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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Diane J. on August 17, 2001, at 22:20:14
Dear Cam,
My 10-year-old daughter has taken Paxil for 5 years. She took 10 mg until this summer when her dose was raised to 20mg. (She was experiencing severe anxiety - kind of had a meltdown.)
I want to trust my doctor but that has become difficult due to his investigation by the Medical Board. I have a different psychiatrist lined up but his first available appointment isn't until late September.I know that Paxil isn't FDA-approved for children even though it is prescribed for them. Do you know if the drug is harmful or has some long-term ill effects with regard to children?
Sincerely,
Diane J.
Posted by Cam W. on August 18, 2001, at 14:15:06
In reply to Question for Cam, posted by Diane J. on August 17, 2001, at 22:20:14
Diane - Since it is unethical to do clinical trials in human children, information is gleaned from animal trials, human adult trials, and case studies. So far, there has been no long-term problems with children using any of the SSRIs. I do know, that from clinical experience, many child psychiatrists like Paxil because it is relatively safe and effective, when compared to other, older medications.
- Cam
Posted by Diane J. on August 18, 2001, at 22:37:25
In reply to Re: Question for Cam » Diane J., posted by Cam W. on August 18, 2001, at 14:15:06
Thank you, Cam. Your response was reassuring.
> Diane - Since it is unethical to do clinical trials in human children, information is gleaned from animal trials, human adult trials, and case studies. So far, there has been no long-term problems with children using any of the SSRIs. I do know, that from clinical experience, many child psychiatrists like Paxil because it is relatively safe and effective, when compared to other, older medications.
>
> - Cam
Posted by Cecilia on August 19, 2001, at 2:28:34
In reply to Re: Question for Cam » Diane J., posted by Cam W. on August 18, 2001, at 14:15:06
> Diane - Since it is unethical to do clinical trials in human children, information is gleaned from animal trials, human adult trials, and case studies. So far, there has been no long-term problems with children using any of the SSRIs. I do know, that from clinical experience, many child psychiatrists like Paxil because it is relatively safe and effective, when compared to other, older medications.
>
> - CamClinical trials ARE done in children, in fact the FDA has recently given patent extensions to drug companies in exchange for their doing pediatric clinical trials. Of course, no company is going to spend the money to do a study on an off-patent drug, so the vast majority of drugs prescribed to children have never been FDA approved for pediatric use.
Posted by Wendy B. on August 27, 2001, at 0:56:48
In reply to Re: Question for Cam, posted by Diane J. on August 18, 2001, at 22:37:25
Hi Diane,
Sorry for the lateness in responding to this question, but is your daughter's anxiety being helped by the Paxil, in your own observations?
Also, has she been tested for ADD/ADHD? Perhaps at your psych. appointment, this could be discussed?
Just a hunch, could be off-the-mark...Let us know how it goes next month?
Yours sincerely,
Wendy
> Thank you, Cam. Your response was reassuring.
>
> > Diane - Since it is unethical to do clinical trials in human children, information is gleaned from animal trials, human adult trials, and case studies. So far, there has been no long-term problems with children using any of the SSRIs. I do know, that from clinical experience, many child psychiatrists like Paxil because it is relatively safe and effective, when compared to other, older medications.
> >
> > - Cam
Posted by Diane J. on August 27, 2001, at 17:18:31
In reply to Re: Question for Cam » Diane J., posted by Wendy B. on August 27, 2001, at 0:56:48
Hi Wendy,
Paxil was an enormous help back when Kendra began taking it when she was in kindergarten. Now it is more difficult to tell. She does not have ADD/ADHD, however. Unfortunately there's a streak of anxiety disorders that run in my family. My older daughter is fine, but my younger one inherited the stuff.
Her next appointment is Sept. 20, and I will let you know how it went. Thank you for your response.
Diane J.
> Hi Diane,
>
> Sorry for the lateness in responding to this question, but is your daughter's anxiety being helped by the Paxil, in your own observations?
> Also, has she been tested for ADD/ADHD? Perhaps at your psych. appointment, this could be discussed?
> Just a hunch, could be off-the-mark...
>
> Let us know how it goes next month?
>
> Yours sincerely,
>
> Wendy
>
>
> > Thank you, Cam. Your response was reassuring.
> >
> > > Diane - Since it is unethical to do clinical trials in human children, information is gleaned from animal trials, human adult trials, and case studies. So far, there has been no long-term problems with children using any of the SSRIs. I do know, that from clinical experience, many child psychiatrists like Paxil because it is relatively safe and effective, when compared to other, older medications.
> > >
> > > - Cam
This is the end of the thread.
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