
Clonidine for pediatric neurology?
History;
I have a 4 yr. 4 mo. old sone who came down with an apparent viral
menigo-encephalitis at 4 months of age. This left him with moderate
quadraplegic spastic cerebral palsy (much worse on the right side),
a mild seizure disorder, and general significant developmental delays
in all areas. He currently functions at approximately a 1 year level.
He was on phenobarbitol the first 15 months after the illness. The only
observed clinical seizures were within 2 weeks of the illness. EEG's
at 6 and 21 months showed some sub-clinical seizure activity, with similar
results for 6 mo. when on phenobarbitol and 21 mo. when off phenobarbitol.
We took him off phenobarbitol against the recommendation of our neurologist
but under his supervision. He was noticeably more alert and less drowsy
after taking him off. There was a noticeable developmental spurt in the
6 months following cessation of medication. Given that there were no
clinical seizures the neurologist said we were lucky nad that as long as
no new seizures or other new neurological problems developed there wasn't
much a neurologist could do for us. We last saw him at 31 months.
Current;
Recently our family doctor strongly recommended we see another neurologist
specializing in pediatric neuro-chemistry. We went to see him last week.
He is tentatively recommending we try CLONIDINE (brand name CATAPRES).
He has also ordered an MRI and new EEG, which may possibly alter this
recommendation. He definitly indicated that this use of the drug was
experimental, but a relatively safe experiment. The literature he gave
me indicated it is frequently helpful in treating Tourette's Syndrome,
attention deficit hyperactive disorder, and obsessive/compulsive disorders.
None of these diagnoses really apply but some symptoms are in common;
he bites himself, is irritable, has poor sleep pattersn, attention span
in highly variable and task dependent, and much of his play is highly
repetitive.
I guess I am asking the net experts if they have any informed opeinions on
this experiment. On one hand I recognize that I am a somewhat desparate
parent anxious to try anything that might help. However given my son's
extremely poor communication skills I am not sure I would recognize many of
the side effects. I already have major difficulties determining if he is
crying because something hurts or if he's just irritable. Similarly
I'm not sure how easy it would be to recognize and improvement. I note
my laymen's type guide to prescription {*filter*} lists clonidine only as a drug
for high {*filter*} pressure (definitly not the problem here) and says the
drug has not been approved for use for children under 12. This experiment
also promises to be costly in terms of both time and money. This doctor
is expensive and a 3 hour drive from home. Thanks in advance for any
information you can give me.
--
Trindel Maine