So DD fell asleep with her 1/2 mg tenex Monday pm/ 1/2 mg Tuesday am. She was totally out of it on Tuesday. So the doctors decided to lower her dose.
Here's what we've done this week:
Monday--no meds am, 1/2 mg Tenex pm
Tuesday-- 1/2 mg Tenex am, 1/4 mg pm
Wednesday--1/4 mg Tenex am, 1/4 mg pm
Thursday--1/4 mg Tenex am, 1/4 mg pm
Friday--1/4 mg Tenex am.
We are seeing no effects from 1/4 mg. She isn't the least bit sleepy, but there are no changes. The psychiatrist is out today, so I can't consult with him. We had discussed taking her to 1/2 mg morning and evening starting on Sunday. I would like to give her 1/2 mg tonight, 1/4 mg tomorrow morning, the same tomorrow, and move up to 1/2 mg Sunday morning and evening.
Does that make sense, or is it irresponsible to change without the psychiatrist's specific approval?
Stay with the doc's schedule unless you get his consent to change. You are building a trust with this doc. If you show that you are responsible and follow his instructions well, he will continue to give you guidelines and let you make changes within the guidelines. If you go outside of the guides, he may be more restrictive in the future.
Taking it slow with this med, really reduces side effects. I know how hard it is to be patient.
vickie39220.3781481481Thanks! That's what I needed to hear. It is so hard to be patient. We leave on a week-long trip with another family next Friday, so I'm extra anxious to see if the Tenex is going to help DD. I want to have some idea what this trip is going to be like, you know?
I just need to settle myself down.
vickie is right....try to go very slowly, it is difficult, but this way the side effects are minimal.I can attest 100% as we are living this right now. It is amazing the difference in a small change can do with this med. Our doctor told us if my daughter ws tired drop back the 1/4 tablet. I did this when she fell asleep in school Monday, but only did it on her am dose. I did go back up yesterday to the 1/2 and she was fine, but today she was groggy this am. So I am going to just stick it out with the 1/2 am and 1/2 pm for another week. I would do what your doctor suggested too this way if it doesnt work he'll know what he is happening in relation to what he was expecting. Good luck. Waiting is lousy. And quite often it seems so inconsistent over the beginning couple of weeks.