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<blockquote data-quote="Marguerite" data-source="post: 236549" data-attributes="member: 1991"><p>Where does dexamphetamine fit into the range of options? I note that it's not listed - do you have it available as a brand name over there?</p><p></p><p>We have dex prescribed, then privately compounded into long-acting formulation. It costs us about $1 a pill for this, but it's worth the fuss.</p><p></p><p>I do agree with you, Janna, about how stupid it is for a doctor to assume that what works for one sibling should be OK for another - our two boys (difficult child 1 & difficult child 3) have similar issues, but very different responses to medications.</p><p></p><p>If the diagnosis is autism, medications won't necessarily work. In our boys, the medications help with the ADHD component of the problem. However, even ADHD doesn't always rspond, it just MOSTLY responds to medications.</p><p></p><p>We know now, that for our sons here, ritalin won't work, they get bad rebound. That means Concerta will also be a problem (only difficult child 3 has tried Concerta - yes, he had problems too). Only difficult child 3 has tried Strattera, but difficult child 1 refuses to try anything else, because he claims he can do better as he is, why muddle with what's working? For him, there is too much at stake if he plays around with his medications.</p><p></p><p>If part of Dylan's trouble is connected to his Obsessive Compulsive Disorder (OCD) part of his autism, then the medications for ADHD will have limited value. However, anxiety can make them more obsessive, so often finding a medication that hoses down the anxiety, can find a way to help yor child focus better. However, a highly distracting environment then becomes the barrier - we dealt with that in the classroom with difficult child 3, by making sure he had somewhere to go to remove himself from distraction, to do actual schoolwork. First difficult child 3 would sit with the class while the teacher talked about the task to be done, then the sheets were handed out and kids began working. At that point difficult child 3 was moved to his desk on the veranda, where all he had to look at was the corner of the timber walls. He put on his headphones with "easy listening" music (no lyrics, so he wouldn't sing along) and then his aide would stay with him to try to keep him on task. Not easy.</p><p>At home, difficult child 3 chooses where he wants to work, and whether to put his music on. Lyrics no longer matter. He also can continue working on the topic of his choice until it is completed or until he wants to change. Usually he keeps going until it's completed. He works more efficiently, and is much happier with himself. We were able to reduce his medications a bit when he came home but as he has grown we've had to increase it again.</p><p></p><p>We're currently looking for a good "chill pill" for difficult child 3, but one that isn't going to clash with dexamphetamine. Antidepressants are off the list, he reacts to them badly. At least, all the ones he's ben given so far. Meanwhile difficult child 2 has been on Zoloft for yers now and does really well on it. Again, you can't automatically apply to one siblnig what you want to apply to the other.</p><p></p><p>I hope you can find something helpful here.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 236549, member: 1991"] Where does dexamphetamine fit into the range of options? I note that it's not listed - do you have it available as a brand name over there? We have dex prescribed, then privately compounded into long-acting formulation. It costs us about $1 a pill for this, but it's worth the fuss. I do agree with you, Janna, about how stupid it is for a doctor to assume that what works for one sibling should be OK for another - our two boys (difficult child 1 & difficult child 3) have similar issues, but very different responses to medications. If the diagnosis is autism, medications won't necessarily work. In our boys, the medications help with the ADHD component of the problem. However, even ADHD doesn't always rspond, it just MOSTLY responds to medications. We know now, that for our sons here, ritalin won't work, they get bad rebound. That means Concerta will also be a problem (only difficult child 3 has tried Concerta - yes, he had problems too). Only difficult child 3 has tried Strattera, but difficult child 1 refuses to try anything else, because he claims he can do better as he is, why muddle with what's working? For him, there is too much at stake if he plays around with his medications. If part of Dylan's trouble is connected to his Obsessive Compulsive Disorder (OCD) part of his autism, then the medications for ADHD will have limited value. However, anxiety can make them more obsessive, so often finding a medication that hoses down the anxiety, can find a way to help yor child focus better. However, a highly distracting environment then becomes the barrier - we dealt with that in the classroom with difficult child 3, by making sure he had somewhere to go to remove himself from distraction, to do actual schoolwork. First difficult child 3 would sit with the class while the teacher talked about the task to be done, then the sheets were handed out and kids began working. At that point difficult child 3 was moved to his desk on the veranda, where all he had to look at was the corner of the timber walls. He put on his headphones with "easy listening" music (no lyrics, so he wouldn't sing along) and then his aide would stay with him to try to keep him on task. Not easy. At home, difficult child 3 chooses where he wants to work, and whether to put his music on. Lyrics no longer matter. He also can continue working on the topic of his choice until it is completed or until he wants to change. Usually he keeps going until it's completed. He works more efficiently, and is much happier with himself. We were able to reduce his medications a bit when he came home but as he has grown we've had to increase it again. We're currently looking for a good "chill pill" for difficult child 3, but one that isn't going to clash with dexamphetamine. Antidepressants are off the list, he reacts to them badly. At least, all the ones he's ben given so far. Meanwhile difficult child 2 has been on Zoloft for yers now and does really well on it. Again, you can't automatically apply to one siblnig what you want to apply to the other. I hope you can find something helpful here. Marg [/QUOTE]
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