This reply was originally posted by user adhdmomma in ADDitude’s now-retired community.
A recent study showed that Risperdal with a stimulant is a successful treatment plan for ADHD with anger and aggressive behavior (with parent training also): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984501/
Knowing he was angry before Adderall means you can rule that out as the sole cause. However, it could be the drug combination, or it could be the Prozac (trying Prozac for anxiety almost caused hospitalization for my son due to his extreme reaction to that medication).
Amphetamines (Adderall and Vyvanse) and Prozac/Paxil have a bad interaction that few doctors are aware of: http://www.corepsych.com/2012/09/adhd-insights-prozac-paxil-ampehtamines/.
There are two types of stimulants: amphetamines (Adderall, Vyvanse, Eveekeo) and methylphenidates (Ritalin, Concerta, Daytrana, etc…). Most individuals do better on one or the other but not both. Given that, I’d ask his prescribing doctor to try a methylphenidate next.
Rationalizing and punishments often don’t work with kids with ADHD. What would be more effective is to address the cause of the unwanted behavior (aggression) and work to help him with that. If you haven’t yet, read “The Explosive Child,” by Ross Greene — it can change your lives.
Here’s more on aggression in kids with ADHD:
ADDconnect Moderator, Author & Mentor on Parenting ADHD, Mom to teen w/ ADHD, LDs, and autism