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Damn psychiatrist....arghhh!
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<blockquote data-quote="buddy" data-source="post: 534903" data-attributes="member: 12886"><p>Some thoughts just to consider (because it is not complicated enough, is it??? sorry)</p><p></p><p>1. The idea of trying one and seeing how long it lasts is really good. Your child may only need one or may react to how it wears off and then you will want to make sure that you cover that by giving the second before this time. see #2</p><p></p><p>2. Sometimes there is a rebound effect when the stimulant (especially the short acting ones) wear off. The child can become more revved and inattentive and impulsive than before the medications at all. So, some kids need to take a tapering off dose. For us, Concerta (long acting) does not do that but ritalin does. </p><p></p><p>What we do if he takes Ritalin is because it lasts 3.5 hours for my son (every person is different but I think it i s avg. of four hours), he gets the next dose at 3 hours so that he doesn't go into that rebound period. then the next dose is half. of that and he does ok.</p><p></p><p>3. Daycare should be able to give the medication if they are a licensed center. I owned one and we had forms to use just like schools. It was no big deal. But you can have school give it to him right before he leaves. I have the nurse bring it to his class so there is not a transition deal and staff just brings it to him and quickly hands it to him with no one even seeing the nurse was in the hall. My nephew prefers to just go on the way into school and on a break when no one would ever know the difference. If you do any doses at school ask that it be during a rest room break or between classes etc. Not so big a deal then.</p><p></p><p></p><p>And, NO they dont realize....I only have ONE doctor who does and that is his neuro who has an aspie. even his psychiatrist doesn't think of i t and she has three special needs kids.... some with serious medical issues, sigh.</p></blockquote><p></p>
[QUOTE="buddy, post: 534903, member: 12886"] Some thoughts just to consider (because it is not complicated enough, is it??? sorry) 1. The idea of trying one and seeing how long it lasts is really good. Your child may only need one or may react to how it wears off and then you will want to make sure that you cover that by giving the second before this time. see #2 2. Sometimes there is a rebound effect when the stimulant (especially the short acting ones) wear off. The child can become more revved and inattentive and impulsive than before the medications at all. So, some kids need to take a tapering off dose. For us, Concerta (long acting) does not do that but ritalin does. What we do if he takes Ritalin is because it lasts 3.5 hours for my son (every person is different but I think it i s avg. of four hours), he gets the next dose at 3 hours so that he doesn't go into that rebound period. then the next dose is half. of that and he does ok. 3. Daycare should be able to give the medication if they are a licensed center. I owned one and we had forms to use just like schools. It was no big deal. But you can have school give it to him right before he leaves. I have the nurse bring it to his class so there is not a transition deal and staff just brings it to him and quickly hands it to him with no one even seeing the nurse was in the hall. My nephew prefers to just go on the way into school and on a break when no one would ever know the difference. If you do any doses at school ask that it be during a rest room break or between classes etc. Not so big a deal then. And, NO they dont realize....I only have ONE doctor who does and that is his neuro who has an aspie. even his psychiatrist doesn't think of i t and she has three special needs kids.... some with serious medical issues, sigh. [/QUOTE]
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