My 8.5 year old dd has a ADHD diagnosis.
The problem is that every kid is different - my ds was on all the meds you talked about.
HI, and welcome!
Each kid is different, and meds do cause sleep problems in some kids. We use Melatonin to help DD sleep when she is unable( usually when the meds have worn off, she sleeps better on meds).
We use .33 mgs and it works within 30-45 minutes.
A child may HAVE ADHD, but it is not what they ARE. Never tell a child they ARE ADHD.
Adderall XR has problems. It has been taken off the market in Canada, because it can cause suicidal ideation, and it can cause heart attacks--SO MANY THINGS interact with it, including OTC allergy meds and ANYTHING containing Vitamin C.Adderall XR can last up to SIXTEEN hours, which makes it VERY hard to start it early enough. These are all the reasons our Pdoc would NOT prescribe it. You might try Concerta again. We found that if the kids took it a 6am, they were DONE by 6pm. In HS, if they had homework, or work-work, they took a Ritalin 4hour booster st 6pm, & got to sleep by midnight.
http://www.johnswank.com/stimulant_medications_for_adhd.htmAdderall: The original formula of a special version of dextroamphetamine compounds, and lasts from 4 to 8 hours, depending on the strength of the dosage. The higher the dosage, the longer it lasts. The advantage of Adderall is that it comes in many size pills and each can be divided in quarters, making the medication very easy to fine tune. Adderall sometimes increases tearfulness and moodiness.Adderall was originally marketed as a diet pill under a different name. Thus it suppresses appetite considerably. The appetite suppression is often quite severe at first, and often stabilizes after a week or two. Adderall should not be chewed or made into a powder and sprinkled in applesauce or pudding.
Adderall XR: It is the same as taking two doses of Adderall, 4 hours apart. Thus 10 mg of Adderall XR is the same as taking 2 doses of 5 mg. Adderall 4 hours apart. Adderall XR comes in 5, 10, 15, 20, 25 and 30 mg dosages. Adderall XR cannot be divided. Adderall appears to have some delayed absorption if taken with food high in fat.Adderall interfers with, or is affected by, a boatload of prescription AND over the counter things, not the LEAST of which are:OTC AntihistaminesAntidepressants (MAO inhibitors AND Tricyclics)Drugs that make the urine more acidGlutamic acid (a FOOD ADDITIVE related to MSG)Any narcotic pain killerStrattera Vitamin C (ANYTHING containing Vit C, like fruit juices)
So far I agree with what everyone has said so far. I/we personally do not have experience with Adderall. My DS had trouble sleeping before we even started meds. Like you I would be ready for bed and he would still be in his room wide awake...looking at a book or something. All through the years we have had pretty much the same bedtime routine which includes quiet music of his choice (usually classical or some type of relaxation stuff).
Anyway, when DS started losing weight while on Concerta (AND having mood swings), our doc put him on Zyprexa for bedtime... on hour before bed. It stimulated his appetite (like you wouldn't believe!) and helped him fall asleep. BUt it seemed after a while the Zyprexa stopped working... in the sleep aspect.... he was still hungry all the time... He is now on Focalin XR (with great success) and Risperdal in place of the Zyprexa. His appetite is healthy but not voracious and he is sleeping.
I have always given his medicine within a half hour of waking up and with breakfast. On school days it's between 7 & 7:30 since his tardy bell rings at 8:20... I want to make sure the medicine has started working when he gets to school.
I personally have never tried melatonin with him b/c of MY personal experience with it... (it makes me VERY groggy/foggy in the morning... as does Benadryl). He seems ok on Benadryl, but it doesn't really make him drowsy. Many meds can have the opposite effect on people. I take Valerian Root to help me sleep.... it smells TERRIBLE, but works well.
Thanks for all of the replies.
Oh - I am so glad you posted this.
This is not a judgement call - and I have been away from meds for awhile - but why all the different meds in addition to the stimulant - and to show you how "far" away I have been - I don't even know what add'l meds you are talking about.
We did clonidine for about 6 months and then I stopped it
HI, I am curious also, if she only has an ADHD dx, with no comorbids, why she is taking an Antidepressant for sleep?
The Periactin I understand, some kids do need it for appetite, but mirtazapine is a serious anti depressant. IS she seeing a Psychiatrist? Or a pediatrician?