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Hi, my 16 yr. old son has pans symptoms of verbal and motor tics, OCD, and some regression. We recently tried high dose abx for 1 month and low dose Naltrexone but saw no improvement. Now trying a steroid burst of prednisone 40 mg.tapering down for a month. He has been taking it for a week with no visible improvement, in fact motor tics have escalated tho this may be due to weaning from risperidone a few weeks ago. I feel we should be seeing some effect from the steroid by now if it's going to work. This also worries me as Dr. says response will indicate efficacy of ivig for him in the future. If there is no improvement with steroids does that rule out ivig? Then what is left treatment wise? I'm getting scared that we're at the end of helpful treatments and going to be forced back to psych meds to control tics, etc. Help Help! Worried mom!