Welcome to Just answer !
are you sure it Zyrtec that your son has been taking ?
because zyrtec has cetrizine as a chemical component ..
can you please confirm the chemical ingredient / generic of zyrtec
are you there..
can you please reply to my query so that we can discuss further ..
Yes, cetirizine hydrochloride. The reason I suspect it, is that his dad got depressed from Zantac, and his brother got paranoid and anxious from Claritin.
I am sorry to say this but
i think you are misjudging the culprit here
it is not the drug
it is his underlying condition which has strong genetic predisposition
since his father and brother both have had history of psychiatry illness
so most possibly it is the onset of an underlying condition as cetrizine is hardly associated with such kind of onset of psychiatry illness..
or any psychiatry illness for that matter
so i will suggest that this is not withdrawal side effects of cetrizine
Theirs went away within 2 days of quitting their respective drugs. No hint of any trouble ever again. They were only on them for about a week though. Can being on it longer, cause the side effects to take longer to go away? There is a lot of patient documentation of Zyrtec causing these side effects, so I must politely disagree. Especially since his sibling/dad reacted to strictly and only their meds.
it is a mere co-incidence that the withdrawal of this drug occurred with the onset of these symptoms
and i respect your disagreement
but i will suggest that you have an open mind here
the way i am willing to have
and i will have to ask you here that why was your son pt on cetrizine for 5 long years ..
why was it taken for so long
it is never recommended like this
you may ask any doctor of good reputation
The symptoms started when the drug seemed to stop preventing his skin rash (allergic to mold, nickel, fragrance), and continued for 9 months till now. He's been off Zyrtec 2 weeks, and the depression part has eased, but insomnia and anxiety continue.
then it is not depression and paranoia
i must tell you here that paranoia is a psychiatry term
which is stricly reserved for use
when the person starts behaving in a bizarre fashion with delusions and hallucinations taking place
is this the case with him
or is he just anxious and restless and insomnia
after the withdrawal
because these many symptoms areb expected
That's why I want him checked for bipolar. He has had racing thoughts, some which include the feeling that he is being watched. Just have read people having the same symptoms from Zyrtec. I'm fully aware that it may be bipolar, it's just that many have had identical effects from Zyrtec. He didn't show any outward changes, so we were surprised to hear that he was having these thoughts.
that sounds like paranoia
and delusion of persecution
that is the feeling of being watched
and i would still jnot jump to a hasty conclusion of putting him in the bracket of bipolar
as his symptoms do not suggest it ..
May be this could be a brief psychotic disorder ..
but i am not yet sure about the cause
and anyways it is although good to know that he was withdrawn from cetrizine
but by now the drug would have come out of his system in 2 weeks
He feels that his moods vary between highs and lows, and when he read about bipolar he told us what he was experiencing. It's all very confusing, especially when his brother reacted the same to Claritin, though shorter.
which is a long enough duration and so thinking sensibly his symptoms would have stopped by now
OK, that's what I wanted to know... how long it could possibly still affect him....
i believe there is only a remote possibility that the drug is still there in his system ..
so by now it hsould have been wahsed out completely..
but the withdrawal side effects if they were that ( i still would like to reserve my belief on it ) would last a bit longer say 2-4 weeks
the range is due to different people reacting differently
I was taking Zyrtec for seasonal allergies, and quit the same time as him. I still get bouts of itching, under my skin, which tells me that my body is still adjusting to the suddenly uncontrolled histamine production. Since that hasn't completely leveled off yet, I though maybe his system could still be adjusting too..
so i will suggest that you continue with his evaluation preferrably a child psychiatrist or child psychlogist
i can understand and value your opinion
In the off chance that it IS from the Zyrtec, should I wait another 2 weeks before trying him on any suggested medications?
but you see only because he is your son does not gaurantee his body to react the way your body reacts
may be he is more genetically inclined towards his father
and so responds to drugs the way he did
you should not ait any further
the more you wait for proper evaluation the more muddled diagnosis it may become
and it is always better to get hold of symptoms much in the early stage so as to have a good prognosis
OK, we see the therapist on Tuesday regardless. Just wanted to get an additional opinion on the Zyrtec angle.
