When to Reduce Dosage of ADHD Meds


"Last week, our doctor increased my son's dose of stimulant medication, and he's been having a hard time falling asleep. Should I call the doctor now - or should I wait until the end of the 30-day "trial period"?"

Dr. Larry Silver specializes in treating children with attention deficit disorder (ADHD).

If a dose of stimulant medication is going to work, you'll know it within several days. That's why I usually adjust the dose every week or so. Your physician seems to want to wait 30 days. Show your physician the article, "Dr. Silver's Seven Rules for Using AD/HD Medications." Sleep problems should be addressed if they don't go away within several days.

Larry Silver, M.D., is clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C. and director of training in child and adolescent psychiatry at Georgetown University School of Medicine. He is a former acting director and deputy director of the National Institute of Mental Health, as well as 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.
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