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教育王國 討論區 特殊教育 6歲開始睇私家食strattera,政府一直堅持不開藥 ...
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[過動] 6歲開始睇私家食strattera,政府一直堅持不開藥

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29
發表於 14-5-10 20:39 |顯示全部帖子
6歲開始睇私家食strattera,但在政府覆診一直堅持不開藥,已投訴醫管局, 但交俾主管跟又話唔會跟私家開藥囉, 由一年級包尾,過動----而家都可以頭幾名, 有好效果都死唔開, 有私家精神科信,迫人沉重經濟負擔.好迷茫.....

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936
發表於 14-5-13 14:27 |顯示全部帖子
吓, 咁衰!!!
我仔都係六歲剛開始食Stratterra, 瑪麗要排到出年4月
唔知到時肯唔肯開?

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2548
發表於 14-5-13 22:09 |顯示全部帖子
本帖最後由 Ms.Mak 於 14-6-14 00:56 編輯

回覆 roseangel 的帖子

上周第一次見[size=15.333333015441895px]瑪麗醫生,說可由c轉s.

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610
發表於 14-6-13 11:59 |顯示全部帖子
回覆 sky-kowloon 的帖子

請問你睇邊個私家兒童精神科醫生?

Rank: 4


992
發表於 14-6-26 14:13 |顯示全部帖子
回覆 sky-kowloon 的帖子

想問下,你仔仔而家幾歲?我仔而家升5年班, keep住食10mg, 但唔覺成績上有太大進步,煩
我的顥然豬在04年10月15日出世啦!

Rank: 7Rank: 7Rank: 7


10552
發表於 14-6-28 22:05 |顯示全部帖子
本帖最後由 Letter_lalaland 於 15-5-31 21:24 編輯

或者/可能海外有太多藥物副作用的例子:

台灣一個聲稱提供關於精神醫學、精神疾病與藥物的相關資訊。.

其中一頁標題:各國精神科藥物不良反應警告

2005 九月:美國食品藥物管理局指示禮萊藥廠修正Strattera(思銳膠囊)之標註,要加上黑框警語,說明兒童與青少年服用後,有增加自殺想法的風險。

2006 五月:加拿大衛生署發表最新警告,表示所有用來處理注意力缺乏過動症(ADHD)的處方用藥, 都會引發罕見的心臟病風險,包含猝死的危險。公告中警告,治療過動症的興奮劑會增加心跳及血壓,結果會導致「心跳停止、中風及猝死」。

http://cchrks.blogspot.hk/2012/06/blog-post_8471.html

http://www.tpjh.cyc.edu.tw/school/data/pub/201308081706512.ppt

http://www.edu-kingdom.com/forum.php?mod=viewthread&tid=2119287

http://www.cp1897.com.hk/product_info.php?BookId=9789881292988



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10552
發表於 14-6-28 22:18 |顯示全部帖子
本帖最後由 Letter_lalaland 於 15-5-31 21:25 編輯

Quoting from Health Canada (加拿大健康局)
http://recherche-search.gc.ca/rGs/s_r?st=s&s5bm3ts21rch=x&num=10&st1rt=0&langs=eng&cdn=health&q=Strattera


http://www.hc-sc.gc.ca/dhp-mps/medeff/bulletin/carn-bcei_v18n3-eng.php


ARCHIVED - Canadian Adverse Reaction Newsletter - Volume 18 - Issue 3 July 2008


Atomoxetine and suicidal behaviour: update

Atomoxetine (Strattera) is a selective norepinephrine reuptake inhibitor indicated for the treatment of attention-deficit hyperactivity disorder (ADHD) in children 6 years of age and over, adolescents and adults.Footnote1 In September 2005, following the marketing of the drug in February 2005, a Dear Health Care Professional letter was issued regarding the potential for behavioural and emotional changes, including the risk of self-harm,Footnote2 with the use of atomoxetine. The Warnings and Precautions section of the Canadian product monograph was updated to include the following statement: "Rigorous clinical monitoring for suicidal ideation or other indicators of potential for suicidal behaviour is advised in patients of all ages. This includes monitoring for agitation-type of emotional and behavioural changes, and clinical worsening."Footnote1,Footnote2
As of Dec. 31, 2007, Health Canada received 189 reports of adverse reactions (ARs) suspected of being associated with the use of atomoxetine. Fifty-five ARs were classified as suicide attempt. According to the World Health Organization Adverse Reaction Terminology (WHOART), the term "suicide attempt" also encompasses "non-accidental overdose," "suicide," "suicidal tendency" and "thoughts of self-harm." Reports involved 41 children (aged 6 to 17 years) and 12 adults (aged 18 to 45); the age was not provided in 2 reports. Of the 55 patients, 29 recovered without sequelae, 3 had not yet recovered at the time of reporting, 1 patient died, and the outcome was not stated in 22 reports.
Treatment options for ADHD include the non-stimulant atomoxetine and stimulants such as methylphenidate and mixed amphetamines.Footnote3 Suicide-related behaviours have been reported with stimulant-type treatments for ADHD.Footnote4 Treatment is complex because patients with ADHD often have other psychiatric disorders.Footnote5 Many studies have found that over 50% of individuals diagnosed with ADHD also meet the diagnostic criteria for one or more additional psychiatric disorders (e.g., mood, anxiety, learning or behaviour disorders).Footnote6 When ADHD is comorbid with other psychiatric disorders, it is often the first disorder to develop, and children with severe symptoms of ADHD are at increased risk of developing other psychiatric disorders.Footnote5 Health care professionals should remind patients, family members and caregivers to monitor moods, behaviours, thoughts and feelings when ADHD medications are used.
Heather Morrison, BSc, MLIS, Health Canada
FootnotesFootnote 1

Strattera (atomoxetine capsules) [product monograph]. Toronto: Eli Lilly Canada Inc; 2007.

