There has been no tics with medadate in him. Anger , frustration a lot. With him can't tell to do very much or he will get to counting on his fingers for you to stop bothering him.Off the meds he dosen't do that.You just have to keep on saying pleas get this done.I don't know about Tics, I have seen them in people .

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update - the tics have mostly resolved, but we have not had our son on any stimulants for a few months now. He did much better academically with the stimulants, but have spent the last few months trying guanfacine and clonidine, which seem to help with behavior, but not so much with attention.

When the fall comes around, I think we may ask his doctor about ritalin or concerta, since he hadnt tried those.

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My daughter developed tics on Focalin, and it took 6 weeks of Intuniv (Tenex) to stop them. I was so scared of what was happening in her brain. Her tic was deliberate blinking. She was embarressed at school. The Intuniv was not right for her ADHD, but was good for the tics. It made her fall asleep at school - she was in a fog. We tried Vyvanse. She lost a HUGE amount of weight and so we tried Daytrana patch (b/c she also hated taking the med). It is a miracle. Still a little appetite suppression, but nothing we cannot live with. Itches a little at the patch site. The search for the right meds while a tic is happening is so very frustratinh. My thoughts are with you. Keep the faith!

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I've read that stimulants in general (including Ritalin, I think) can either make existing tics worse or bring out tics that were already present but subtle enough to not cause a problem. There should be a couple other classes of medications that aren't used with ADHD as often that are sometimes used in cases where a patient has both ADHD and tics or Tourett's syndrome. They're not as commonly prescribed, so your doctor may not consider them an option unless you specifically bring it up.

I can't remember the exact names of those medications, but I'm pretty sure I still have the book I read it in (Driven to Distraction) so I will look it up later and try to get back to you as soon as I find the medical names for those drug classes.

You may also want to consider shifting to a half dose in the morning or whenever the tics are most frequent (my older sister, who has bipolar syndrome, suggested this to me earlier) and also make sure your child is eating a decent or slightly more than average amount of meat protein. I've experienced shakiness on my stimulants, usually in the mornings more than the afternoons, and though I haven't tried the half dose issue I have started tweaking my diet to include more protein for breakfast and it's worked so far.

Scrambled eggs and bacon are easy to make with a microwavable bowl (or plate and paper towels for the bacon), a fork, and some milk (regular or alternative, I use rice milk myself), contain a lot of protein, and can be made in the microwave, where as plain old cereal and fruit or Pop Tarts are mostly carbs and sugar, which get burned off very quickly and combines with the appetite suppressant side effects to leave one with feeling no need to eat but shaking and twitching out of hunger and low blood sugar.

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