Yet another med question.

Avatar for keke0116
iVillage Member
Registered: 03-26-2003
Yet another med question.
1
Mon, 06-02-2003 - 9:32pm
DS (11) has ADD (not hyper) and ODD. He's been on a variety of meds. Concerta worked the longest and the best, but lost its effectiveness. Strattera did nothing. Jury is still out on Ritalin LA (which he takes now in the a.m., with a small dose of Focalin in the afternoon.) I'm trying to get through the end of the school year, then make a decision about all of this ... which may include taking him off everything for the summer to see what happens (since right now, the meds just aren't working that well.)

We went to the psychologist last week, which we've not done in ages, and one thing he asked was if we'd gone to a different 'family' of meds. Well, not really ... other than going from a stimulant to a non-stimulant.

Kevin isn't 'hyper' and even before the ADHD diagnosis and meds for that, he really did o.k. in school. I can't even honestly say that he's done better in school being on meds ... although he's done better at home. So, I'm wondering what other 'family of meds' there are that might be effective. His problem is impulsivity more than anything ... that and the oppositional/defiant behaviors of ODD. So, what other meds are there, what are they used for, and what sort of results can I expect? I've heard of Risperal (SP?) which I know is more for mood disorders (which may be effective) ... but what else? We have an appt with the psychiatrist on the 11th, and hope to make some changes at that time.

Any thoughts? Thanks.

Nancy

Nancy 

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Avatar for kathy_in_ga
iVillage Member
Registered: 03-26-2003
Tue, 06-03-2003 - 6:17pm
Risperdal & Seroquel are both anti psychotics, I have heard of them helping some hard to treat ADHD. I have also heard of Welbutrin (an anti depressant) being used for ADHD too. I would think that will the ODD maybe a mood stabilizer may help? Something like Depakote, Trilepal, Neurontin, don't know if he has ever taken any of these before.


I got this from http://www.nimh.nih.gov/publicat/adhd.cfm#adhd10

Other types of medication may be used if stimulants don't work or if the ADHD occurs with another disorder. Antidepressants and other medications may be used to help control accompanying depression or anxiety. In some cases, antihistamines may be tried. Clonidine, a drug normally used to treat hypertension, may be helpful in people with both ADHD and Tourette's syndrome. Although stimulants tend to be more effective, clonidine may be tried when stimulants don't work or can't be used. Clonidine can be administered either by pill or by skin patch and has different side effects than stimulants. The doctor works closely with each patient to find the most appropriate medication.


He may do just fine with out meds during the summer. School may be another issue all together. I know my son can do OK with out any adhd med during the summer, there are no demands, no need for him to sit still, no required attention.