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Dr. wants to go back on Ritalin

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Spoke to my son's doctor yesterday on the phone.  He's still at a bit of a loss on how to help us.

Right now, he's on 1mg of Tenex (1/2 pill, x2/day) and 10mg of Adderall (x1/day).  It's almost like it doesn't even affect him at all.  His body seems to acclimate to the new meds after a week or two.

We had some initial success with Ritalin, but it was short-lived.  The first couple of weeks, it was so peaceful.  He would sit quietly and watch TV, or play with his toys, or look at a book.  He would snuggle more often (he was still a 5-year-old boy after all, lol). 

After that, though, he started becoming really emotional - crying at the drop of a hat kind of stuff.  Then, at the end of the day, when the med would wear off, he would go off.  He was upset and cranky, like he was having a big crash.  The inital quiet periods were gone -- he was go-go-go all day long again.

I had some leftover Ritalin from when we switched meds (5 mg tabs, 1.5 in AM, 1 at lunch, 0.5 after school).  He wants me to try what I have left along with keeping the Tenex (we didn't try the Tenex until after we went to Adderall).

The Adderall isn't working, and he's hesitant to increase the dose.  He's not in favor of other meds at this point (like depression or behavorial meds).  Obviously, whatever we do, won't address the Autism.  He thinks that he's a hard case and requires so much attention at this point.  He'd rather him get ABA, but that's not going to happen right now (insurance issues).

I have a real bad feeling about going back to the Ritalin, however.  I'm so torn.  I want to help him, I just don't know how.

Any thoughts?

by on Mar. 13, 2013 at 12:44 PM
Replies (11-12):
by on Mar. 17, 2013 at 10:39 PM

Quoting PinkButterfly66:

Yes, I would get him tested for pyroluria

I've never heard of that before.  Thanks.

by on Mar. 18, 2013 at 10:03 AM


Quoting AMom29:

Quoting MomOfOneCoolKid:

how's it going?

OK.  It takes a couple of hours to kick in, but he seems happier, at least until it's time for the next dose.  Then he gets cranky and whiny.  Not as much destructive stuff, but I'm leery of how long this will last.

Thanks for asking.  :)

A couple of hours?? Ritalin should take a couple of minutes for IR (immediate release) and 1/2 hr at most for XR (extended release) Are we talking about ritalin?


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