Reply to ADHD med "trials" with 6 yr old

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[quote=Anonymous]It took us over a year, working with a psychiatrist, to find the right medicine(s) for our DC diagnosed at age 6.

I suspect that for both of these meds he was on way too low of a dose.  I would not at all stop stimulant trials, especially while you have teachers at school who are communicating with you and who know your kid.  Once the school year ends you are going to be without teacher feedback.

For the ritalin you observed no change because 5 mg of what sounds like immediate release ritalin is the lowest dose, I believe.  That is why there was no change in attention.  Immediate release works for four hours which is not enough to last the school day.  Anyway the regression of the behaviors was probably a good enough reason to go off it.

For the Vyvanse 10 mg, also the lowest dose, it is longer acting but the less meds in the system the quicker they wear off.  When on too low of a dose you have the med wear off to suddenly.  When you are on too low of a dose this could have been happening at school rather than later on.  Youd need to ask if the irritability was happening all day every day or what.  I also think you need to be on a new med for a least 2 weeks if there are no extreme side effects to let it settle in.

There are a myriad of other stimulants - including ones in liquid form with precise dosing that can work better for younger kids. i don't get the switch to a nonstimulant so quickly.

Good luck and keep us posted.
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