The preference for managing such a young child is to be conservative and to focus on OT, classroom intervention, and behaviour modification. Only if that fails, then we would start methylphenidate - preferrably short-acting, and later on longer acting formulations (as he grows older). It is strange that the Neucon only "kicks in" after 4 hours - please discuss with his doctor. Consider supplementing with omega 3 and 6, and if no effect, consider genetic testing for which medication he will respond to better.
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