Return to footnote1referrer

Footnote 2

Warning for atomoxetine regarding the potential for behavioural and emotional changes, including risk of self-harm [Dear Health Care Professional letter]. Ottawa: Health Canada; 2005 Sept 28. (accessed 2008 Jun 3).

Return to footnote2referrer

Footnote 3

Eiland LS, Guest AL. Atomoxetine treatment of attention-deficit/hyperactivity disorder. Ann Pharmacother 2004;38(1):86-90. [ PubMed]

Return to footnote3referrer

Footnote 4

Strandell J, Star K. Reports of suicide related behaviour with methylphenidate and atomoxetine in children and adolescents [poster presentation P.080]. Drug Saf 2007;30(10):919-90.

Return to footnote4referrer

Footnote 5

Kunwar A, Dewan M, Faraone SV. Treating common psychiatric disorders associated with attention-deficit/hyperactivity disorder. Expert Opin Pharmacother 2007;8(5):555-62. [ PubMed]

Return to footnote5referrer

Footnote 6

Brown TE. Attention-deficit disorders and comorbidities in children, adolescents and adults. Washington (DC): American Psychiatric Press; 2000.



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1424
發表於 14-6-30 13:36 |顯示全部帖子
wendy_ho 發表於 14-6-26 14:13
回覆 sky-kowloon 的帖子

想問下,你仔仔而家幾歲?我仔而家升5年班, keep住食10mg, 但唔覺成績上有太大進步 ...

你好 Wendy_ho,

我仔同你仔既 case 一樣, 請你問仔食 10mg 係咩藥名 ? Ritline 之前食過, 但無效, 亞仔由今年 3 月開始轉食 Strattera 25mg , 雖然成績都未有明顯進步, 但自理好咗...

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453
發表於 14-8-27 11:21 |顯示全部帖子
醫生都建議仔仔轉食Strattera,  話呢隻藥可引致情緒問題, 當然唔係個個人都有, 但我又唔想轉, 但食R字頭個囝又冇效, 好煩惱

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3094
發表於 14-9-19 23:17 |顯示全部帖子
我仔有同樣問題, 各位可唔可以介紹個醫生俾我幫下囝囝, 可以pm我, 謝謝!

Rank: 4


992
發表於 14-9-23 17:33 |顯示全部帖子
回覆 au6822 的帖子

就係食Strattera 10mg, 因為佢好瘦,醫生試過開重D藥比佢,但佢話覺得唔舒服
我的顥然豬在04年10月15日出世啦!

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135
發表於 14-10-24 16:57 |顯示全部帖子
我個仔都係食Strattera 25mg,之前食其他2隻,食完情緒更失控......
我個醫生話醫ADHD得4款藥,其中3款係同類型以時間長度去控制的,但有20%小朋友食左會影響情緒,我仔試過2隻,都係有情緒問題,所以要轉食Strattera 25mg,半年驗一次血......
不過好煩,唔想佢食,但唔食唔得,而家食左個人係定d,不過都係情緒唔好,學校一星期打黎幾次,上堂都係唔ok,又同同學相處唔到,仔仔好唔開心,近排又郁手打人.....今年3年級的班主任又唔好,我都覺得好大壓力,因為仔仔的事喊過好多次......工作又好忙.....學校暗示想我轉校,不過其實我都一直諗緊轉咩學校對佢好,只係未搵啱........大家有冇咩意見呀?

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2521
發表於 14-10-27 15:31 |顯示全部帖子
最近醫生也建議我個囡食Strattera,由10mg開始。請問你囝囝食25mg是幾歲和多少體重的劑量?

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454
發表於 14-11-19 23:19 |顯示全部帖子

回覆:6歲開始睇私家食strattera,政府一直堅持不開藥

請問有否小朋友吃過concerta? 行為上有否問題?或有否其他副作用?



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289
發表於 14-11-21 01:38 |顯示全部帖子

回覆:6歲開始睇私家食strattera,政府一直堅持不開藥

你們說食過Ritalin 無效,無效既意思是什麼,我仔一直都是食這款10mg,食左係專心左既,但成績冇好過,甘又算唔算冇效呢?



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2521
發表於 14-12-3 11:07 |顯示全部帖子
亞囡食了4星期Strattera 10mg個人定咗啲,昨日覆診加至18mg。

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135
發表於 14-12-4 12:09 |顯示全部帖子

回覆:muimui5 的帖子

的仔八歲半,而67磅



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2521
發表於 14-12-4 17:07 |顯示全部帖子
我囡七歲,都係67磅,即可能要再加劑量。但QM醫生冇話我知要定期驗血

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21906
發表於 14-12-5 17:14 |顯示全部帖子
我仔食straterra, 問過醫生,佢好有信心話唔使驗血。
for every one criticism, three positives must be given.

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21906
發表於 14-12-5 17:17 |顯示全部帖子
hoiyee67 發表於 14-11-21 01:38
你們說食過Ritalin 無效,無效既意思是什麼,我仔一直都是食這款10mg,食左係專心左既,但成績冇好過,甘又 ...
專心咗,即是有效。以前醫生同我講,佢會加藥加到仔仔有不良副作用,務求試出效果最好的藥量。
至於成績,醫生話專心藥只是幫助小朋友專心學習,佢學到幾多則是另一回事了。
for every one criticism, three positives must be given.