New here, need input on meds...(M)
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|Mon, 08-18-2003 - 12:48pm|
He is still difficult at night and in the evening. He was pretty ok for a long time and his meds seemed to last him a lot longer than they said they should. More like at least 10 hours instead of 8. But I think that is changing. It is hard to take him and do things at night because the impulse is gone and he is very hard to handle. So we asked the dr if there was anything we could do when we wanted to do something at night. He suggested we give him another metadate at 12 so it would last him longer. We tried this one day. He also takes clonodine at night to help with bedtime, which I must say was a lifesaver and when we finally broke down and tried it I wished I would have tried it a lot sooner. Anyway, that night I saw a kid I had never seen before. He was mean and unreasonable and just completely freaking out because I would not make him a corn dog at 10:30. I offered him 3 other things that did not need to be cooked and he just freaked out beyond anything I had ever seen him do and saying things I have never heard him say. He was completely not himself. He even came to me first thing the next morning and said how sorry he was and he didn't know why he was like that and he was so sorry. I couldn't even talk to him much of the day because of the awful things he said. So we thought maybe that the combo of the increased meds and then the clonodine with it made a bad reaction in him and we never tried it again.
He has been increasingly harder to deal with during the day now. He is not hyper and he has impulse control, but he isn't very nice and is pretty defiant most of the time. He has his times when he is ok, but a lot of the time we are struggling unless we are doing exactly what he wants to do. So I am thinking it is time for a change maybe in meds. Plus I would like something for the evening when we need it. Though not that summer is over, that is not so much a problem. I can see us having trouble with homework though because that is about the time his meds seem to not be working so well now. If he hears no, he has a big problem now but when the meds were working well, he was very compliant and easy to deal with.
When we talked to the dr. about something for night, he said if the added metadate at 12 didn't work, we might try switching him to adderall. I am nervous about that because I have heard so many stories about mood swings and wierd behavior on that. I have also thought about straterra and whether we should give that a try. I want to do something before school starts in 2 weeks, or less than that really, so I can see how he is on it. So I guess I am coming here to ask if anyone has any imput for me on these issues, or these meds, or has any suggestions for me. I do not want to do an afternoon dose of ritalin because we, first of all, tried ritalin by itself and he was very moody and depressed it seemed. Then we went to the metadate, just 20 mg and it was good for 3 months. When it started not working so well we tried an afternoon dose of ritalin and it did nothing. That's when we switched to the 40 mg. of metadate. We tried clonodine 18 mg for the very first thing ever tried, and it did nothing and messed with his sleeping at night. I remember about a year ago or more there was supposed to be a 10 mg metadate coming out. Has anyone heard of that yet?
TIA for any feedback I can get. I tried over at parentsplace and I only got 1 response. I used to go there before the switch over but not since. I came here and it seems there is a lot more discussion going on and more feedback for everyone. I would love to join this group more often.