DS, age 6, taking Tenex and did have the manic response on about the second day. He was absolutely running around the house the whole day. Dr told us to hang in there and it resolved itself after a day or so.
DS's experience with Tenex has been somewhat of a mixed bag. He was placed on it because of bad reactions to stimulants. But, after about 6 weeks he became very aggitated and had a couple of rage episodes (not common for him). He came off the Tenex, we tried stimulants again. He had some success on the stimulants, but developed tics. While waiting for the Ped Neurologist consult, he went back on Tenex. This time we kept to the most minimum of doses. It does have some calming effect, but doesn't have any impact on impulsive or focus behaviors. Starting today DS in going back on the stimulants and staying with the Tenex. Minimum dosage of each.
My son too has a very high "fight or flight" response. We homeschool and he is in a very protected environment most of the time, but oh boy he takes off running at the slightest provocation.
Hope everyone gets some answers..or at least survives the day.
Sandy
My son also has a high "fight or flight" response and the stimulants aggravate it. The problem is that stims are the ONLY thing that really helps his impulsivness/hyperactivity. Soooooo....after lots of experimenting he's on Tenex which allows him to take the Ritalin that he so desperately needs! and he's also on Strattera, which doesn't work by itself, but works just enough so we don't need as much Ritalin. Bottom line is that it seems very complicated but it's working very well! Logan'sMom - I was wondering when u first put him on it - was he all over the place at first? Like full blown ADHD? My son was on it for 2 days and he was a mess so we took him off of it and 2 days later he was ok again. Wondering if he is the only one...

Thank you all so much for your responses!!! We have now been on the Tenex for a couple of weeks. There is something different about him but I can not really identify it, if that makes any sense. He has started to get very upset since on the Tenex but he has then reckognized it and was able to stop. So that is good, however it has not been any help with the AD/HD focus issues. We go back to the Dr. on March 18th, and I can only assume that we will have to add some kind of stimulant to the mix. But I am really hoping we can find a "mix" that works for him...I will keep looking and trying to find something that works all they way around! Reading these post gives me hope!
Krissi
Welcome kj......I would revisit the diagnosis to verify a diagnosis of AD/HD. Sometimes if there is a misdiagnosis and something else or something more is going on, stimulants could actually cause aggression, more anxiety or mania with certain disorders. Also extreme aggression off the med's is also a red flag but only a specialist qualified to make a differential diagnosis can determine that. Also, issues of low self esteem should be addressed and treated through counseling in combination with medication. Even if your child does have AD/HD, the years of esteem bashing he endured can't be corrected through the sole use of medication. His issues of self worth or lack of need to be addressed in counseling. That could also account for his anger and frustration. When someone tells a child they are "stupid" eventually they start to believe it and I can't imagine a teacher getting away with that or not being held accountable
IMO, I wouldn't give another med until a confirmed and accurate second opinion is given by a specialist.
If your child is not under the care of a specialist...i.e.....child psychiatrist or neurologist, neuro/psychologist, I suggest that you get a referral from his pediatrician. He is now at an age where as an accurate diagnosis is critical because your also dealing with puberty issues. Please keep us posted and good luck