   
Daytrana 'Delay' in the Mornings
Q:
My 10-year-old son uses Daytrana. The medicine doesn’t seem to “kick in” until about four hours after we apply the patch. Does the medication take that long to seep into the bloodstream? What can we do in the mornings? 
A:
Although the company that manufactures Daytrana indicates that it starts to work more quickly than you say, many parents have told me about similar delays in effectiveness. If you want to stay with the patch, ask your son’s doctor about the possibility of a small dose of methylphenidate, maybe 5 mg., when he first wakes up. This dose should cover him until the patch kicks in.
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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