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When is too much concerta too much?
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<blockquote data-quote="gcvmom" data-source="post: 66058" data-attributes="member: 3444"><p>Our psychiatrist prescribes stimulants according to clinical benefit, but starts off based on weight and then goes from there, titrating up as necessary. FWIW, difficult child 2 was at 144mg of Concerta (I know, it sounds outrageous, but it was working for a while -- that's before his latest disorder made itself known to us).</p><p></p><p>What you describe happening is not a case of too much stimulant with an ADHD child -- if that were the case, he'd be very quiet and withdrawn, and you wouldn't be seeing the bizarre behavior that you're describing.</p><p></p><p>In my "unprofessional" opinion, the increased stimulant is bringing out something entirely different -- and I won't even venture to say what since I don't know your son's history. Suffice to say that he probably would benefit from a different class of medication altogether.</p><p></p><p>My difficult child 2 became somewhat manic on stimulants over time, even though his primary diagnosis is ADHD (now thought to be severe with an overlapping mood disorder of some sort). On certain medication combos with a stimulant, my difficult child 2 DID show increased interest in things of a sexual nature, at least as far as his limited knowledge and life experience would take him. He also became very goal-directed and would over focus on certain activities -- almost to an obsessive level.</p><p></p><p>I'd recommend a prompt phone call to your son's doctor to alert him to these new behaviors. You certainly are right about wanting to nip the problem now before school starts.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="gcvmom, post: 66058, member: 3444"] Our psychiatrist prescribes stimulants according to clinical benefit, but starts off based on weight and then goes from there, titrating up as necessary. FWIW, difficult child 2 was at 144mg of Concerta (I know, it sounds outrageous, but it was working for a while -- that's before his latest disorder made itself known to us). What you describe happening is not a case of too much stimulant with an ADHD child -- if that were the case, he'd be very quiet and withdrawn, and you wouldn't be seeing the bizarre behavior that you're describing. In my "unprofessional" opinion, the increased stimulant is bringing out something entirely different -- and I won't even venture to say what since I don't know your son's history. Suffice to say that he probably would benefit from a different class of medication altogether. My difficult child 2 became somewhat manic on stimulants over time, even though his primary diagnosis is ADHD (now thought to be severe with an overlapping mood disorder of some sort). On certain medication combos with a stimulant, my difficult child 2 DID show increased interest in things of a sexual nature, at least as far as his limited knowledge and life experience would take him. He also became very goal-directed and would over focus on certain activities -- almost to an obsessive level. I'd recommend a prompt phone call to your son's doctor to alert him to these new behaviors. You certainly are right about wanting to nip the problem now before school starts. Good luck! [/QUOTE]
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