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About Joe Haynes, R.Ph., MBA
Expertise
I can answer pharmacy/pharmacology questions as they relate to both pediatric and adult therapies. Please note that since I practice in Florida that I may not be able to answer specific questions regarding pharmacy practice in your state. As a disclaimer, I have no financial interest in recommending or failing to recommend any drug product. My goal is to give you the best answer to your questions regardless of product.

Experience
I have 24 years experience in pharmacy practice including pediatric and adult hospital, home-infusion, and long-term care (nursing home/ALF). I enjoy assisting with pediatric dosing and medication questions since children respond differently and are dosed differently than adults. I can help you determine if the dose you want to administer to your child is appropriate. I am currently director of pharmacy for a small community hospital in St. Petersburg, FL.

Organizations
Florida Society of Health-Systems Pharmacists American Society of Health-Systems Pharmacists Florida Pharmacy Association

Education/Credentials
BS in Microbiology from Auburn University (1989) BS in Pharmacy from Northeastern University (1994) MBA (generalist) from St. Leo University (2005)

 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacology > Tourette's

Topic: Pharmacology



Expert: Joe Haynes, R.Ph., MBA
Date: 5/23/2008
Subject: Tourette's

Question
My nine yr old son has Tourette's Syndrome. He is on Prozac, Clonidine and
Tenax. Last week he had his tonsils out and was given morphine and later codeine. I noticed a marked tic decrease  during narcotic use. I can't find any
discussion of this on line. Any ideas? Is this typical?

Answer
My only guess would be since opiates are central nervous system depressants (sleep,somnolence, increased tolerance to pain) that played a part in the decrease in the tics. It is possible that once he is off the pain meds that the tics will come back.

I do not recommend using opiates for this purpose partly due to the addiction and tolerance aspects but also opiates can cause severe constipation as a side effect.

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