Thanks for all the replies! I'm hoping this is the one that will work for us. difficult child does have problems staying focused, but his biggest problem is impulsivness and aggression. Especially since it is summer. He started out on 5 and then 10 mg of Adderall. We didn't notice a huge difference... or much of a difference at all. He did start doing better in school, but that coincided more with when they changed his schedule up (he went from being in gen ed all day to switching between that and going to the resource room 30 minutes three times a day). Summer day camp has been good for the first two weeks, until two days ago when they said he was in danger of being kicked out because he had bit someone, twice... although I never heard about the first time. So... all that is to say is that because the stimulant wasn't doing much of anything, and he had lost a pound or two, they took him off it. I beleive she perscribed the Intuniv thinking that it would help with his impulsiveness. The nurse practitioner I saw didn't think that his lashing out at other children (hitting, biting, etc) is a sign of ADHD... although everyone else who has evaluated him did think it was probably related. She did say that we ought to start therapy though.
So, last night we began the Intuniv. We didn't see the sleepiness much that I was expecting. I gave it to him at about 8, and he was still up at 9 but fell asleep shortly after that. Thats pretty much par for the course. But this morning he was up a good bit before the rest of us, which isn't totally unheard of but it is unusual. I guess all we can do now is "wait and see", as I've been told it may take a few weeks to build up in his system.
