Hi, and welcome!
the white Concerta is 36 mg, I believe, so 2 would be 72 mgs. Focalin is the same med, without the active Isomers. It is an 8 hour med. Vyvanse is more like adderall, and is a 12 hour med. All kids react differently to each med, so your Sons reaction may be different then another child his age.
A child may HAVE ADHD, but it is not what they ARE. Never tell a child they ARE ADHD.
Without the INACTIVE isomer. It has the active one. Or it wouldn't do anything ;}.
Thanks for the info! I don't know what an Isomer is. And what have you heard about Focalin and Vivanse? I've never heard of anyone on Vivance although they sure have good magazine ads! He did not do well on Adderall, so does that mean he would not do well on Vivanse too?
Isomers (OK, so you probably didn't actually want to know, but you sorta asked): Standard ritalin, concerta, etc. is a mix of 2 chemicals that are identical except for one way a particular atom is attached on. Imagine constructing things from tinker toys--same toys, same shape, except this one place where it points off in a different direction. So, for Focalin, they further purify the medicine, taking out the inactive, does nothing except possibly cause side-effects form. Leaving only the one that actually interacts with the child's brain. Less side effects--well, for us at least, I'll certainly agree with that.
Does that make any sense? I tried to do it without all the Chemistry jargon!
Vyvanse--as I understand it, Vyvanse is adderall with a bit added on...to make it more digestible, I think. Me, I'd've said if he didn't do well on Adderall, he's unlikely to do well on Vyvanse, but, on the other hand, there are TONS of kids who do well on one ritalin & not on another, so you can't do that kind of prediction there. I suppose it comes down to, what kind of "didn't do well"...didn't work or horrific side effects. Though...if one of the ritalins is working, I'd try focalin first.
For my kid, we're so high up on the Focalin dosage that I keep wondering if we should swap & try one of the other meds (Vyvanse being the most likely). It's so tempting to just keep boosting the focalin a bit, though, because it does WORK, he just needs a little more every year.