Daytrana help! | ADHD Information

We started dd on daytrana about a month ago and just increasded dose to 15mg from previous 10mg. We did see some similar rebound on occasion but were gonna stick with it for a while. Her teacher noticed some minor return to some old behavior ie. blurting out etc. when we switched meds. The agony we went through each morning on previous med.(metadate cd) trying to get her to take capsule dumped onto yogurt, then applesauce, then pudding, back to yogurt, then refusing to take it at all prompted the change. she doen't do well with pills. The crying, mood swings and other outbreaks are minor compared to pre diagnosis hell with out med. and understanding of nature of her ad/hd. The funny thing is that we saw quick results about 30 minutes after applying the patch. It's just that after 12:30 it was as if he had never taken the med and was acting absolutely crazy. Different than usual ADHD behavior, more like what I have seen described as rebound. But could he possibly have metabolized the 10mg in 5 hours? He is almost 4 and 40 pounds-but we all have very quick metabolisms.

Another thought: the pharmacy did not have the 10mg patches, so they gave us 20's and we cut them in half. Could this make a difference?

YES, cutting them can make a difference, you are not supposed to cut them. I would try again with 10mg patches, make the pharmacy order them and replace them if you can. Any idea what those differences might be? I can't believe the doctor ok'ed that!I was also told it was okay to cut them, contrary to drug company info. It's called "off labeling" I believe. It makes sense to me with patch more so than with capsule full of a million different little balls of meds.I always run these things by a pharmasist in addition to the doctors and get more consistent feed back from a variety of pharmacists. I routinely try to pick there brains on med. issues since they have the greatest exposure to end users and real world experiences. 

We saw even coverage on Daytrana with no rebound. That was one of the positives for us with Daytrana was no rebound. On most long acting meds if you see it wear off too quicly it gets better with an increased dose. You wont know until you get the 10's and use them properly. I would also try to get them to replace them. If they didnt have 10's they can order them.

Our dr said it was a matrix patch, which we understood to mean that the entire patch contained the same aount of med per square inch. So confusing!

 

My son started daytrana 10mg patch this morning. First 5 hours went great at school with increased focus and happy day. AFTER school-terrible! He is angry, crying, irritable and INSANE! Anyone have similar reaction? COuld it be too low a dose? Could it release most medicine early and then taper off with a REALLY bad rebound? Please help!!It sounds like not enough meds, Daytrana has a constant release over 9 hours, but it does take 2 houirs or so in the mornings to work.

My 11y.o. son made the transition from straterra to Daytrana(10mg) patch a few months ago.  Actually we got the starter pack with a week's worth of 10mg patches and then another of 15mg patches.  First week on 10 was horrible-same reactions your child is experiencing.  I wanted to give up it was so bad, but we stuck with it and as soon as I started applying 15mg patches..it was like night and day!  I must really wreak havoc with their system at a too low dose.  It works really well--so far--at 15mg.  All A's and B's on progress report ...something that never happened on Strat.

Not supposed to cut in half. 

The meds are not in the entire patch, so he is probably getting 20mgs, or close to it. I was told by our provider we could cut them as well.   My daughter hated the patch idea, so we only tried it for a few days and then switched back to Concerta.