March 7, 2012

 

Since Tyler's visual hallucinations have ceased, but the voices continue, Dr. Palamara has upped the Risperidone to 2mg at night, and 1mg in the morning. She also upped the Intuniv for his fidgets to from 2 to 3mg. The Lexapro is staying the same at 10mg a day, and the Cogentin in the same at .5 mg twice a day. She will reevaluate him again in 3 weeks or so, and go from there regarding getting him off of the Lexapro and possibly Cogentin. Ty says he is hungry all the time. He said he has gained a bit of weight. Dr. P told him that a side effect of Risperidone is it shuts off the "I'm full" sensor in the brain. She told him to pay attention to the time, and watch what he eats. If it's 1:00, and he just ate lunch at noon, he's probably not really hungry. This could be very bad in the long run, once he gets stabilized, because he has a fat phobia. I can see him going off his meds because he gains 10 pounds.