At the end of the school year Mr. I had been on an increased dose of Concerta. (36mg. up from 27) At the higher dose he had stomach aches, had stopped eating, (and I think growing too) and had periods of spacing out like he was over medicated. I convinced his parents to let me get a lower dose for summer. He does OK on the lower dose but it won't be enough for school. Here we are 3 weeks before school starts and it's time to address medications again. Here's the options increase concerta again and deal with side effects. (I don't want to do this) Change to a different stimulant. Add an add on drug. (like intunive) We have used intunive alone and it was ok but not enough. (as ok as it can be watching your child deal with new drugs. ) Stratarra was Satan in pill form. Vyvanse shot his heart rate threw the roof. (150 BPM or higher!) What works for you? Any suggestions of something I'm not seeing?