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General Parenting
Considering a stimulant
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<blockquote data-quote="smallworld" data-source="post: 349257" data-attributes="member: 2423"><p>My son has tics. He has been on stimulants on and off for years. Sometimes they exacerbate his tics and sometimes they don't. Sometimes his tics worsen when he's not even on stimulants. That's the thing about tics -- they often appear to have a mind of their own.</p><p> </p><p>Because J's currently at an Residential Treatment Center (RTC) and able to be observed 24/7, the Residential Treatment Center (RTC) staff reported that they saw inattention and recommended a return to a stimulant after about a two-year break. About two weeks ago, J began a trial of 36 mg Concerta with <em>no effect</em> on his tics. There's a chance the dose may need to be increased to fully address his inattention and that may affect his tics, but we will deal with that when we get there.</p><p> </p><p>Sometimes one kind of stimulant will affect tics more than another in an individual child. For exmaple, J could not take Adderall at all because his tics were so jumpy, but he seems to tolerate the stimulants with methylphenidate (Ritalin, Concerta, Focalin) far better. It may take some trial-and-error on your part to get it just right with manster.</p><p> </p><p>I'm not sure I've ever read studies that say that stimulants are addictive when prescribed for ADHD. Have you?</p><p> </p><p>We have seen improvement in attention, cooperation and motivation when we've given stimulants to J. J does not have hyperactivity so that has not been an issue for us. There can be a period of irritability when they wear off in the afternoon (called "rebound").</p><p> </p><p>Good luck with your decision, ML.</p></blockquote><p></p>
[QUOTE="smallworld, post: 349257, member: 2423"] My son has tics. He has been on stimulants on and off for years. Sometimes they exacerbate his tics and sometimes they don't. Sometimes his tics worsen when he's not even on stimulants. That's the thing about tics -- they often appear to have a mind of their own. Because J's currently at an Residential Treatment Center (RTC) and able to be observed 24/7, the Residential Treatment Center (RTC) staff reported that they saw inattention and recommended a return to a stimulant after about a two-year break. About two weeks ago, J began a trial of 36 mg Concerta with [I]no effect[/I] on his tics. There's a chance the dose may need to be increased to fully address his inattention and that may affect his tics, but we will deal with that when we get there. Sometimes one kind of stimulant will affect tics more than another in an individual child. For exmaple, J could not take Adderall at all because his tics were so jumpy, but he seems to tolerate the stimulants with methylphenidate (Ritalin, Concerta, Focalin) far better. It may take some trial-and-error on your part to get it just right with manster. I'm not sure I've ever read studies that say that stimulants are addictive when prescribed for ADHD. Have you? We have seen improvement in attention, cooperation and motivation when we've given stimulants to J. J does not have hyperactivity so that has not been an issue for us. There can be a period of irritability when they wear off in the afternoon (called "rebound"). Good luck with your decision, ML. [/QUOTE]
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