Reply To: What’s next? Med failure

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Penny Williams
Keymaster

It’s probably time to look at a combination of meds so he can take a stimulant and get the benefit of it. As brandi said above, guanfacine or Intuniv is often combined with stimulants to help with rebound and moodiness.

Many kids take a low dose afternoon booster as well, so that the medication diminishes more slowly.

There are two types of stimulants: amphetamine (Adderall, Vyvanse, Evekeo…) and methylphenidate (Ritalin, Concerta, Quillivant…). Almost everyone does well on one type or the other, but not both. It sounds like a methylphenidate might be better for him since he had no negative side effects, IF you can get a med and dose that work for your son.

A Patient’s Primer on the Stimulant Medications Used to Treat ADHD

Sometimes using a liquid is helpful because you can tailor it to any dose, where the pills only come in certain increments with big gaps.

Penny
ADDitude Community Moderator, Parenting ADHD Coach, Podcaster & Author, Mom to teen w/ ADHD, LDs, and autism