Hello! I have been away from this board for a long long time (not because things were going perfectly, but because I felt like I was managing things alright). I could not even remember the website but eventually remembered and here I am. 3rd grade is off to a rough start. Has anyone else had a pediatrician who is reluctant to prescribe Tenex instead of Intuniv? Tenex is cheap. Intuniv is not. We cannot afford Intuniv. We saw a psychiatrist who recommended Intuniv and he was working with our pediatrician - however once we realized how expensive it is, we did not fill the rx and asked for Tenex instead. Our pediatrician consulted with the p-doctor and he told her there was no literature to support using Tenex this way. We asked our pediatrician again and told her we have read numerous articles to suggest Tenex has been successful for use in the hyper/impulsive aspects of ADHD. She is not comfortable prescribing it unless she has a psychiatrist to work with directly. She keeps insisting counseling is the way to go. We don't agree. There are not a lot of options for other docs where we live. Anyone have any advice on this? TIA! Just a little background info: We have tried most stimulants and once we increase the dose enough to hopefully see better results, difficult child becomes agitated and aggressive. He is definitely better on the stims than without them, but we still have most of the typical ADHD issues, just not as bad as without the medications. What we are really trying to control is the irritating behaviors like picking on ppl, purposely annoying ppl, wants things his way, defiant, seems to think only about himself, constantly irritating everyone, pushing everyone's buttons, etc. - in addition to paying attention, focusing, and not forgetting his belongings all the time. The first hour in the morning is the worst and then evenings are awful too.