Just my two cents, but we recently (early April ’19) saw a pediatric psychiatrist to get our 4 year old son on medication, and it was a difficult conversation. That said, we started on Intuniv ER just under 2 weeks ago at 1mg. She said that we will re-evaluate within a month, and then determine if a higher dose is needed, or a different medication is needed (her plan B). We asked what ‘plan B’ meant, even though she insisted that Intuniv would work. She indicated that Vyvanse would be her second choice. I don’t recall particular dosing amounts for Vyvanse, but I assume the lowest dose, since we are on the lowest dose of Intuniv that is offerend now.
Either way, as I posted in a different post, we haven’t seen any “results” yet on the Intuniv, and are getting impatient, since pre-school is still a major struggle with fighting, hitting, knocking shelves over, etc.