   
Rebounding on Meds
Q:
"Stimulant medication works well for my 10-year-old son during the day, but he experiences severe rebound - whining, crying, and so on - as the medication wears off in the evening. What can we do?" 
A:
Work with your doctor to see if a different dosing schedule might help. This could mean adding another short-acting dose at about 6:00 p.m., or using an eight-hour dose in the morning and a four-hour dose at about 4:00 p.m. If you try either of these options, monitor your son closely to make sure the second dose doesn't interfere with his sleep. If neither option works, ask your doctor about trying a non-stimulant medication.
Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
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