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Really bad day....how long for medication to take affect?
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<blockquote data-quote="Marguerite" data-source="post: 232186" data-attributes="member: 1991"><p>Sometimes stims work with a Pervasive Developmental Disorder (PDD) kid (if there is an ADHD component) and sometimes they don't. Sometimes it needs a different stimulant. With Concerta, it's basically long-acting ritalin. Did he respond to ritalin at all? It should have been tried, if only to see if it would work and to sort out a dosae. A lot of doctors these days, though, do go straight to Concerta.</p><p></p><p>If it's going to work, it takes about an hour at most to show a gradual improvement. By two hours, it's as good as it will get. Depending on the dose, as it wears off (this goes for all stims) you can get rebound, where it's as if you get the accumulted behaviours you would have had (but didn't due tot he stims) ALL AT ONCE at the end of the day. Nasty. Some of them get teary, some get aggressive. Some just bounce off the walls.</p><p></p><p>maybe you've not seen any improvement because the dose is still not at full strength yet. </p><p></p><p>Keep a diary of what you notice each day, good bad or indifferent. That way you can pinpoint changes due to the medications, more accurately.</p><p></p><p>If it's not doing anything or causing problems, you can thank you dexamphetamine. We get a sustained release form privaely compounded, because our kids can't take Concerta due to rebound. A friend of ours takes Concerta but not dex, because he got rebound on dex.</p><p></p><p>it's never a cure. I was disappointed when GFG12 started taking stims (ritalin), because although there was slight improvement, the main problems persisted. Turned out it was the wrong stimulant plus the dose was too low.</p><p></p><p>Mind you, it was spectacular for difficult child 3 - he was still bouncing off the walls, but finally had a sense of direction and was communicating much better.</p><p></p><p>The rule of thumb should be - if it's not making enough difference to justify the expense or the hassle, then it's not worth the trouble. Temple Grandin calls it the "Wow!" factor. It has to have Wow factor or you may as well stop it.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 232186, member: 1991"] Sometimes stims work with a Pervasive Developmental Disorder (PDD) kid (if there is an ADHD component) and sometimes they don't. Sometimes it needs a different stimulant. With Concerta, it's basically long-acting ritalin. Did he respond to ritalin at all? It should have been tried, if only to see if it would work and to sort out a dosae. A lot of doctors these days, though, do go straight to Concerta. If it's going to work, it takes about an hour at most to show a gradual improvement. By two hours, it's as good as it will get. Depending on the dose, as it wears off (this goes for all stims) you can get rebound, where it's as if you get the accumulted behaviours you would have had (but didn't due tot he stims) ALL AT ONCE at the end of the day. Nasty. Some of them get teary, some get aggressive. Some just bounce off the walls. maybe you've not seen any improvement because the dose is still not at full strength yet. Keep a diary of what you notice each day, good bad or indifferent. That way you can pinpoint changes due to the medications, more accurately. If it's not doing anything or causing problems, you can thank you dexamphetamine. We get a sustained release form privaely compounded, because our kids can't take Concerta due to rebound. A friend of ours takes Concerta but not dex, because he got rebound on dex. it's never a cure. I was disappointed when GFG12 started taking stims (ritalin), because although there was slight improvement, the main problems persisted. Turned out it was the wrong stimulant plus the dose was too low. Mind you, it was spectacular for difficult child 3 - he was still bouncing off the walls, but finally had a sense of direction and was communicating much better. The rule of thumb should be - if it's not making enough difference to justify the expense or the hassle, then it's not worth the trouble. Temple Grandin calls it the "Wow!" factor. It has to have Wow factor or you may as well stop it. Marg [/QUOTE]
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Really bad day....how long for medication to take affect?
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