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Q always gets tired when we increase his clonidine dose but he does get used to it and so in while he may not be so tired on it too.  We use both a patch form and add tabs in short acting form when needed.  I have learned to just turn off my ears to people who have not studied the medications and the truth is that guy probably only knows of the times there are problems, most kids where medications are working fine are just off their radar.