Firstly, I am concerned to hear a school demand a child be put on medication; despite wanting the best education for a child, teachers are not in a position where they can make this call. Dry lips and loss of appetite are unfortunately common side effects of concerta. There is little you can do to make him drink more water; he may be avoiding it due to feelings of nausea. Your paediatrician/doctor will be in a better position to recommend any nutritional shakes as s/he knows your son's history. I have mentioned the Dore programme as an alternative to medication to a concerned individual earlier in the year, as you dislike the idea of medication this may be a preferable route for you and your son. Alternatively, different medication may cause fewer side effects; as everyone responds differently to medications it is impossible to guarantee. As a parent, you want the best for your child, and it is important he be able to concentrate and learn and be a part of the class, however, no teacher should push you to follow a path you are uncomfortable with.
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