like me ..
you shall also have an open mind
and do not try to colour the perception of the therapist by your theory which ma be right after all
but colouring the perception of the evaluator would only give a biased sense of picture from the evaluator
Let the therapist be told about the withdrawal but do not tell him that you think that it all happenned due to withdrawal
this will colour his evaluation and he ay start thinking on that pattern which will rule out other commonly seen possibility of a geneitc angle or idiopathic onset of illness
However siince you mention that his father and brother also had similar pattern of illness but shorter in duration ( possibly due to shorter duration of taking the drug )
so it is quite likely that his symptoms fade away on their own
I just didn't want to put him on something too soon. I'll trust what they say. And to clarify again, it didn't START with withdrawal, it just hasn't GONE AWAY with withdrawal.
so when did it start
while he was on the drug
9 months ago.
that makes more sense ..
so you mean to say that his paranoia is 9 months old..
and is persistently present all this while , each day..
Yes. He has good days in between, but poor sleep. We saw no signs of it. He still joked with us, seemed fine. Recently informed us of it, so we cut out the Zyrtec in case.
I feel this is not you think
this is not drug induced
i can nderstand and accept that you may not agree to this
but being in this branch for so many years i will trust my training
this is a condition which has been there with episodes or islets of normalcy in between
but you got to know sometime back because it had grown over a period of 9 months or so and now it has started showing what is called as functional impairment
OK, was thinking it should have started to resolve by now if Zyrtec, wanted a withdrawal duration.
that is effecting his thougjhts and actions
i am sure if you shall wait for another 1-2 months the condition may not resolve
if it is what i believe it is
that is onset of bipolar which has a specific age of onset at 14- 15 years in teenage
so without wasting any time get him evaluated by a chuld psychiatrist
and let him apply DSM criteria for the diagnosis so that you can have proper proof of what he has
please do not restrict your thought to one track only .
repeatedly i am urging you to have an open mind to accept the diagnosis
He was more tired... skin allergies were worse. Personality didn't change outwardly. Bipolar is his hunch, so you're probably right. We'll see the therapist soon. He has talked to a bipolar family friend a lot, and is very open to talking to a therapist. I'll toss the Zyrtec theory. : )
and then follow it with the right drug regime , if the need arises
please i am not asking you to get influenced by me ..
i am just asking you to have an open mind and let yoursef be a bit more flexible
as the faster he gets diagnosed and started on proper treatment
the better it will be for his future
and his prognosis will be better
is this understood ..
i hope you see reason in this ..
I'm flexible. I want him to get some relief. The the rare side effects of Zyrtec DO include mental changes, so I wondered.
do not go for rare things first
that is the tendency of all of us
first look at common things first
NO, just due to the family history of drug reaction that I thought that.
hold on to your theory but atleast let him be evaluated , diagnosed and treated first.
uou know he has a strong family history of mental illness
Okay. Thanks for your input! I appreciate it.
his bfather and brother bothb had it
so it can be more contributing for his diagnosis.
Uh... no mental illness that I know of. They had it only for a week while on the drug, completely disappeared within 2 days of withdrawal.
but they have a short duration of abnormal behaviour
so that holds very high significance
Oh, I see.
you will get to know more ABOUT genetic factors once you get him
evaluated by a specialist
and do make a point to mention the family hisory
that is utmost important
you see in the previous cases the drug could have been the preciptating factors
of a short duration self limiting mental / behavioural problem
so our main objective shouod be
to first find a conclusive diagnosis and treat it to the best ability .
The cause or preciptiating factor is important in psychiatry medicine but not the most important part of it
so firts get him evaluated , diagnosed
which may be in the form of 2-3 differential diagnoses ..
but atleast it wil be clear so as to know what can be done to solve his symptoms
I hope this helps you to get some insight ..
Hold on to your theory which you can discuss with his spcialist therapist once he has started making some concrete steps towards diagnosing him
this will bring out the best possible differntial diagnoses and which will help in providing the best possible solution to his probloem
Wish you all the best..
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Thank You! Feels good to discuss it... while waiting to discuss it again.