Well, I think no matter what Mr. sp. ed. admin says, this medication IS affecting difficult child in a dramatic way. After school just before Integrated Listening Systems (ILS) worker came I found more cigarette butts in a bag and he tried to say they had been there a long time. I reminded him he had just gotten the bag two days ago so no, that was not true. So, I said for a while I need to be with you if you are out with friends (I always am but I am not always right next to him, just can see him down the end of the court yard). HE FLIPPED....I want to play with my friends! screamming. started hitting, punching , kicking...went out and got rocks and started throwing went on and on and on.....Integrated Listening Systems (ILS) worker and I put him in a cpi hold, my teen neighbors whom he loves tried to calm him (and in the end that is what worked he was able to walk, Integrated Listening Systems (ILS) just walked behind to make sure he was safe..I was a trigger so held back after he was calmer) I was calling doctor, 911 and trying to figure out where he would go. I have never had to do that, in all other times I could get thru and calm him. Another neighbor was outside and calling 911 too....He was SCREAMMING. tore my glasses off, threw his off. I finally got a clonidine in him and dr said he could have another. He is fine/calm now. Police were actually great...since he had started to calm I asked them not to rev him up and they actually drove their cars out of sight and just stood by. four of his neighbor friends tried talking him down (I know that can be too much but their hearts were in the right place) and once he had calmed he actually did listen to them (well at least it got his brain into another mode). So, he came back and took the prn clonidine, told me he loved me and didn't know why that happened. He was wondering if he can still play with friends, I said yes, there will be a consequence for the cigarette butts and hitting me but we will decide on that later. Since this is a medication issue I am not going to go too hard but dont want him to get a thought in his head he can do t his stuff. I told him he will probably have to wait 3 hours tomorrow before starting to watch his races. He said that was fair, but could he earn less time. i said no and he said ok. Only other time he was like that was on Seroquel and Risperdal. School has twice said he has perseverated for 2 hours on inappropriate words and sentences, if they try to stop him he goes on and on telling them off. So, the new doctor came thru,she is on vacation and still her nurse got ahold of her and texted orders. I didn't ever have to take him to a hospital and dont want someone just doing crazy stuff to him so I wanted to know what to do if we did need to go to hospital. She gave me the procedure and I am going to make an emergency pack with all current medications and medications he can't have. I am partly worried that with the huge weight gain he really needs more concerta since that is what has always worked before when his verbal outbursts/overall impulsiveness has increased. Problem is he is already on a high dose. I can give him a prn ritalin and if I am really wondering I may tell the doctor I am giving him one just to see what we are dealing with here. I am usually right on for which symptoms are controlled by which medications. But this new medication throws a wrench into that. What do you who have been there do when your kid is in a medical crisis like that and you want them in a place where their own doctor will be able to help. I have the hospital she is affiliated with but they dont always have a bed. Integrated Listening Systems (ILS) worker was actually ok with taking him out still and they are gone. He gave me ahug. His face is tear stained and I am just in shock and very very sore from all the punches and kicks. He has never beat me up so much before. It was totally different. Maybe I do need to start drinking.....sigh.