My stepson is 14years old and has been diagnosed with bipolar and ADHD, obstinant defient since he was 5. I have only been a part of his life for 2 years but in that 2 years time he has been fairly stable on his medication, at our house. His mother on the other hand has delt with multiple outburst, destructive behavior, running away from her and so on, where her only recourse is to hold him until he calms down. There have been some occasions wih us that he has began to act out but for the most part, his father is abe to control him by talking to him and I have been able to do the same. For the 2 years, he has been on the same meds, concerta 54mg bid, welbutrin SR 150 bid, depakote 500mg in am and 1000mg in pm and zyprexa zyda 10mg, within the last 3 months methylphenidate 10mg was added to his regimen for problems his mother feels like he is having at home. At some point this summer his pcc added foradil cap aerolize and asmanez 60 aer 220mcg because he evidently has asthma problems at home although I have never observed any resp distress, wheezing, sob or anything at our house while playing and he has never used a rescue inhaler at our house. Sometime within the last 3 weeks his psych od took him off of the methylphenidate because he began staying up all hours of the night and pacing, last week he changed the times on other meds and had him taking both zyprexa at 6pm and kept the other meds the same, then just the other day, he went back to taking the zyprexa bid. He now takes concerta, welbutrin and zyprexa at 7am, welbutrin again at 4pm, 1500mg of depakote at 6pm and concerta and zyprexa at 8pm. The last two weekends in rw at our house there has not been any problems, no problems sleeping and no sudden mood swings. Yesterday we were at an amusement park and our 4yr old was eating a vanilla icecream cone and my stepson thought there was blood on it, when I questioned what h was seeing, he said there was orange dots kind of blended in on the icecream that he was seeing. When we were driving hin home last night afte the massive amount of depakote he was asleep within 30 minutes, vey difficult to arrouse, when I was trying to stimulate him he would stare at me as if hedidn't know where he was and then his eyes became crossed until they finally rolled up in the back of his head and finally his eye lids shut, he did this everytime he was arroused. I can't find if the crossed eyes are a side effect of his meds or not. I am an RN in a public hospital and he acts like alot of the ODs we get in when they are arroused. I am really concerned about all of his medications, he is 5'2" and weighs 110lbs. I feel like he needs to hospitalized and have medications withdrawn and doses readjusted but, I really don't know anything because his mother has been dealing with it all of these years. Can you tell me if the doses of these meds are too much or if any of them cause crossed eyes or seeing dots, thank you.