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Thanks for your reply. I have tried Adderall, but it has been about 3 years ago. He became very agitated after only one dose. He is so sensitive to them. I have been scared to try it again. I have not tried Dexetrine. We just tried Concerta again (27mg). It was ok, but I could tell didn't kick in as fast or as effective as ritalin. I'm scared to go to the 36mg because of his sensitivity to the stimulants. He does great for about 4 hours on 12 1/2 mg of ritalin. Any more and the side effects are too great. It is frutrating! I sometimes give him some caffiene drinks after lunch to help a little. Do you find caffience helps at all??[/QUOT

WHat I have found what's best for me, and by direction from my doc, is try different things, little changes each way until I'm comfortable. Keep in mind, it's easy for a grown up, whereas a child isn't as in tuned with himself, and can't express his feelings as well. But I've found that Adderall XR, which basically takes a 10 milligram dose and releases it a little at a time over 4-6 hours. Instead of on big hit of ten milligrams (which makes me shaking, a nervous. I take the extended 10 twice a day. (10 mg is actually a small dose, cause I'm sensitive to this kinda stuff too. My fiancee takes twice as much!)

Caffiene helps too. Through out the day, I drink about three diet sodas. I never like to end a day with caffiene after the Adderall wears off, because caffiene, as far as I know, can make you agitated, awake, edgy. These are all things that Stimulants can do, but caffiene to me always feels "dirty" like it's more likely to do bad by itself, rather than along side a prescription stimulant.

Here comes the "I don't have kids" advice, but I'll let ya take it anywhich way. You mentioned that your son took one dose of Adderall, got agitated, and you never tried again. For me, it took a few days, and few different levels to get comfortable. You could give your son a week or so, adjust the dose, and also try an extended release. You might also want to cut out the caffiene, I kinda think of that as an adult's drug, something where we can really be in tune with our body to monitor it. Whereas a kid can't.

So you're trying concerta 27mg, but it's not as fast as Ritalin. As you know, it's the same medication, just extended vs. all at once. It definitely won't be as fast, but fast is also a prblem with your son ritght? Maybe the ritalin is too much to fast, and then it it wears off, and your son is having a "comedown." Hmm, ask your doctor about this, but I've done this with Adderall, you could try the higher dose, or perhaps try a smaller dose, or the same dose, but twice a day. You could also, and I'm not sure if you can do with with ritalin, but you could break up a regular ritalin pill and give your son a piece of the pill, plus his concerta. that way, he's getting a boost with the small ritalin, but also getting the extended benefits of the concerta. It's not uncommon for people to control their doses like that. But defnitely ask your doctor. I'd also say that your doctor should be giving you options like the one's I'm describing, but hey, maybe I'm missing something. Let me know if any of this helps:)

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