2 doctors weighed in:

My 9 year old has bipolar, ocd, and tourette's. Treated with .5 risperdone daily. His tics are uncontrollable. What meds/treatments would help?

2 doctors weighed in
Dr. Patrick Tapia
Psychiatry

In brief: Alpha agonists maybe

The Risperidone is a strong medicine as maybe through cautious advancing of the dose a resolution in symptoms could be attained.
The judicious use of Clonidine or Guanfacine may help with symptoms as well although these interventions are not as strong as risperidone. In very severe cases low doses of haloperidol are a possibility although in practice this is not used in this age range commonly.

In brief: Alpha agonists maybe

The Risperidone is a strong medicine as maybe through cautious advancing of the dose a resolution in symptoms could be attained.
The judicious use of Clonidine or Guanfacine may help with symptoms as well although these interventions are not as strong as risperidone. In very severe cases low doses of haloperidol are a possibility although in practice this is not used in this age range commonly.
Thank
1 comment
Dr. Alan Ali
Other options to discuss with the prescribing Doc. might include Orap (Pimozide).
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