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Karen and Goody,

You ladies have a tough, tough problem on your hands. Too bad you didn't have it when I was 18 and had all the answers.

Best I can do is say you both are good parents excersing good judgement.

Strattera works. If you opt for it, you'll have to sell it well. Not everyone experiences side-effects. Nevertheless, Strattera can be brutal first couple weeks for many if not most users. That in itself can be cause for failure.

Another option you can very cautiously consider is Concerta. A methyphenidate high "sucks" to start with. Concerta's slow release makes it suck even more. I'm talking like a teen because that is how they think. It is not as abuseable as Adderall. Hence its "market" value is much lower especially if Adderall is available. And Concerta is not snort friendly.

Why risk it? A lot less possibility of nasty upfront side effects. Us ADHDers want action NOW. We certainly don't want things getting worse before they get better.

Additionally, if Concerta has no (zero) efficacy neither will Adderall. It blows the "it ain't working for me" con out of the water. Tell a doctor Concerta doesn't work at all, and you are out of the running for stimulants altogether.

Even so, don't do Concerta unless you can police your daughters meds. Is there any way to do that? Can you or someone you trust hold the bottle and dispense preferrably on a daily basis? It not daily, weekly?

Honestly, I never took so long to post. I've thought and rethought. I'm nervous about Concerta. I'm nervous about Strattera. Sometimes all options suck. Which one sucks less?

Bob





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