.webp?h=10 "P-Hat (pink) - It's pink.")
I've been working with a psychiatrist for about 5 years on an interesting study. We got in an argument awhile back about changing a 13 y/o male from lexapro for fluvoxatine. While undergoing majority chemotherapy due to symptoms, he was deemed to not be pediatric despite being under the age of 25.
Some important background includes the patient had anxiety-driven depression, h/o self harm, suicidal ideation, OCD, ADHD, non-Hodgkin's Lymphoma, aplastic anemia and various family hx risks.
What was the reason for the fight? Just a heads up, this kid is on multiple mood stabilizers including adderall so that might help with the med change.
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Not sure. They're both SSRI's with the black box warning. I've heard more bad reactions to Prozac than Lexapro though - like manic reactions and agitation. I think they market Lexapro as the friendlier one, but they're still both similar as far as I understand.
Of course when shit is going down, you don't want to change psych meds in the middle of the race unless absolutely necessary. If I were you trying to treat him for cancer, I wouldn't be enthusiastic about playing the 4-6 weeks game on a new antidepressant to see if it completely fricks his mood into one of the holes you mentioned.
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