ADD & ODD, What med combinations? | ADHD Information

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I am looking for positive results of anyone taking an additional med such as Risperadal, Tenex, or Clonodine (or something else) for ODD on top of either stimulents (Adderall, Ritalin, Concerta) or Strattera.

My son is 9 and has been on stimulents for 2.5 years, but clearly all the stimulents (and now Strattera) have not helped the ODD at all.

My 5 year old was just diagn. a month ago with ADHD and ODD, the PED told me that when the ADHD was treated his ODD would be controlled he is on Ritilin (when i convince him to take it). I was told that ODD didnt have any treatment, is that incorrect??

MOMSUE,

My son is currently on Strattera and Risperdal.  A message I posted on another question hopefully relates to your concern, please read........

I swear you are also describing my son at that age.  He even had the same exact incident with hitting the 3 year old kid on the next street.  What we ended up doing was transitioning from a Pediatrician to a Psychologist to help treat our son.   Pediatricians are knowledgeable regarding ADHD but are not experts.  They are also limited on what meds they will prescribed since there are off label ones (Risperdal) that only a trained Psch would prescribe.  

If your son has the same challenge as mine then you are faced with the same dilemma.  He is the type of ADHD where he is hyperactive and has minimal impulse control.  The hyperactivity drives folks around him nuts but is bareable.  Unfortunately, the low impulse control is the aspect that drives friends away, irrates and makes us nuts.  That's the aspect where his mouth says things before his brain, his actions go forth before he thinks them through and he lives only in the moment not thinking about past experiences and future consequences.  Realize that at this time he has minimum ability to control himself. 

As a result,  the doctor has prescribed something for the ADHD.  Concerta or Ritalin slowed him down reducing the hyper activity and improving impulse control, but would not let him eat or sleep.  He's now on strattera  which does the same but does let him eat and sleep.   Unfortunately on either Strattera or Concerta we still have to deal with the afternoon rages and anxiety so after consulting with a psychologist we added Risperdal.  The combination in very low doses works with no side effects.

He's not a zombie, still has a temper and occasionally rages, but now he's at a point that he can be reasoned with and is developing the skills to let go of confrontations.   Another poster made a good argument to have your child reevaluated to ensure that ADHD is really the issue.  Therefore, by checking in with a psychologist, you can be sure that whatever path you choose to follow will be one chosen with more confidence.  Please remember, if you have to resort to meds, then start with the absolute minimum and observe for a week or two before you decrease or increase. 

Paul