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Daughter on concerta/not hungry/can't sleep/tired...tired??? Side effects?
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<blockquote data-quote="Marguerite" data-source="post: 355466" data-attributes="member: 1991"><p>Symptoms should ease over a few days, if it's just a matter of adjustment. But she could be on too high a dose. Every kid is different and the dose that works best for them is (in our experience) independent of the severity of symptoms. It's not a case of, "Wow, he's really all over the place like a jack-in-the-box, we'll have to give him more than his quieter brother."</p><p></p><p>difficult child 1 would zone out in class rather then be highly obviously distractible like difficult child 3. difficult child 1 is also older now, and has adapted a lot. However, he still has a great deal of trouble multi-tasking, and increasing the medications makes little difference to this.</p><p>difficult child 3, on the other hand, needs a high dose of medications and still bounces off the walls.</p><p>easy child 2/difficult child 2 is on very low dose medications, but without the medications entirely, she's as silly as a two bob watch. Increase the medications past the point of maximum benefit, and she is 'flat'.</p><p></p><p>Every kid is different.</p><p></p><p>I would be asking the doctor for a lower dose pill. A friend of mine actually broke the Concerta in half (although you're not supposed to do that) and found her son did a lot better on the lower dosage. He is very similar to difficult child 3 in how he presents as well as severity, but is on about quarter the dose of Concerta difficult child 3 was on.</p><p></p><p>We don't use Concerta or Ritalin ay more. Instead, our kids take dexamphetamine. It doesn't have the rebound problems to the same extent, and for us it's been easier to adapt the dose.</p><p></p><p>If she is having trouble sleeping, then she will be tired due to lack of sleep, even though this stuff is a stimulant. It won't completely pep up a person. </p><p></p><p>I remember when difficult child 3 was tried on Zoloft - he did so much better on the first day. But he didn't sleep that night. Next day he behaved badly (due to lack of sleep). By the third day he was climbing the walls from lack of sleep and we stopped the Zoloft. Any benefit from the medications was wiped away by the problems caused by lack of sleep.</p><p></p><p>With the Concerta - it should have worn off by bedtime, but clearly it is not. A lower dose should help.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 355466, member: 1991"] Symptoms should ease over a few days, if it's just a matter of adjustment. But she could be on too high a dose. Every kid is different and the dose that works best for them is (in our experience) independent of the severity of symptoms. It's not a case of, "Wow, he's really all over the place like a jack-in-the-box, we'll have to give him more than his quieter brother." difficult child 1 would zone out in class rather then be highly obviously distractible like difficult child 3. difficult child 1 is also older now, and has adapted a lot. However, he still has a great deal of trouble multi-tasking, and increasing the medications makes little difference to this. difficult child 3, on the other hand, needs a high dose of medications and still bounces off the walls. easy child 2/difficult child 2 is on very low dose medications, but without the medications entirely, she's as silly as a two bob watch. Increase the medications past the point of maximum benefit, and she is 'flat'. Every kid is different. I would be asking the doctor for a lower dose pill. A friend of mine actually broke the Concerta in half (although you're not supposed to do that) and found her son did a lot better on the lower dosage. He is very similar to difficult child 3 in how he presents as well as severity, but is on about quarter the dose of Concerta difficult child 3 was on. We don't use Concerta or Ritalin ay more. Instead, our kids take dexamphetamine. It doesn't have the rebound problems to the same extent, and for us it's been easier to adapt the dose. If she is having trouble sleeping, then she will be tired due to lack of sleep, even though this stuff is a stimulant. It won't completely pep up a person. I remember when difficult child 3 was tried on Zoloft - he did so much better on the first day. But he didn't sleep that night. Next day he behaved badly (due to lack of sleep). By the third day he was climbing the walls from lack of sleep and we stopped the Zoloft. Any benefit from the medications was wiped away by the problems caused by lack of sleep. With the Concerta - it should have worn off by bedtime, but clearly it is not. A lower dose should help. Marg [/QUOTE]
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