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Doctor insights on: How Long Before I See A Change In My Son After Starting Him On Adhd Medication

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My son was diagnosed with adhd. What is the best medication for this?

My son was diagnosed with adhd. What is the best medication for this?

Depends: Not everyone is the same. The amer acad of ped recommends using a stimulant medication at first (like focalin, (dexmethylphenidate) concerta, Adderall or vyvanse). But each patient needs a specific selection & titration to repair "targeted outcomes" or goals of treatment. If one doesn't work, then another should be tried until normalcy is reached. This may include combination chemotherapy. ...Read more

Dr. Carla Enriquez
1,177 Doctors shared insights

Attention Deficit Hyperactivity Disorder (Adhd) (Definition)

A bio-psycho-social disorder characterized by inattentiveness, hyperactivity, and impulsivity. ADHD typically interferes with daily functioning or mental and social development. It is usually present in childhood, continuing into adulthood, and is genetically transmitted. ...Read more


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My son has adhd. Is there anything besides medication that I can do to help him; especially for in school. Any tips I could give the teacher?

My son has adhd. Is there anything besides medication that I can do to help him; especially for in school. Any tips I could give the teacher?

See CHADD. Org: Optimal management of adhd is multimodal: medications, behavioral therapy/behavior management training for parents, & environmental manipulations at home & school. Take the report of his valid diagnosis of adhd by dsm-v criteria to his teacher & request a section 504, classroom modifications mandated by law. Have (neuro) psychological testing for learning disabilities & other comorbidities. ...Read more

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My son takes concerta for ADHD but loves to drink green tea. Will the tea cleanse his system of the medication?

My son takes concerta for ADHD but loves to drink green tea. Will the tea cleanse his system of the medication?

Unlikely: Concerta is broken down by the liver and disposed of by the kidney. Green tea is not known to significantly effect cyp450)which is what breaks down Concerta in the liver) so it shouldn't break down faster. Green tea can increase urine output but probably not enough to speed up the disposal of concerta, since only a very small amount is disposed of before being broken down. ...Read more

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Doc fpund a hear murmur on my son who is five uears old. He is on ADHD medication. He never had one before. Could the concerta have caused it.

Doc fpund a hear murmur on my son who is five uears old. He is on ADHD medication. He never had one before. Could the concerta have caused it.

Echo: A heart murmur. A murmur is just noise. Sometimes serious problems cause a murmur many times a murmur is caused by normal flow. Patients often misctranslate what the dr. Tells them. Ask the doc what it means in your child. ...Read more

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My son, who turns 16 in 2 months, has ADHD with bipolar. What medication and dosage would be the best for him? He prefers mania over depression.

My son, who turns 16 in 2 months, has ADHD with bipolar. What medication and dosage would be the best for him? He prefers mania over depression.

Assessment: Don't try to figure this one out alone. You need to find a doctor you can trust. Even the best treatment isn't guaranteed to work the first time. Stick with it and don't give up on him. It's normal that he prefers mania, but mania can be devastating. If he can find a healthy stability he can have a much better life. Best to both of you. ...Read more

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What do you suggest if my son is 6y3m old. He is taking ADHD drug : ritalin10mg (1+0+0), rirperidone 1mg, catapres (clonidine) 0.1mg (1/4+1?

What do you suggest if my son is 6y3m old. He is taking ADHD drug : ritalin10mg (1+0+0), rirperidone 1mg, catapres (clonidine) 0.1mg (1/4+1?

What are concerns?: What are your concerns about his medication regimen? He is on a stimulant medication (Ritalin) in a fairly low dose. The clonidine (catapres) is a non-stimulant to help with the ADHD symptoms and often used as an adjunct if sleep problems. The risperidone is the only one that troubles me if he has straight ADHD and no co-morbid conditions like ODD or conduct, as behavioral therapy is first. ...Read more

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My son is 6 y old. He is taking ADHD drug : ritalin10mg (1+0+0), rirperidone 1mg, catapres (clonidine) 0.1mg (1/4+1. Will these help him?

My son is 6 y old. He is taking ADHD drug : ritalin10mg (1+0+0), rirperidone 1mg, catapres (clonidine) 0.1mg (1/4+1. Will these help him?

Info: I would imagine your physician added these drugs in sequence and not all at once. I suggest you have a candid discussion with your doctor to look for absolute benefits from the meds over a period of time. Good luck. ...Read more

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I'm trying to find out more about the drug tenex (guanfacine). My son has been diagnosed with ADHD and he's 4. His insurance will not pay for the ADHD meds yet.

I'm trying to find out more about the drug tenex (guanfacine). My son has been diagnosed with ADHD and he's 4. His insurance will not pay for the ADHD meds yet.

