better AAC now (proloquo2go) ,but I still have extreme anxiety that triggers behaviors throughout my day,and it woud be so much worse if it wasn’t for diazepam.

There will always be dependency issues with long term use of drugs,even SSRIs have dependency issues,but quality of life shoud be put first.

[petejmarshall]

Good afternoon August1994

I am sorry to hear about your son. The advice you have received about getting an O.T assessment done is a good Idea because I have a 20 year old son who has just had an assessment done during lockdown which was done via WhatsApp. My son suffers from Anxiety and lots of other problems. But all he is on at the moment is a mild antidepressant and sleeping medication as they think that my son is suffering from Autism as well as his many other problems.

But I do agree with other's that the medication that your son is on is very high. Sounds like the person who prescribed the medication wants your son to be so out of it so that you can do what needs doing while he is medicated up to his eye balls. If you do contact a O.T. therapist and they do a sensory assessment on your son. You might have to buy some sensory items to help your son which I can confirm helps the person as it is helping my son to deal with his anxiety. I will name one item that helps people who this sort of problem and that is a weighted blanket which you can buy from amazon UK shopping. I can tell you that this item will calm down your son. Best wishes to you and your family. Peter

[August1994 in reply to petejmarshall]

U are a good person it I can't see luke cuddEling a blanket he would say that's stupid. I couldn't get him to do that

[petejmarshall in reply to August1994]

Hi August 1994

Thank you for your replies. He wouldn't be cuddling a blanket. You put it on top of his bed at night like a normal blanket because of it being weighted blanket it makes them relaxed and have a sense of being safe which in turn will help your son to feel safe and calm. Sorry if it sounded like your son would be cuddling the blanket. In regards to your son's medication. I think that it would be best if you asked your son's medical team for a review on his medication to include if it's still is the amount or even if it's the right medication for him now. You could ask your chemist to do a medication review and they will do one and pass on the results to your Doctors. My own son Joe has a weighted blanket and it does work in helping him to feel safe and secure in bed. I will try and send you information about the weighted blanket if you would like to see it! Best wishes to you and your son. Peter

[August1994 in reply to petejmarshall]

Thankyou Peter. Is there any way of trying to get this cancer anxiety out of his head. Do you know of anything that could help him during the day time. It awful seeing him the way he is worrying that he might get it. I wished u could take it out of his brain. I've tried telling him. It doesn't run in the family. You are too young to get smoking related lung cancer. Tried ^ getting him on a vape. Didn't like it wanted his smokes back. Tried to ignore it when he talks about it. This just increases his anxiety. What can I do to help him get this anxiety out of his mind ? X

[August1994]

Ok thanks but he's not up to his eyeballs with meds. He doesn't seem like it's strong enough. They need increasing so they will work for him. Don't u agree ?

[August1994]

My son worries constantly about having cancer. He crys and is so anxious all the times

He's had this obsession for 2 years now everyday constantly worrying

It was absolutely terrible for him and us. But now he worries only maybe 2 days a wk about this now he's on sertriline.

[Sarah_Mencap]

Hello

Please do talk to your son's GP about any worries you have about his medication. I am sure you are already doing this, but I can't emphasize enough that any posts on here don't replace the advice you get from your doctor.

Many thanks

Sarah

[August1994 in reply to Sarah_Mencap]

Thanks Sarah