Your daughter has been on medication for a long time. It does make sense periodically (e.g., every one-two years) to take a break from the medication in order to gain some sense of the child's current baseline and to make a determination of the need for medication. This is particularly so when children reach the age when their cooperation is an important ingredient. Your daughter is reaching that age. If the pre-teen or teenage child is not cooperating with the plan, it's often not a good idea to continue, because we might not be able to determine with any confidence just how often the child is actually taking the medication. Of course, parents should always
handHand or foot spasms
Hand tremor the medicine to the child - the child should never be put in charge of the medicine. And, with some children, it's important to actually monitor them when they are
swallowingPainful swallowing
Swallowing difficulty it. However, there's litle point in permitting the matter to be a forum for struggles. If any change is planned, be sure it occurs in concert with the prescribing clinician.