Hi mamaceleste
My daughter also takes methylin ER. 10mg early am and 10mg early afternoon. We saw some increase in symptoms recently also, so we just saw the doc and he raised her early am dose to 20mg and stayed with the 10mg at noon. Worked like a charm. She's been better and still no side effects from the methylin. She takes her stim conjunction with strattera though and we also tweaked that, actually dropped the dose and split it so she'd be more evenly covered over as much time as possible. I think upping the stim made the most difference though.