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<blockquote data-quote="justour2boys" data-source="post: 540935" data-attributes="member: 6235"><p>I have 2 difficult children that takes Guanfacine, the oldest takes Guanfacine (the generic name) twice a day along with- Vyvance and the youngest takes Intuniv (the once-a-day brand name of Guanfacine) along with- Concerta and here is our experience.</p><p></p><p>Both difficult children started using the generic Guanfacine since it was less expensive place to start in case it did not work. Oldest stayed with the twice a day since he is taking 0.5 mg in AM and 1 mg in PM due to a drop in blood pressure. After all, it is a medication for blood pressure. But youngest moved on to Intuniv 2 mg for convenience, but it is a name brand so it is expensive.</p><p></p><p>Both difficult children take the medication in the late afternoon(4:00 pm) for 2 reasons. It seems to help with rebound from the stims and to wind down for bed. We found the sleepiness side effect only during initial dose and dose changes, but back to "normal" after 2 weeks.</p><p></p><p>So for my difficult children, Guanfacine seems to work best together with a stimulant, the combo of medications seems to work well. For us, the Guanfacine/Intuniv helps with the impulsiveness, while the stims help with focus and hyperness.</p><p></p><p>But, and there is a big one.... We have decided to put oldest difficult child on a medication vacation this summer due to weight issues or I should say lack of weight. So... no stimulant but Dr kept him on the Guanfacine. </p><p></p><p>Its been a few days with out a stimulant, and lets just say I DO NOT think the Guanfacine is helping AT ALL. While my oldest does have some impulsiveness, lack of focus is his big struggle.</p><p></p><p>So in our house... it is going to be a llloooonnngggg summer with no stimulant!</p></blockquote><p></p>
[QUOTE="justour2boys, post: 540935, member: 6235"] I have 2 difficult children that takes Guanfacine, the oldest takes Guanfacine (the generic name) twice a day along with- Vyvance and the youngest takes Intuniv (the once-a-day brand name of Guanfacine) along with- Concerta and here is our experience. Both difficult children started using the generic Guanfacine since it was less expensive place to start in case it did not work. Oldest stayed with the twice a day since he is taking 0.5 mg in AM and 1 mg in PM due to a drop in blood pressure. After all, it is a medication for blood pressure. But youngest moved on to Intuniv 2 mg for convenience, but it is a name brand so it is expensive. Both difficult children take the medication in the late afternoon(4:00 pm) for 2 reasons. It seems to help with rebound from the stims and to wind down for bed. We found the sleepiness side effect only during initial dose and dose changes, but back to "normal" after 2 weeks. So for my difficult children, Guanfacine seems to work best together with a stimulant, the combo of medications seems to work well. For us, the Guanfacine/Intuniv helps with the impulsiveness, while the stims help with focus and hyperness. But, and there is a big one.... We have decided to put oldest difficult child on a medication vacation this summer due to weight issues or I should say lack of weight. So... no stimulant but Dr kept him on the Guanfacine. Its been a few days with out a stimulant, and lets just say I DO NOT think the Guanfacine is helping AT ALL. While my oldest does have some impulsiveness, lack of focus is his big struggle. So in our house... it is going to be a llloooonnngggg summer with no stimulant! [/QUOTE]
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