Stimulants & Facial Ticks | ADHD Information

My 10 yr old son has Aspergers,ADD/ADHD. We've tried Ritalin, Focalin, Concerta, Biofeedback, Stratera and now back to Concerta. After a drug free summer just two dosages and his facial ticks are back in full force. (He blinks really hard and raises his left cheek and mouth when he does it...very ugly) They got so bad last school year I actually thought he may have tourettes to add to the mix. His DR now wants us to put him on dexidrine.
Would like some feed back on this medication. It's probably like all the others. We only medicate on school days and even that is painful. Don't you just hate drugging your kid?
It's starting to feel hopeless. We have not so far at all given anything put vitamins. He brought a paper home today. Score is 100. This is in a SE class though.

Here is a package insert for dexidrine (which includes posible exacerbation of tics):

http://us.gsk.com/products/assets/us_dexedrine.pdf#search='d exedrine%20prescribing%20information'

A bunch of information for tics:

http://tourettenowwhat.tripod.com/tics_and_stimulants.htm

Sometimes clonidine or guanfacine are given  with methylphenidate to reduce tics,  and since they also help with some ADHD symptoms, they may allow your doctor to lower the stimulant dose...Worth discussing with your doctor.

http://www.indegene.com/Psy/Home/indPsy_Ind_News_09-08-2001_ 1.asp

http://www.cincinnatichildrens.org/health/info/neurology/dia gnose/tics-tourette.htm

It can be difficult to go through finding the most effective treatment to help your child, especially when there are side effects complecating the treatment optimization.

Good luck with this journey.

My son's facial tics worsened on several stimulants, including Concerta, Adderall and Focalin.  We used Clonidine to calm his tics (he is now off all stimulants so we have no need for Clonidine at this point).