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Vyvanse
My 6 year old boy has been on Vyvanse for about 6 months....I don't really think the dose matters in that each child is different and some clearly need more or less than others. We had tried concerta and had MAJOR sleep and eating issues, which are nonexistent on Vyvanse. Our major issues have been morning routine, which is terrible until the hour is up that it takes for the medication to kick in. He is still oppositional and challenging but not nearly as much and it lasts until around 4 pm or about 9 hours, at which point it starts to wane. When we first started, it acted ALOT longer and I wish it still did. We are dealing mostly with ODD type of behaviors now and I try to just get through day by day.
I strongly believe that their bodies develop a tolerance such that they can metabolize the drug better over time....I am hoping that this is now evened out 6 months into it since it still seems to have the same effect every day now. I know I can up the dose to supposedly get a longer effect, but I find he becomes more OCD and labile and it really seems to still last about the same amount of time. I am starting to believe it should be considered a twice daily drug to be honest. That being said, he does fairly well while on it (only suspended once from preschool). I have lowered my expectations though.
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