Well, your school is certainly not helping by taking away recess. Recess is highly recommended for ADHD kids and should be a part of the IEP. I am the CL on the ADHD forum - http://www.medhelp.org/forums/ADD---ADHD/show/175
There is a lot of information that you or the school does not seem to have gotten. Lets continue the discussion on the ADHD site.
Oh, forgot to mention, ya I would try an avoid the Tenex. It is sedating and once started must be continued to be effective.
its always possible that the tics were caused by the pressure of school.
Check out this link. http://www.additudemag.com/slideshow/63/slide-1.html?utm_source=S@S&utm_medium=email&utm_campaign=October
I have moved this post over the ADHD forum, thank you!