Depakote and Tegretal

Filed Under: Bipolar Disorder, Comorbid Conditions with ADD, ADHD Medication and Children

Q:

"What would be a good medication to use in conjunction with Tegretal and Depakote for management of ADHD symptoms?"

Dr. Larry Silver specializes in treating children with attention deficit disorder (ADHD).
A:

Depakote and Tegretal are primarily used to treat bipolar disorder. I suspect this is the reason your child or adolescent is on it. About 50 percent of youth with bipolar also have ADHD. When this is true, the Ritalin/Dexedrine/Adderall group works best. Often it is necessary to treat the bipolar problem first and then the ADHD. If one starts with Ritalin, the bipolar might be exacerbated. This may be why Ritalin caused hyperactivity originally.

Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
 
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