My son (9) has been diagnosed with ADHD and uses Concerta 36mg once daily. He has been using these meds now for about a year. During school holidays his meds are discontinued as a result of his poor appetite etc. Upon resuming his meds (and until the next holidays) he presents with an eye-darting manifestation, particularly during the evenings. During the holidays when he does not use the meds this does not happen. Is this normal, or is this an indication that the meds are not suitable for him? The medication controls his symptoms quite well and he is coping at school. This eye-darting phenomenon only started about two months ago. He is also extremely irritable in the evenings when he "comes off" the medication. Any assistance would be appreciated.
Bothof the effects you note are due to the medication. The symptoms do not demand that the medication be discontinued. It's a matter of balancing the benefit of the medication against the side effects. Discuss this with the prescriber. If, on balance, the gains your son receives from the medication outweigh the side effects, he may well remain on the medication. Another option might be to go to a 27 mg dose and see if he receives a similar benefit without the side effects.
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