We saw the developmental pediatrician today. We were going to spend about 10-15 minutes talking about medication and the rest talking about behaviour managment issues. That was the plan. But we've been trying to sort out the dose on the patch, and not been having QUITE as much success as we'd like, so we ended up spending the entire 50 minute session working out medication ideas.
Essentially, the patch is working really well. But not exactly the way we'd like. At the lowest dose the patch comes in, his hyperactivity/impulsivity was still not controlled quite enough. At the next dose (50% higher), his hyperactivity/impulsivity was totally under control, but he became melancholy, lethargic, disinterested, and sad. So we moved him to 1 1/4 patches of the lower dose, which is a pain in the neck, but doable. Unfortunately, we still saw the mood side-effects, though to a lesser degree, which is just not okay. It's very difficult, this balancing act. It breaks my heart. I don't want to lose my vivacious little boy who is so full of life and love and energy and hope and beauty.
Karen is the contributing editor for ADHD. She writes daily at her personal blog, Chez Perky, where she covers not only life with her vroombunctious preschooler, but also triplets.