The best practices standard of care is to always start a stimulant medication at the lowest dose and increase only if and when needed, to determine the optimal dose for that individual. The doctor needs your feedback and maybe the school’s to determine if/when changes in dose (or medication) are needed. I always advise parents to keep a daily journal when starting and adjusting medication. Note all of the following with the time for each: medication taken, supplements taken, if any, what he ate and when, sleep, and positive and negative behavior with the environment, antecedent and what happens after. This will help you and your son’s clinician immensely.
ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism