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Q. Please explain what is really wrong with my son.

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 20, 2016 and last reviewed on: Jan 31, 2020

Hi doctor,

My son is 13 years old. He is on Ritalin LA, Oleanz 5, Nuzak and Lithium. I think the doctors do not know what is really wrong and are experimenting on him? Recently he is telling lies, stealing and defiant. He does get agitated at times and shows aggression and has become very impatient. Also, he struggles to sleep. He was much better before he was put on all these medications. What could be wrong?

Dr. Sadaf Mustafa

General Medicine Internal Medicine


Welcome to

The medications seem to be for ADHD (attention deficit hyperactivity disorder) and bipolar disorder with psychotic features. He should be managed only by a psychiatrist. Aggression is a part of ADHD.

The Ritalin (Methylphenidate hydrochloride) can cause sleep difficulties. And lithium levels should be monitored very closely. I am not sure if all of these steps are being taken.

Please refer to our psychiatrist at icliniq for further recommendations. Do not discontinue any of these medications abruptly.

The Probable causes:

ADHD and bipolar disorder with psychotic features.

Investigations to be done:

Hyperthyroidism, liver function test and blood counts (CBC) should be done when on lithium. Lithium levels should be monitored for at least every three months.

Treatment plan:

Continue these medicines for now. Do not abruptly discontinue them.

Regarding follow up:

For further doubts consult an internal medicine physician online.--->

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