Med help please
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|Mon, 04-13-2009 - 7:56pm|
I need your advice please.
My 7yoDS was dx with combined type ADHD in October of last year.
We tried ritalin LA and it just completely deflated him and just completely zoned him out (he was on the smallest dose)
We then moved to Vyvanse 20mg and it seemed to be doing ok for him until he started rebounding...soooo we gave him 2.5mg of Adderall after school to help with rebounding (it worked wonders and got us through the transition home and a bit of homework!)
It seemed like he was developing a tic, so we were trying to move him to Strattera and I don't believe his Dr stepped him up properly in the dosage (too much too soon) and he had horrific side effects so we completely stopped this at her direction.
So, we re-started Vyvanse 20mg 3rd week of January and had remarkable results again...it seemed to not give us the results we were looking for after a few weeks so we stepped him up to 30mg...which seemed to help, but now he's just not reacting as well.
We switched schools for him 5 weeks ago in an effort to get him more help (he was at a private school, and we moved to public school...should have done it MUCH earlier...the resources we now have are AMAZING. I realize not everyone has this type of help and support, but for now, we're thrilled with what we're getting), so I didn't want to change his meds RIGHT away, I wanted to give him a chance to transition and also for his new teacher to "get" him for a while.
She now states that he's sluggish at about 1:00 and is "gone" the rest of the day. He's not a lunch eater...he might have a small mid-morning snack, but these meds just take his appetite away until after school.
Do you have any suggestions? We have an appointment with our Dr in another 2 weeks. She's willing to try anything. Do you think that maybe he might benefit from different meds (vyvanse wears off for him at about 8.5 hours), maybe something that has more controlled dosage (I'm assuming vyvanse is "front loaded", and maybe he's coming down off that and might need a boost at lunch?)
Any help you can offer would be greatly appreciated!
Julie & Ethan (Pierre Robin Sequence, repaired cleft palate, 4th set of PE tubes, SID, ADHD combined type & Executive function)