Hi everybody, I have a 10 years old boy with Tourett syndrom. He was diagnosed at 5 years old, he took all kind of medication, dexedrin, strattera, orap, haldol, even ativan, right now he is in a severe state. TADH with Tourett. We went to the neurologist on thursday, He was taking, Strattera 25 mg / day, Haldol 1 mg / day, and Adderall XL 25 mg /day. Because of his mood swings (aggressive) he decided to take him off the Strattera and replace it by Topamax. He started friday. I've stopped the Strattera and gave him topamax 25mg at bedtime /for the first week combined with Haldol 1mg bedtime, and the neurologist decided to put up his Addrall to 30mg in the morning. For the next 4 weeks, he'll be adding on more topamax.
week 1 = adderall 30mg morning
Haldol 1mg bedtime
Topamax 25mg bedtime
week 2 = adderall 30mg morning
topamax 25mg morning
Haldol 1mg bedtime
topamax 25mg bedtime
week 3 = adderall 30mg morning
topamax 50mg morning
Haldol 1mg bedtime
topamax 50mg bedtime
week 4 = adderall 30mg morning
topamax 75mg morning
Haldol 1mg bedtime
topamax 75mg bedtime
Do you find the doses high for topamax in daytime. I'm affraid he'll be confused at school and sleepy. What do you think ?
Thanks for answering