"My son takes a small dose of Focalin before school. His teacher says that he starts to get 'silly' around nood. What's going on?"
Larry Silver, M.D.
Focalin tablets typically last about four hours, so, odds are, it's simply a matter of his morning dose wearing off. Ask the doctor if your son should take a second dose around noon, or should switch to a long-acting stimulant medication that would cover the entire school day. If you decide on a noontime dose, your son should go to the nurse's office to take it.