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I would think your dr is taking a safe and responsible approach to treating ADHD.  Too see if your difficult child responds to a medication that's not so hard on the body. in my humble opinion this is safer than just throwing stims at a child. My difficult child has trialed EVERY stimulant under the sun with not one positive outcome.  The only success we are having now is using Intuniv, which is guanfacine. It is a blood pressure medication.  The doctor is monitoring his blood pressure and it has been fine. He has been on it for around 6 months and is a 3mg 1xday. It's easier on the system than stimulants and also it's been so successful for him we were able to remove Seroquel in May, which is a more worrisome medication.