Tenex (guanfacine): Tenex (guanfacine) is an antihypertensive medication. It is used to keep adults and children calm if they have heart conditions. It is an off label use for adhd and mirrors the effects of Intuniv - a long acting form of Tenex (guanfacine) prescribed for adhd. ...Read more

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My son 9yo has been on cipramil 15mg for almost 3 years. He has adhd. On concerta too. I'm concerned that the former drug is masking his true emotions.?

My son 9yo has been on cipramil 15mg for almost 3 years. He has adhd. On concerta too. I'm concerned that the former drug is masking his true emotions.?

Perhaps - Need Info: It's always worthwhile to evaluate the current benefit and ongoing need for any treatment. The current need to the use of cipramil would depend on how things are going for your son, and the reasons for why it was started in the first place. Cipramil can occasionally cause a flattening of mood - please discuss with this with your physiciain if you have concerns that this may be occurring. ...Read more

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My son, 8, has moderate ADHD an has tried several drugs for it including folacin, concerta, and now vyvance with not much luck, any input on daytrana?

My son, 8, has moderate ADHD an has tried several drugs for it including folacin, concerta, and now vyvance with not much luck, any input on daytrana?

Agree with Dr. Maes: Evaluation by a developmental/behavioral pediatrician, child psychiatrist or child neurologist may reveal co-existing medical/neurodevelopmental issues that prevented an optimal response. A child psychologist can both test ; provide therapy. If doses of stimulants were titrated up for maximum effect, one of them may work with an adjunct non-stimulant like intuniv, if adhd is the diagnosis. ...Read more

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Atomoxetine has been prescribed for my son who is suffering from adhd, who is 18 years old. How effective is this drug? How it compares with ritalin (methylphenidate)?

Atomoxetine has been prescribed for my son who is suffering from adhd, who is 18 years old. How effective is this drug? How it compares with ritalin (methylphenidate)?

Second tier: Atomoxetine is a second line medication, after the stimulants, for adhd patients that didn't respond or tolerate them. It works best to control impulsivity or hyperactivity and much less so for executive brain function compared to the stimulants. It is also associated with a greater array of serious side effects (liver damage, suicide). There is use for it, but not as first line treatment. ...Read more

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I was previously diagnosed with adhd generalized anxiety disorder and social phobia was prescribed medication but no longer see the doctor I need medi?

I was previously diagnosed with adhd generalized anxiety disorder and social phobia was prescribed medication but no longer see the doctor I need medi?

This is curable: I specialize in this type of problem and have 30 years of proven experience with the diagnosis. Tt can be cured and I guarantee my work. It involves a new type of therapy, non-talking. ...Read more

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Homiopathic or natural remedies for add/adhd please help me keep my son off drugs I am looking for some good homiopathic or natual solutions for ADHD in a 6 year old, otherwise healthy child. I am stronly against any perscribed meds ie; ritalin, concerta

There are resources: Although I do not share your fear of stimulants, there are other approaches. Start with "addressing add naturally" by dr. Kathi kemper. At age 6, he might do well with a good behavior program. Check out the chadd. Org website for books about such treatments. "natural" remedies are unstudied and usually either ineffective or use high doses of caffeine; natural does not equal safe. ...Read more

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Is there any natural remedies for ADHD? My son has been off his Vyvanse (lisdexamfetamine) for a month and cannot see family doctor for another month so I need an alter

ADHD Remedies: Most natural remedies are dietary. Eliminating processed food especially foods with artificial color, wheat, chocolate and dairy. Biofeedback, relaxation techniques such as massage and yoga are also utilized. This Web Site has lots of alternatives: http://www. Healthline. Com/health-slideshow/natural-remedies-adhd#promoSlide ...Read more

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My 5 year old son just started taking a medication for ADHD called methylphenid. He is blinking a million times. Is this normal?

My 5 year old son just started taking a medication for ADHD called methylphenid. He is blinking a million times. Is this normal?

Tic: This is a "tic" and can be a side effect of stimulant medications used for adhd. You need to promptly notify his prescribing doctor. There are alternative medications. ...Read more

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What can I do to help my son control his adhd?

What can I do to help my son control his adhd?

Group acitivities: Adhd children get bored too easily and bored kids often get in trouble. Get him involved in sports activities, anything. Make sure it is often and regularly done! Minimized tv/video games etc...Avoid energy drinks etc. It may be difficult at first, but will get better in few wks. Also, consult doc for possible treatment, as some do need them. Best of luck. ...Read more

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What is the best approach to get my son checked for ADHD?

What is the best approach to get my son checked for ADHD?

Start w/ pediatrics: Consult your pediatrician first for screening and to rule out other problems such as sleep apnea, hearing loss, anemia, iron deficiency, thyroid problems. The best questionnaire is the achenbach child behavior check list (cbcl). If needed, a developmental pediatrician or child neurologist or psychiatrist may be consulted for diagnosis, treatment or follow up. ...Read more

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Adhd concerns over telling my son about it. What if he has questions?

