HI, my son was on concerta and the rebound (in the a.m. believe it) was just awful. We recently started him focalin XR 10 in the a.m. and 10 in the evening. WE also give him 2 mg of tenax, 1 mg in the am. and 1 mg in the evening. Now, I do not see any evening rebound and just a little a.m. rebound. We used the tenax with the concerta also and it eliminated any p.m. rebound, but didn't help with his mornings. You might not be able to do both doses though because my son metabilizes meds very quickly so the xr is only lasting 4-5 hours for him. However, we are looking to switch to something else because of his tics. Thought they would get better on focalin, but they haven't. Hope this helps.
mars
mars, tics are what usually make us change meds. Strattera helped with this a lot. We're now using Strattera once a day in the a.m. and Methylin ER twice a day (supposed to be an 8 hour, but......hmmm.....not quite, so we do 5:30-6:00 and then 12:00-1:00. Works great and no tics................We are running out of things to try :( We have done Metadate, Ritalin, Focalin, Daytrana and Adderall. We've done the SR and LA. The reason we keep trying different things, is that we are hoping to lesson the rebound. They all seem to work about the same. We haven't tried Straterra or Concerta yet because DS can't swallow a pill. We may begin working on that soon, but I feel like a daily pill will be just another battle I'm really not willing to fight right now
I'm pretty sure we will stay on the 15 mg. for now. We see the psych on Monday.
vyvanse you an mix in liquid if you run out of options. WE are doing Metadate ER not CD. Actually it's the generic Methylin ER and we are seeing SOME rebound, but not too awful. Have you tried a short acting to mid afternoon to help with rebound? It really does help. I know taking 2 things stinks......but rebound, well, SU__ __S.
We like the Strattera methylin combo (need to swallow pills) and we are in a HUGE anxiety causing transition right now, and things are still manageable, up and down, but really not awful.
Diane V39637.7134259259I have done a booster dose a few times of a Methylin in the evenings, as the Daytrana wears off. I haven't done it enough times yet to see if I believe it lessons the rebound.
I have seem several online sources that say timing the booster dose just right can help lesson the rebound. When I asked our former psych, he said "Well, they still have to come down, withdrawl from the first one." So, that made me think he didn't agree. However, we go to a teaching hospital, and will be seeing a new psych resident on Monday, so I'm going to ask for her input.
good luck, keep me posted. Our doc firmly believes in the booster. The point (I think) is you dont "come down" as hard and it's bedtime when you do, so you're going to sleep.........................my only thought is that we just saw the doc a month ago and he said the higher the dose the worse the rebound, so you're right on that one. Is it worth trying something different before school starts? Also the higher the dose the increase in side effects, usually. My daughter had zero appetite on Daytrana too. It works great, but was one of the worst for appetite, for her, and she only used the 10.My 6 year old is currently on Daytrana, 15 mg. He started meds in September. We started off with 2.5 of Ritalin, then 5. We did 10 mg. of Daytrana, and we have been on 15 mg. for about 2 months.
I'm not sure if it's the lack of structure in the summer, but it just seems the meds aren't as effective as I know they can be. We see the psych next Monday, the 14th. I have considered asking for a few doses of 20 mg, to see if he does better.
I do have a couple concerns first. My first is that he has horrible rebound in the evenings. I'm afraid that with an increased dose, the rebound intensity may increase as well. He also eats very little as of now. He is about 75th percentile on height, 50th on weight. My other concern is that 20 is high for a 6 year old. It goes 10, 15, 20, then 30. I'm afraid if we keep going up at this rate, we will eventually hit a plateau.
I'm afraid that when 1st grade starts up next month, there is no way he will even sit still for longer than 10 minutes. And, his impulsivity will be off the wall.
Any thoughts?