ADHD

Question
Posted by: Lisa | 2010/03/29

Q.

In need of sanity!

Our son (6) is on Ritalin - he has ALL the symptoms of ADHD. The problem is early evenings to bed time when we cannot give him Ritalin to reduce his impulsivity and violent behaviour. Is Risperdal the only medicine that can calm him down or is there an alternative? He has to use quite alot of Ritalin during the day to cope and we don''t really want to add more unnatural substances.

Expert's Reply

A.

ADHD Expert

Dear Lisa,

It is understandable that you do not wish to add further medications to a little body, however, as the subject of your post suggests this is an issue which needs urgent attention. Not only for your son's sleep sake but for your own peace of mind.

Your prescribing doctor will be able to inform you of the different calming medications that may benefit your son, taking his medical history into account.

Having a regular calming down/bed time routine, which begins at dinner time, can often assist with the impulsivity. If you remain concerned about adding another medication, speak to your prescribing doctor about natural supplements such as tissue salts or melatonin, bear in mind that severe symptoms are often not as greatly assisted by natural products, however; the least harmful route should be attempted first.

Kind regards,
Delia

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

4
user comments

C.

Posted by: Shelley | 2010/06/01

I have a similar problem, but I have just been to my faithful homepath in JHB - made the trip fomr PE to JHB to see him.
Try this route as he has given me somethign totally natural medicatino to assist in calming - it swill help to sort the problem out and not just the symptom - which is what doctors do
I have a lot of faith in him - he helped my son get better fomr a calcium defeciency allergy as a very young child - you welcome contact me if you want the doctor details etc.

Reply to Shelley
Posted by: Ritalib | 2010/04/09

Snort the Ritalin

Reply to Ritalib
Posted by: BMJ | 2010/03/31

Hi Lisa

As a mom with 2 boys aged 6 and 8 with ADHD, I know how you are feeling. I just wanted to share with you what helped us.

My eldest son moved from Ritalin to Concerta. Concerta is exactly the same as Ritalin (same drug) except that it releases slowly for 12 hours, so you dont have the need for top up doses and we found that we dont have the ''highs and lows''. I also found my son ate better on Concerta.

Ritalin long acting works for 6 hours and I found late afteroons and early evening - lets use a euphamism: trying. Concerta works for 12 hours so we had wonderful afternoons and evenings (but the mornings until he has taken that tablet can be very hyper). Concerta releases 22% of the dose in the morning and the balance in the afternoons - so we found we had to give him 5mg of Ritalin and 36mg of Concerta before school just to help with concentration in the mornings. Over holidays and weekends he only takes Concerta. He use to take 10mg Ritalin in the morning and 10mg in the afternoon. 18mg Concerta was too little and the 36mg just enough (only since he has gone through a growth spurt did we need the 5mg top up).

Lastly - sorry this is getting long. Because Concerta stays active in their system for 12 hours - I found he could not fall asleep at night at 8 (eventhough he had to stay in bed, lights off) and would often only fall alseep after 10pm. This was a problem because he had to get up at 6 for school. Then the pead suggested we give him a Melatonin capsule 30 min before bed. It is NOT a sleeping tablet. It is not habit forming. You do not need a perscription for it and it is safe. It is the natural hormone your body releases when it gets dark making you sleepy. Concerta interferes with that process and causes insomnia. So the Melatonin kickstarts the process again. It works like a dream and I can recommend it with a clear conscience.

My younger son reacts badly to Ritalin so at this point we just try to survive his hyeprness. He does not have concentration problems.

I do hope you get some help because it is HARD.

Best wishes to you

Reply to BMJ
Posted by: ADD/ADHD Expert | 2010/03/31

Dear Lisa,

It is understandable that you do not wish to add further medications to a little body, however, as the subject of your post suggests this is an issue which needs urgent attention. Not only for your son's sleep sake but for your own peace of mind.

Your prescribing doctor will be able to inform you of the different calming medications that may benefit your son, taking his medical history into account.

Having a regular calming down/bed time routine, which begins at dinner time, can often assist with the impulsivity. If you remain concerned about adding another medication, speak to your prescribing doctor about natural supplements such as tissue salts or melatonin, bear in mind that severe symptoms are often not as greatly assisted by natural products, however; the least harmful route should be attempted first.

Kind regards,
Delia

Reply to ADD/ADHD Expert

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