daughter started taking the generic form of Tenex about a week ago. Yesterday was her first day of school. She was super tired, took a nap the past couple days, had a headache, and one minor nosebleed (she's had a couple other nosebleeds before medications, as well as a couple of migraines). She was only at 1/2 a pill twice a day. doctor wants her to go up to 1 pill twice a day. We have an appointment in 6 days. Since we didn't see much change in her when she took 1/2 a pill only at night, and a ton when she did 1/2 twice a day, we decided to take away the nighttime pill and see if she can just go with 1/2 in the mornings. Has anybody used this in the past and been able to get by with a smaller dose? Does the body get used to it and we'll have to ramp it up anyway? She's skinny, but of average-tall height and her nutritional blood test came back okay. I haven't taken her BiPolar (BP), but have felt her pulse and it felt fine. I have to go get a prescrip for me today and will try to find a BiPolar (BP) machine there. She said her math yesterday was easy and she actually did her homework before I got home (although it was easy too). I'm really hoping this works.