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opposite reaction to sedatives in adhd kid?

Submitted by an LD OnLine user on

Last year my 8 y.o. had an MRI with sedation, except the sedation had no effect on him.

Now he is going to the dentist, and I know he has a cavity (his first). He is terrified of needles and I found a dentist who specializes in special needs kids (he has sensory issues as well).

But I am wondering if the fact that sedation had no effect on him might mean that the novacaine or the gas they use at the dentist might also be ineffective.

Anyone with experience or knowledge in this area?

Thanks

Molly

Submitted by Anonymous on Thu, 02/26/2004 - 5:47 AM

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Medications have paradoxical effects on children. Stimulants slow kids down and sedatives speed them up.

ADHD has nothing to do with it.

Tell junior to screw up his courage and don’t wimp out at the dentist.

Submitted by Roxie on Thu, 02/26/2004 - 12:34 PM

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[quote=”Anonymous”]Medications have paradoxical effects on children. Stimulants slow kids down and sedatives speed them up.

ADHD has nothing to do with it.

Tell junior to screw up his courage and don’t wimp out at the dentist.[/quote]

This is totally inaccurate information. We know full well that stims don’t work b/c of a paradoxical effect. Sedative do not speed up a child. After 16 years of working with children in pediatrics, Newborn ICU, and Peds ICU, you can count on me for accurate information there. What a joke. When it comes to sedation, people respond differently, yet it is dosed by weight. For an MRI, they give just enough to try to sedate, if too much is given, the child is not in clear view and can have a respiratory arrest, very real cause for concern. So it is possible that in their diligence to keep his sedation as light as possible, it wasn’t enough. Also, sedation doesn’t decrease anxiety. If he was afraid of the MRI, the sedation will have less of an effect. And as I said, we respond differently to narcotics. Personally, I can take 2 Vicodin for my headaches and simply just function afterward had I taken nothing, and had no headache of course. My sister takes 1 Viocodin and she has to sit on the couch for a while, they make her very dizzy an lightheaded. But we could say opposite things about other meds we have taken for our headaches. Talk to the Dr. first, make him aware of your son’s history.

Submitted by Anonymous on Thu, 02/26/2004 - 1:11 PM

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quote: Tell junior to screw up his courage and don’t wimp out at the dentist

Oh, ok, thanks, I’m sure that saying that to him will be very effective. Thanks for your support and help. :x

Molly

Submitted by JenM on Thu, 02/26/2004 - 2:22 PM

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Roxie, your post makes a lot of sense. I wonder now that you said it if anxiety was part of what made it so difficult when my daughter had to be sedated. Probably just that feeling of losing control is enough to cause anxiety.

Molly, how was the sedation given? My daughter had to have a head CAT scan very young. The sedation didn’t work the first time because she kept spitting it out. The nurses couldn’t give her anymore because they didn’t know how much was in her system. We had to reschedule and this time they gave it to her in a suppository. It barely worked long enough to get the CAT scan done. She really fought it and that was tough because she didn’t want to be held and she wasn’t physically able to control her actions. It was like trying to control a drunk grumpy toddler.

I would talk to the dentist about it. How was the dentist going to sedate him? Maybe he can try a different medication? Based on Roxie’s point I would also explain as much as possible how the sedation will make him feel so he doesn’t panic when he feels different than he’s used to.

Submitted by marycas on Thu, 02/26/2004 - 9:26 PM

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I dont have medical training but I will share some experiences

My mother had dementia/alzheimers. They had a horrible time using anesthesia at the office where her first cataract was removed. They said we would have to hospitalize her and puther completely under for the 2nd.

My dear ole mother was apparently removing her clothing and attempting to seduce the doctor !!!!!

They told me that anesthesia can effect those with differences in their brain chemistry in unpredicatable ways

I know of kids with autism who did not react as expected as well

So, yes I think it would be possible there could be a problem. I would be sure your dentist knows of the past experience in terms of the MRI

Submitted by Anonymous on Fri, 02/27/2004 - 4:33 AM

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I talked with the dentist today. I feel much better. He does need an extraction. They are going to use sedation. I need to check with the MRI facility to see if it is the same med. that he got before. She will also be using gas. She said that with his med history and his father’s, who also metabolizes meds really fast, she up the dosage of the sedation a little, and will monitor him carefully for signs of alertness and give more gas as needed. He had a cleaning today and was actually laughing and telling jokes while he was in the chair. Unbelievable for this child. The previous dentist had asked us to not come back because of him and his behavior/fears during a cleaning. I think everything is going to be just fine. Thanks to everyone who answered me.

Molly

Submitted by Roxie on Fri, 02/27/2004 - 1:27 PM

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[quote=”Anonymous”]
My brother is a PA and I can tell you that speed has the opposite effect on kids. This has been known since the 1930s [/quote]

Your PA brother is wrong, you don’t even know that speed isn’t given to kids with ADHD. sheeze!! As for the rest of your post, it doesn’t even deserve a response. I’ll just say that at least I married a man. He doesn’t have to put on bravado to show he’s a man. It must be rough being so insecure that you need to pick on little children.

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