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.