Should i be concerned if my nephew has add. dr has tryed different meds nothing has really worked. he is now on adderall (dextroamphetamine and racemic amphetamine).?

Child psychiatrist?: I don't know what kind of evaluation your nephew has had, or what specialty of physician he's been working with. Sometimes adhd can be difficult to manage, but diagnosis has to be correct from the start. Also if there are other issues not being addressed, improvement may not be impressive. Sounds like it's time for a consultation with a child psychiatrist if he's not had this.