Early morning extra dose of meds?

iVillage Member
Registered: 11-10-2003
Early morning extra dose of meds?
6
Fri, 01-29-2010 - 9:52am
Does anyone give their child a short acting Ritalin in the early am followed by the long acting before school? I am wondering if it's an option for my DS. He has a terrible time getting ready in the morning despite having 1.5 hours to do it. I don't give him the Focalin XR until just before he leaves for school so there would be about 1.5 hours between giving the short acting and the XR. I am going to talk to the doctor about this but we don't have an appointment for about 6 weeks. I am really sick of the craziness in the mornings. We have started packing his backpack in the evening and using a checklist, but he's not being careful about the checklist and just putting checkmarks. I am at my wits end!
iVillage Member
Registered: 11-10-2003
Tue, 02-02-2010 - 1:31pm

Thanks for the info about the release of the medication. I'll talk with the doc about it.

I wish that I could use TV as an incentive but the psychiatrist advised me not to allow TV or video games before school because it can affect attention throughout the day. Checklists haven't worked because he doesn't pay attention to them.

iVillage Member
Registered: 03-25-2003
Mon, 02-01-2010 - 1:01pm

Might be better to go up a level of meds & give it a bit earlier? If you look at the pharmokinetics (OK, yeah, I can't spell the word--the way the medicine gets taken into the body), Focalin XR (all of them!) is a huge dose up front, tailing off until the 2nd one hits (2-hump camel). If you give the morning dose, I'd think you'd want to be 3-4 hrs before the main Focalin XR, or what you'll be doing is having him have a HUGE amount of Focalin in his system just as you send him to school (morning boost + 1st dose of Focalin) & you'll have the potential "too much" issues.

Checklist & evenings: Is he on meds THEN?

Betting you've tried a chart for the morning where he has to check off everything he has to do?

Our most recent morning tweak is to tell the kids they can't watch TV during breakfast unless they are dressed & knapsack packed first. It is stunning how much faster they get dressed & pack their knapsacks now...5 min instead of 20. And it wiped out the getting-in-each-others-faces bit that always seemed to happen around getting dressed too.

Megan
Megan
Avatar for kathyjoenathan
iVillage Member
Registered: 06-04-2003
Sat, 01-30-2010 - 1:01pm

We have found that if the Focalin XR is only lasting 6 hours instead of the 8 to 9 (closer to 8.5 for us) the dosage is too small.

Kathy

iVillage Member
Registered: 03-27-2003
Fri, 01-29-2010 - 3:30pm
Hi, I give my DS Matthew, 10, 5 mg short acting Focalin at 6 am (I wake him up and he goes back to sleep) and then he gets up at 7:15 and takes 20 mg Vyvanse at 7:30.
iVillage Member
Registered: 11-10-2003
Fri, 01-29-2010 - 10:10am
The Focalin XR only lasts the school day so I can't give it any earlier.
iVillage Member
Registered: 06-10-2007
Fri, 01-29-2010 - 10:07am
We did , in the beginning. We gave 2.5 mgs, and then later DD got

A child may HAVE ADHD, but it is not what they ARE. Never tell a child they ARE ADHD.