We are new to medication for our 9yo boy who has ADD and NVLD diagnoses. He went on Metadate 10mg in the morning back in August. We noticed the “hard crash” almost immediately; it was very out of character for him to be so emotional. We went back to the prescriber to trouble shoot and we got microdoses of ritalin short-acting- 2.5 mg to take at school at 1230P and optional second booster dose of 2.5 when he gets home at 400PM. It seems to be helping- the crash is less emotional and volatile, and he’s more reasonable.
Sharing this in case it helps anyone to bring some ideas to their prescriber. Medicating is such a tough road- good luck everyone!