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Dr Wu
Dr Wu, Doctor
Category: Mental Health
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Experience:  Board certified in family medicine.
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Hello, my name is Sharon. My son who has downs syndrome and

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Hello, my name isXXXXX son who has downs syndrome and a kidney transplant patient takes chorpromazine, xanax, prozac and buspar. He has recently become very angry, and aggressive. He throws things, slams doors and yells. He has'nt seen a phychiatrist yet but I am going to have him see one. Do you think it's the xanex, prozac, chlorpromazine or buspar or a combination?I don't think you can just stop any of them cold turkey. What do you suggest I do until I can get him into see a phychiatrist? Help
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr Wu replied 5 years ago.

Hi,

 

Thank you for submitting your question.

 

First of all, given his medical history, a medical cause of his aggression should be ruled out( e.g. worsening kidney function can cause agitation).

 

He is on very low dose of xanax. Xanax has a calming effect. You should first consult with his regular doctor, but I do think giving him 0.5mg of xanax when he starts to get agitated can be helpful. This can be done every 6 hours, but do not dose more frequently than every 6 hours, and limit to less than 2mg in 24 hours( this means in addition to his regular scheduled xanax, you can give 2 additional doses as needed to calm him down).

Customer: replied 5 years ago.
Yes, first of all I accept your reply but what about the chlorpromazine and the buspar,are they ok? I will dicuss this with his regular doctor
Expert:  Dr Wu replied 5 years ago.

There are no drug interaction between these 2 medicines. However, thorazine is rarely used these days( it is an old style antipsychotic with many side effects). You may want to discuss with his physician re: trying the newer antipsychotics like zyprexa. Another question for his doctor is whether he truly needs both buspar and prozac( both are antidepressants).

Dr Wu, Doctor
Category: Mental Health
Satisfied Customers: 1835
Experience: Board certified in family medicine.
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