ADHD

Question
Posted by: Jacques | 2011/05/12

Q.

What do i do .... child was on strattera

Hi Doc

Ok my 11 year old daughter is now of straterra as the side effects of the meds was to great. (my previous post explained this)

Her doctor (pediatrician) has decided to put her on Concerta !!

just a short summary

prior to going on any drugs we visited a child psychologist and she indicated that the child is very intelectual for her age. This was when she was 5 years old. She had slight problems with attention as she would finish early with any work given and then sit and sing and make sounds, we then moved her to a class with older children and things improved greatly as she stayed busy.

She never had a hyperactive problem, mainly attention, and she has always been a very creative person that likes to draw and create things and she can stay busy for hours on end with what she is doing.

going to school in Gr1 she was fine until the teacher contacted us late in the year telling us that she doesn''t concentrate in class, and she made sounds in class, we had to take her to some doctor in pretoria for evaluation and he then told us that she should go on ritalin (he didn''t really look like he wanted to), it was only possible to keep her on ritalin for a week as she was very tearfull and could not function at all even while taking anti depresants, we then took her of the drugs and took her for ocupational therapy, this helped her to develop her motor skill''s as she stuggled with this, and she did fairly well. the only problem was still the concentration part. she eventualy was put on strattera in gr3 until now in gr5.

i would like to know if i should put her on concerta or do i have her evaluated by a profesional again? her doctor is only a pediatrician so not sure if he could just decide what medication she must go on?

Expert's Reply

A.

ADHD Expert

Dear Jacques,

I would understand if you were not eager to revisit the same doctor who prescribed the Strattera initially, however, s/he would have your daughter's complete history already and may be in a better position to make further recommendations. However, if you feel more comfortable with your pediatrician, provided s/he has worked extensively with ADHD, s/he can prescribe the medications.

If you have the impression that the problem is not ADHD, I would suggest getting a second opinion.

I hope this helps as you seem to have been going through a lot of late.

Kind regards,
Delia

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2
user comments

C.

Posted by: Lulandi | 2011/05/25

Did the pediatrician send your daughter for a phsycological evaluation? Before diagnosing ADHD, the child has to go for a proper phsycological evaluation and there after they can diagnose what ever the condition is and on which aspects the child needs treatment. My son has ADHD, he was diagnosed at the age of 3 years and 6 months. Also very clever, he walked on 7 months, talked and got off the nappy on 7 months. He started off with Strattera, it helped my son a lot, but also after 2 years his body got use to it and we had to get something else. so we tried Ritalin, but only for 2 weeks because it had no effect once so ever on my son. So now he has been on Concerta and Risperdal for the past 2 years and he is a wonderful child, enjoys everything in life and is the top student in his class. Feel free to use Concerta.... but I would rather consider a proper evaluation, reason being there is so many conditions walking hand in hand and can be so easily misdiagnosed. Good luck!

Reply to Lulandi
Posted by: ADD/ADHD Expert | 2011/05/16

Dear Jacques,

I would understand if you were not eager to revisit the same doctor who prescribed the Strattera initially, however, s/he would have your daughter's complete history already and may be in a better position to make further recommendations. However, if you feel more comfortable with your pediatrician, provided s/he has worked extensively with ADHD, s/he can prescribe the medications.

If you have the impression that the problem is not ADHD, I would suggest getting a second opinion.

I hope this helps as you seem to have been going through a lot of late.

Kind regards,
Delia

Reply to ADD/ADHD Expert

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