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ADD / ADHD Message Board

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As a rule, I tend to stay away from the threads about children, as I have very little practical experience with them. In addition, I know that many medications, including ADHD meds, can have different effects in children than they do in adults. However, since you asked my opinion, I'll help as I can. :)

I'm personally not a believer in Concerta. My own experiences with it have been wildly underwhelming, and I've heard many stories from others to the same effect. On the other hand, I know of people that swear by it. I feel it's due to the way the medication is delivered with Concerta that makes it such a hit or miss med; because Concerta has to be metabolized in the body before becoming active, it's my own personal belief that it is very sensitive to personal differences in metabolism, and I wonder if the bioavailability of the methylphenidate from Concerta can vary dramatically (these are my opinions, I'm not quoting research).

If the med isn't doing your son any good, there's no reason, in my opinion, to keep him on it. I'm curious, why was your son switched from Vyvanse to Concerta? Was Vyvanse ineffective? If so, you may consider another methylphenidate option, such as Ritalin or Focalin, to see if a more direct delivery of the medication is more effective, or perhaps one of the antidepressant style meds (like Intuniv, Strattera or Wellbutrin). Finally, I would look at Adderall, as it tends to be effective in many situations where other options are not, though it can also lead to more side effects and crashes, as it's a much less refined option than many of the more recent medications.

I hope that was clear and I didn't ramble too much. ;)

Best of luck.

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