Adhd concerns over telling my son about it. What if he has questions?

Adhd: You, the therapist, his school guidance counselor and his doctor need to be as open and honest, educating him about adhd, and emphasizing need to build on strengths instead of magnifying weaknesses. ...Read more

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Does ADHD in child require life long medication? Does anybody outgrow it?

Does ADHD in child require life long medication? Does anybody outgrow it?

Some outgrow it: The assistance medication has for some adhd kids can eventually diminish as the pass through adolescence & many will discontinue it at that time. I encourage kids/parents to do at lease a wk off meds @ least once a year to see if they notice a difference in ability to focus & complete tasks. If none seen & work is proceeding well, stop med. Some kids recognize the benefit & may need it as an adult. ...Read more

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What's the difference among adhd. Ad and hd only? I think my son had. One of those

What's the difference among adhd. Ad and hd only? I think my son had. One of those

Its all called ADHD.: Attention hyperactivity disorder (adhd) consists of three subtypes: 1) predominantly inattentive type (the former add);
2) predominantly hyperactive, impulsive type; and 3) combined type. The inattentive type is characterized by poor concentration, being easily distracted, poor organization, can't complete tasks. The hyperactive/impulsive type - fidgets, hyper, blurts out, butts in, etc. ...Read more

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What was wrong with my son? He seems small for his age. Does having an ADHD connects with it?

ADHD: Physical size is driven a lot by genetics, the physical size of both parents, also nutrition. Genetics also predict growth timing and growth spurts if your son is on adhd stimulat medications, that can inhibit his sense of hunger and growth; so some prescribing doctors recommend medication vacations to help with weight gain and growth. Talk with your pediatrician about your concerns. ...Read more

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My son is 13, he has adhd, but he gets worse when the son goes down, can he have sun downers?

My son is 13, he has adhd, but he gets worse when the son goes down, can he have sun downers?

Not sun downers: ADHD medication may wear off an the end of the day and when it does, there is a tendency for rebound symptoms, worse than before the medication. To prevent this a second short acting dose can be given right after school.
If his medication is wearing off in the early evening, he will have difficulty doing homework, staying still for a meal, will be active, interrupt, be impulsive and moody. None this is fun for him and the negative consequences can be very discouraging for the child. ...Read more

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Since my son is only 4 and its hard for me to get help for him is there any way I can tell that he has aggrisive adhd?

You certainly can: By staying calm. Overreacting to your child's behavior or response to ur command isn't going to get u anywhere. They will overreact and become"defiant " and it will escalate and get into your nerves now making you angrier and mad. Therefore nothing accomplished only fuming parent. Conclusion adhd, defiant kid, brat, whatever you call it. Talk to them calmly and make it a game and fun. Shd work! ...Read more

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I think my son (11) may have adhd. But he is extremely manipulative, is there an easy way to get help for him that won't hurt me?

I think my son (11) may have adhd. But he is extremely manipulative, is there an easy way to get help for him that won't hurt me?

ADHD and ODD: Adhd is often comorbid with oppositional defiant disorder. Combination of medications with therapy usually works the best, both for the patient and his family. ...Read more

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I took my son to a dr to have him assessed for ADHD after explaining the symptoms to him he told my my son has it. Should I seek a second opinion?

I took my son to a dr to have him assessed for ADHD after explaining the symptoms to him he told my my son has it. Should I seek a second opinion?

Proper assessment: I am leery of any practitioner who labels a child add or adhd at a single visit. A standard practice is to assemble observations through written lists filled out by classroom teachers, parents or other observers. Forms such as the vanderbilt assessment scale or the aseba scales can begin the process. Hx & px along with sleep history are relevant. I'd get a second opinion ...Read more

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Diagnosed with ADHD when younger and wants to join the military. No need for medication in years and no longer shows signs. Any way to be diagnosed?

Updated eval: Wasn't sure if you meant being 'undiagnosed'. Recent updates from psychiatrists or psychologists should confirm the current health status and assist the person in enlisting in the military. ...Read more

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My son has adhd, an is taking concerts for it, he gets in trouble a lot an acts like he can't help it. Is behavior issues associated with adhd?

My son has adhd, an is taking concerts for it, he gets in trouble a lot an acts like he can't help it. Is behavior issues associated with adhd?

Yes: In adhd, the child can have a lot of impulsiveness, hyperactivity, and poor attentiveness to instructions. All these areas can cause behavioral disturbances and get him in trouble in school -- or anywhere quiet, focused behavior is required. Behavioral training is important along with use of stimulant medications. Some of this can be practiced in school, in therapy, and at home. ...Read more