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Concerta questions..
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<blockquote data-quote="neednewtechnique" data-source="post: 85019" data-attributes="member: 3527"><p>We did not have a good experience with Concerta, but that is because our difficult child is not ADHD...in fact, I think the Concerta is what finally made us realize that she was BIPOLAR and did not have adhd... </p><p></p><p>As far as some of the side effects, as for growth goes, I know that pretty much any of the stims will cause that result, so it isn't a matter of which one you choose for that reason. Our difficult child is 13 now, and is already nearly 5 feet 6 inches tall and has taken Concerta or another stimulant for most of her life. She is VERY skinny (stims can cause loss of appetite and make you not want to eat as much), but never had any height growth problems. </p><p></p><p>psychiatrist is right, though, about this medication not staying in your system. It is like tylenol, once its worn out itself, its done and does not leave any residual ANYTHING behind, so it is a fresh start every day. </p><p></p><p>As for the racing heart, I don't really think our difficult child ever experienced this, but if your difficult child has heart problems, I would definitely contact his cardiologist and see what he things. It is likely that he will be okay with it, but it is VERY IMPORTANT that he know before your difficult child starts taking the medications, as it may be cause for additional monitoring on the cardiologist's part. If possible, try to sign a release for the two docs to communicate. You may get lucky if you have good doctors and they will communicate and try to coordinate their schedules so that when psychiatrist wants to increase dosages or something, then cardiologist can see your difficult child soon after to check for any affects to the heart. Some doctors are good about this kind of communication, others, are just NOT, so don't expect miracles, but it certainly can't hurt to try. :smile:</p><p></p><p>I do think that starting out with the 36 mg is a very high place to start, maybe suggest to psychiatrist that with son's heart problems, you would be more comfortable starting with the 18 mg and see how things go from there. Besides, heart problems or NO heart problems, over-medicating a child is almost as bad as them being on the wrong medication or not being on any medication at all, sometimes even worse! Better safe than sorry. If you start at the bottom and work your way up, at least you will know what works and what doesn't.</p><p></p><p>Good luck, beginning the search for the right drug can take time and lots of medication checks, but eventually you will get there and there will be something that will click with your child. Another thought is, they DO make a NON STIMULANT adhd medication now (Straterra), maybe with heart problems, this might be the better place to start?????</p></blockquote><p></p>
[QUOTE="neednewtechnique, post: 85019, member: 3527"] We did not have a good experience with Concerta, but that is because our difficult child is not ADHD...in fact, I think the Concerta is what finally made us realize that she was BIPOLAR and did not have adhd... As far as some of the side effects, as for growth goes, I know that pretty much any of the stims will cause that result, so it isn't a matter of which one you choose for that reason. Our difficult child is 13 now, and is already nearly 5 feet 6 inches tall and has taken Concerta or another stimulant for most of her life. She is VERY skinny (stims can cause loss of appetite and make you not want to eat as much), but never had any height growth problems. psychiatrist is right, though, about this medication not staying in your system. It is like tylenol, once its worn out itself, its done and does not leave any residual ANYTHING behind, so it is a fresh start every day. As for the racing heart, I don't really think our difficult child ever experienced this, but if your difficult child has heart problems, I would definitely contact his cardiologist and see what he things. It is likely that he will be okay with it, but it is VERY IMPORTANT that he know before your difficult child starts taking the medications, as it may be cause for additional monitoring on the cardiologist's part. If possible, try to sign a release for the two docs to communicate. You may get lucky if you have good doctors and they will communicate and try to coordinate their schedules so that when psychiatrist wants to increase dosages or something, then cardiologist can see your difficult child soon after to check for any affects to the heart. Some doctors are good about this kind of communication, others, are just NOT, so don't expect miracles, but it certainly can't hurt to try. [img]:smile:[/img] I do think that starting out with the 36 mg is a very high place to start, maybe suggest to psychiatrist that with son's heart problems, you would be more comfortable starting with the 18 mg and see how things go from there. Besides, heart problems or NO heart problems, over-medicating a child is almost as bad as them being on the wrong medication or not being on any medication at all, sometimes even worse! Better safe than sorry. If you start at the bottom and work your way up, at least you will know what works and what doesn't. Good luck, beginning the search for the right drug can take time and lots of medication checks, but eventually you will get there and there will be something that will click with your child. Another thought is, they DO make a NON STIMULANT adhd medication now (Straterra), maybe with heart problems, this might be the better place to start????? [/QUOTE]
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