I an 29 was diagnosed not more than 6 months with ADD. I have been on Ritalin not more than 5 months now. My results are totally confusing my doctor but he insists i must continue. By Jan 2012 i will be put on concerta which my doc believes is better than Ritalin. ( I live in Holland health insurance can only be changed once a year-Dec so i must find an insurer willing to pay for concerta) My experience is reading gets horribly worse with Ritalin plus focusing gets almost non existence with Ritalin. But the reason i continue to take it is my libido is been greatly improved. (like from a 1 to a 10) My conclusion is Ritalin only magnifies only ones interests. If your Child gets worse at home its probably because he wants to play/ mess around at home, while he probably knows that school means work so when at school gets serious. Remember Ritalin works by focusing ones brain on activity he is 'aiming' at despite my strange experience with books
Ps. More strange pluses Head aches gone, can sleep with ritalin, i feel more awake while awake
Firstly, that is a really tiny dose of medication for the day. Ritalin is quick-acting, but not long-acting, and wears off in about 4 hours. Some people do experience a nasty let down effect as the meds wear off - a good hour or more of totally hyper, almost out of control type behaviour, and often lots of emotional swings. Once the meds are gone, if the hour or so hasn't started huge fights and getting into trouble, most will settle back into their non-medicated selves.
Why is your son on ritalin instead of one of the longer acting meds? Ritalin really should be at least 2 times a day, usually 3 times.
If you think the teacher is seeing a placebo effect, then don't give the med some morning, or even a couple of mornings, before school (don;t tell them), and see what happens. If the school starts mentioning problems, then you will have to accept that it is real.
Do you give the meds on the weekends? If so, what do you see for the first 4 hours then? After that just doesn't count - it is the med wear off.
Also, is it possible that he is doing well in part because of the structure at school, and there may be less structure at home?
if you go to the website for vyvanse they will allow you to sign up for the membership program in which you get 1/2 off your copays for a year. I am not sure if this will work for you but it allows me to pay 17.50 a month for my meds. I hope it works!!! Our kids are the most important thing in the world and the decision to medicate them is one we do not take lightly. It is a struggle to always know if we are doing what is best for them. I understand your journey!
Thank you for mentioning this. I'm checking their site now. Due to MedCo forcing my company to use mail order, I'm looking at a potential $1200 prescription bill by mid-February... and I don't have an FSA so if it ain't in the medical acct, it comes OOP - which I don't have.
You are probably experiencing what is known as REBOUND. Dr. Paul Elliot (one of the early ADD experts who was unbelievable generous with his time and information on early support groups like this one) distinguishes it more clearly with his term "filtered rebound."
Below is from Elliott's content on the topic - part of the materials of my Brain-based ADD Coach Training Curriculum (not currently offered, btw, but still covered by copyright protection). Paul's medication of choice is not R. - so I have edited out the references to the stim he does prefer to keep from confusing anyone.
About 15-20% of patients will not need a second dose of [medication] at the end of the xx-hour period. [meds duration period] They simply notice that the benefit of the medication fades away, with a gradual return of the ADD symptoms.
The remaining 85% of patients, however, will notice a rather abrupt drop-off in the effect of medication, with a rapid return of the ADD symptoms. In fact, patients often experience a rebound of the ADD symptoms, which are actually amplified above the pre-medication level. I refer to this as "filtered rebound."
By this, I mean that even though the medication's effectiveness has subsided, there is still a small amount of the medication remaining in the blood stream which can modify the symptoms of ADD as they return.
Therefore, the symptoms in this rebound period may be somewhat different from the symptoms in the pre-medication state, and are frequently amplified over the pre-medication state.
This "filtered rebound" lasts anywhere from 2-8 hours, but is more likely to be toward the 8-hour end of this range.
Because of the rebound effect, adults and children may have difficulty going to sleep. There are several ways this can be managed, but it frequently does not indicate too much medication, as is often assumed. What it actually represents is too little medication at the wrong time.
Hope this helps.
mgh (Madelyn Griffith-Haynie, SCAC, MCC - blogging at ADDerWorld and ADDandSoMuchMore - dot com!)
Madelyn, this is great information, I think it's probably contrary to what most people assume, which is that their dose is to low. I am currently struggling w/ trying to figure out if I need to increase my 9 year olds meds as he is not "hyper" in school and his behavior reports are great, but his grades have taken a sudden drop for the worst and he is a gifted student.