We’ve had some really calm evenings around here since we started a new medication. I waited almost a week before even blogging about it because one good night feels like a fluke and two good nights? Well, you never know. Even after a week, I wanted to hang on to the dream of our perfect life, but part of me wondered how long it would last before he metabolized this medication. Even so, I try to remain a little optimistic as we go through all this change and the stabilization process.
We did figure out the perfect window to give him the medication in. Between 5:30 and 6:00 p.m., if he doesn’t receive the medication, our night kind of goes to hell. Even so, some of the aggressive behavior has returned. I knew eventually we’d get to this point, but I had hopes that the reprieve would last longer. This morning, it took me half an hour to calm him down after he had gotten poop all over his room. The poop incident was an accident this time. He had removed his pull-up and accidentally stepped in it, trailing it everywhere. But, he became aggressive and began hitting because I asked him to clean up the clothes he had strewn everywhere. At one point he had locked me in a room so he could assault his brother. I felt so helpless. When he let me out, he screamed and cried because he had hurt his brother, so I know that he was battling with himself. It’s like he can’t figure out what to do or how to control these urges. He gets so angry about things that he just acts out and then he regrets what he does. He hurt me, his brother, and himself this morning, and every time, he would scream and cry in horror like some puppet master controlled his actions and he just watched it all unfold.
Once I got his morning medication in him, everything settled down again, but I know we’ll have another spike in aggression at about 4:00 p.m. and I can’t really medicate him again. We try all sorts of tactics to calm him and distract him, but sometimes he spins out of control so quickly. I’m feeling as if taking this Daytrana patch away will be part of the solution because if the dopamine in his brain causes this aggression and the Daytrana dose is too high, I want to get him on a medication that has more variance in levels. Plus, he hates the patch. I also got him to successfully swallow a pill today (win!), so we will have more options now. Maybe we can actually get him on a lower dose of something that’s long-acting.
I feel like we’re deep in the weeds with all this medication. Eventually, I hope to remove a medication, but if he didn’t metabolize medications so quickly, I often wonder how much easier we’d have it. I mean, how does a medication begin to stop working after a week?
Anyway, at least he’s still going to sleep easily at night. We’ve solved that issue. I’m thankful for that. One problem down, one to go. This leaves me feeling, I guess, slightly optimistic.