ADHD

Question
Posted by: Lesley | 2009-08-06

Q.

Query

Hi All
My 9 year old son is going to be put on Ritalin for the 1st time.What I wanted to know is what factors determine the dosage as I also want to see if the doctor is doing a thorough job..His been diagnosed with ADD about 2years ago, since then Iv put him on supplments and the teachers to date are still complaining about his concentration and not completing tasks.He goes to a school that caters for kids with ADD and if they are advising me that theres still no improvement, then I feel I have to try him on Ritalin to see if there is any improvement.The educational pysch that diagnosed him, I wasnt too happy with, as I personally felt that she didnt really diagnose, but more agreed with what I was telling her, but I do know that he has a concentration problem as its eveident in his work and since grade 1 right up to now grade4 I get the same complaints and concerns from the teachers.......Please advise what the doctor will be monitoring or looking for when prescribing the ritalin?

Expert's Reply

A.

ADHD Expert

Dear Lesley,
The dosage is largely dependent on the severity of your son's symptoms as well as his weight and age. As every person responds to medication differently there may some upping and/or lowering of the dosage initially until the optimal dose is found. Once this is achieved, the dosage should be checked every 6 months to make sure he is still benefiting from the medication. If his teachers do not already know of the medication decision, perhaps wait a few weeks prior to telling them: this will give you the best indication of whether it is working adequately. Many children experience side effects such as stomach cramps, head aches, listlessness and loss of appetite; these should disappear after a few weeks. Please, please, please contact your doctor if you are unsure about anything regarding the medication.
Best wishes,
Delia

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2
user comments

C.

Posted by: Lesley | 2009-08-08

Thanks SO MUCH for the feedback....Im really nervous about doing this...but we will play it by ear and see if it works

Reply to Lesley
Posted by: Tinkerbell | 2009-08-06

They normally take the weight and age of the child when it comes to the dosage. But it can also be trial and error. What I did with my son was, I kept a daily diary of his moods and complaints etc. At the beginning my son used to complain of stomach ache but that is normal and will go away. My son has been on Concerta (made him very moody changed his personality totally) then he was strattera never work at all. He is now on Ritalin LA 20mg which he takes before school and works for 6 - 8 hours. During exam time I give him 10mg short acting ritalin in the afternoon to help him study. He doesnt take the ritalin over weekends or holidays. Just monitar your son, if you arent happy phone the doctor.

Reply to Tinkerbell

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