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<blockquote data-quote="SlipperySlope" data-source="post: 413597" data-attributes="member: 11389"><p>Thanks for the replies, and for the book rec, Marg. I will find it ASAP. </p><p></p><p>I set up a signature when I completed my profile. Perhaps I did it wrong?</p><p></p><p>C's diagnosis of ADHD is new. Just since the holidays has he begun treatment for it. The psychiatrist who's treating him now is not completely familiar with his history, and did challenge my reports during our intake. She does not believe that his major problems stemmed from a vaccine injury when he was 15 months old. I was there. I watched him regress from a normally developing infant with a 25 word vocabulary (despite some early sensory issues) to a screeching, hand-flapping, eye-rolling, toe walking autistic kid who simply could not communicate. In the span of about a month this took place. Only after 2 years of early intervention did this seem to correct, and then, only because his Occupational Therapist (OT) found the treatment that flipped a switch for him. </p><p></p><p>Psychiatrist stated she wonders why he was ever diagnosis'ed with AS. She is reluctant to treat his mood disorder. She wants to try and correct the ADHD first, she says, hoping the mood may improve after that. I feel she needs to be a bit more open, and I wont let her keep pushing me around because she doesn't agree with my anecdotal evidence. </p><p></p><p>Initially she put C on Straterra 25 mg for a week, then 40 mg--based on his weight. This really was a wonderful time for us. He could focus and having a conversation with him was suddenly a pleasure again. He did seem pretty wiped out by bedtime, but, this seemed ok because he's historically had some problems getting to and staying asleep. Around week 3, about a week after an eye exam, I noticed his pupils were gigantic. We mentioned it at his next appointment and doctor thought the dosage was too much for him and she decreased him to 25 mg. The next month, he might as well have been taking a tylenol for all the affect it had on his ability to control his impulses and slow his roll.</p><p></p><p>Currently, he's on Concerta 36 mg. I feel it's making him irritable and crabby and more impulsive. He's very easily frustrated and tearful. I know these are potential side effects of the stimulants, but, the doctor led me to believe this was the only way to go, since the Straterra is now not an option.</p><p></p><p>I guess now I need to decide what to do next. I think the Intuniv (sp?) has a similar mechanism of action as the Straterra. Does anyone have experience with either/both who can make a suggestion? </p><p></p><p>Sorry if this makes little or no sense....I'm pretty tired from it all.</p><p></p><p>~R</p></blockquote><p></p>
[QUOTE="SlipperySlope, post: 413597, member: 11389"] Thanks for the replies, and for the book rec, Marg. I will find it ASAP. I set up a signature when I completed my profile. Perhaps I did it wrong? C's diagnosis of ADHD is new. Just since the holidays has he begun treatment for it. The psychiatrist who's treating him now is not completely familiar with his history, and did challenge my reports during our intake. She does not believe that his major problems stemmed from a vaccine injury when he was 15 months old. I was there. I watched him regress from a normally developing infant with a 25 word vocabulary (despite some early sensory issues) to a screeching, hand-flapping, eye-rolling, toe walking autistic kid who simply could not communicate. In the span of about a month this took place. Only after 2 years of early intervention did this seem to correct, and then, only because his Occupational Therapist (OT) found the treatment that flipped a switch for him. Psychiatrist stated she wonders why he was ever diagnosis'ed with AS. She is reluctant to treat his mood disorder. She wants to try and correct the ADHD first, she says, hoping the mood may improve after that. I feel she needs to be a bit more open, and I wont let her keep pushing me around because she doesn't agree with my anecdotal evidence. Initially she put C on Straterra 25 mg for a week, then 40 mg--based on his weight. This really was a wonderful time for us. He could focus and having a conversation with him was suddenly a pleasure again. He did seem pretty wiped out by bedtime, but, this seemed ok because he's historically had some problems getting to and staying asleep. Around week 3, about a week after an eye exam, I noticed his pupils were gigantic. We mentioned it at his next appointment and doctor thought the dosage was too much for him and she decreased him to 25 mg. The next month, he might as well have been taking a tylenol for all the affect it had on his ability to control his impulses and slow his roll. Currently, he's on Concerta 36 mg. I feel it's making him irritable and crabby and more impulsive. He's very easily frustrated and tearful. I know these are potential side effects of the stimulants, but, the doctor led me to believe this was the only way to go, since the Straterra is now not an option. I guess now I need to decide what to do next. I think the Intuniv (sp?) has a similar mechanism of action as the Straterra. Does anyone have experience with either/both who can make a suggestion? Sorry if this makes little or no sense....I'm pretty tired from it all. ~R [/QUOTE]
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