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Please explain what is really wrong with my son.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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?
Answered by Dr. Sadaf Mustafa

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com. 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.Hyperthyroidism, liver function test and blood counts (CBC) tests should be done when on lithium. Lithium levels should be monitored for at least every three months. Please refer to a psychiatrist for further recommendations. Continue these medicines for now. Do not abruptly discontinue them.

Medically reviewed by iCliniq medical review team
Published At April 20, 2016
Reviewed At June 28, 2023

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

ADHD and Bipolar Medication Companion

How it works

Your child's treatment plan involves several medications for ADHD and bipolar disorder. Understanding each component can help you advocate for their care.

1

Son's
Situation

2

ADHD
Aggression

3

Bipolar
Symptoms

4

Methylphenidate
Hydrochloride

5

Lithium
Monitoring

6

Other
Medications

Important medication information

Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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