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My 6 year old son
12:04 AM on Jan. 27, 2010

Just recently after it was suggested by teachers that my son could be ADHD, we got him checked out by a neurologist and they concurred.  Foe years his behavior was seen as boredom because he is extremely smart.  He was put on 5mg of Focalin and we dont see the change because he's at school and the meds wear off by the time he gets home.  We are still waiting for our first 3 week update from the school, but he seems to like school more and is talking more about friends and not that they all hate him.

I am all for a drug that makes him stay in his seat and not constantly fall on the floor, but I think we need something that lasts through homework time.  How good could it be for a kid that finally gets the praise he deserves and the friends he deserves at school, but when he gets home the whole world comes crumbling down.  So far, sleep patterns are ok, thank God because we are exhausted by the time he stops asking his millionth question.  And it is not fair to keep yelling at his older sibling to stay away from him so as to not "fire" him up before bed.  Siblings should be able to goof-off at night without a six year old to freak out!

I guess I am asking if there are meds that work 24 hours at a pace to keep focused?  Are there mental exercises I can try or anything, so that the family can see the results of the meds that the school will see?

I am new to meds, under a week, but dealing with the issue for almost 2 years before ADHD was brought up.  This could have destroyed my family life, if it wasn't so strong!

Any help or comments will be greatly appreciated!

-John



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Comments (1)
sneschalmers - 5:37 PM on Feb. 7, 2010  [ message ]
Well there are several things I can suggest. You could try switching to Focalin XR (extended release) or give him one or more additional doses of the regular Focalin after he gets home, on the weekends, and in the evenings. You could try combining Focalin with Strattera since Strattera lasts for 24 hours but is a nonstimulant and is not as effective in general as the stimulants. Another nonstimulant option is a category of medications known as alpha-2 agonists. These are blood pressure medications that are sometimes used for hyperactivity, impulsivity and agression. The main ones are clonidine and tenex, however there is an extended release version of tenex which is exlusively approved for ADHD known as Intuniv. You could also try different doses of the Focalin or try other stimulants such as Adderall/Adderall XR, Ritalin/Ritalin SR/Ritalin LA, Conterta, Daytrana (transdermal patch), Vyvanse, Dexedrine/Dexedrine Spansules. Also there are neuroleptic medications which function as mild tranquilizers. These are generally referred to as antipsychotics, but the newer and better ones are called atypical antipsychotics. Don't worry, they aren't only for psychosis.They are used for agression, irritability, insomnia, anxiety and appetite (which is good if your son's appetite is suppressed from the Focalin) among other things. I have used 4 different ones: Geodon, Risperdal, Abilify and Seroquel/Seroquel XR. I feel that Seroquel XR and Risperdal work the best but I only take Seroquel XR now because I got side effects from the Risperdal. I am also on Tenex but I am going to ask my psychiatrist tomorrow to switch me to Intuniv so I dont have to take Tenex twice a day. I also take Adderall XR in the morning and regular Adderall at 3pm. (I also take lexapro and lithium but those are for depression and bipolar disorder and i take klonopin for anxiety)

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