How do you really know its the right med?

My son 4 1/2 was diagnosed ADHD in Feb, doc suggested Vyvanse 20mg, he has good days and bad days. Appetite is an issue, but ALWAYS has been an issue. My question is how do you know that its really working, or if another med would work better? He was thrown out of 2 schools before we started the meds so the teacher really has nothing to compare to, they only had him 2 days before we started the meds. I don't really understand what the tics and rebound are, can someone explain that to me a little... Like I know when he comes home from school sometimes he is a bear. But not every night, so I just chalk it up to he is allowed to have a cruddy day with an attitude. Its a struggle to reason with a 4 1/2 year old. So I am not sure if this is really the "right" med Thoughts? Try to find out what's different on those "bear" days - did his schedule
get disrupted? Did he get enough sleep? Is he wearing a scratchy
sweater that's bugging him? If you find the reason for the behavior
change - and there always is one - you can adjust for it and stop it.

Tics - physical movements kids can have either to calm themselves or to
burn off energy. My son twists his hair when he gets excited.

Rebound - when the medication wears off (usually late afternoon or early
evening) the change can really throw some kids for a loop and sometimes
they seem worse than they ever were before they were on meds.

Here was my list of when to change meds for my son:
it changed his personality
it gave him side effects that were worse than the inattention

Concerning how to decide if the medication isn't working - unfortunately
you've got to trust your gut. It sounds to me like your gut wants a
change.

Here's the thing to remember - if you change his meds and the new one
doesn't work as well as this one, there's nothing that says you can't put
him back on it.

You can adjust the amount of the meds, you can up the meds or add
another.

And you can try non-medicated routes, like structure, goal work, and
environmental changes.

Medication is not a magic bullet. It let's your kid focus enough to work
on learning all the things they missed while their brain has been spinning
- like social cues and how to calm themselves down when they get upset.
As far as working on those types of problems, therapy can do wonders -
kids can be taught them directly so they can make up the ground they've
lost.

Best of luck!
 

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