ADHD Medications for Children – Hindsight is 20:20

To Medicate or Not To Medicate


Medicine

The Be All, End All?

Many parents struggle so hard with this decision when they get the diagnosis of ADHD for their child.  The question is a rather controversial one.  Are ADHD medications good for children?  It’s a big debate.  Here’s the thing, all medications have side effects.  That’s only one factor to consider.  The other factor that really needs to be seriously thought about is that it often takes years to find out exactly what’s wrong with someone based on some symptoms.  This applies to both adults and children but, with kids, you don’t necessarily know all of the symptoms right away.  And you could find yourself in a position where the ADHD meds could make things a whole lot worse.

 

Is It Really ADHD?


Do the doctors and pediatrician’s know for sure that your child suffers from ADHD and that all of their symptoms are solely caused by the ADHD?  No.  I promise you they can’t possibly know that.  They go off of a “safe to assume” type of decision based on parental complaints, surveys, teacher questionnaires, and the list of symptoms presented to them…usually.  We have been managing my son’s ADHD for 5 years now.  Some people tell me, “He couldn’t possibly be ADHD, he’s so well behaved!”  Okay, first, he IS not ADHD.  He has a disorder, but he is my son.  He is who I named him.  Secondly, he’s well behaved because he has a good mom.

Hyper

Teach Control

We started medicating my son at 3 years old.  We did so because he was violent, destructive, and impulsive which is a very dangerous combination.  He could not function in a school setting and was looking at getting expelled from pre-school.  But…hindsight is 20/20.  If I knew then what I know now, I wouldn’t have done it.  Although, had I not done it, I’m not sure we would have figured everything out.  Everything happens for a reason.  My son has epilepsy.  The ADHD is secondary to the epilepsy…meaning the symptoms are caused by the epilepsy.  It just so happens that ADHD medications trigger seizures in people with seizure disorders.

My son quickly went from having ADHD to having ADHD, sensory integration or sensory processing disorder, narcolepsy, to epilepsy.  It got pretty darn scary there for awhile.  He started sleep walking and making funky noises in his sleep which just creeped me out!  I would wake up in the morning and find him asleep on the cold tile floor in the kitchen.  Or I’d find him in the middle of the night sitting on the couch making sound effects while sound asleep sitting straight up.  Scary times.

 

Medication vs. Behavior Therapy


I mentioned my son is well behaved.  This is a touchy subject with me because my son has been mistreated by a few different teacher’s now because his symptoms have been mistaken for behavior issues.  My son has a neurological disorder which causes him to struggle with staying on task and keeping focused.  His inability to do so does not indicate a badly behaved child.  Now…that being said, if he was throwing things, yelling, screaming, hitting, kicking, throwing fits, talking back, being disrespectful, etc., etc. … I would say yeah…my son has behavior problems.  But he doesn’t.  He knows better.  Okay, that was my rant for the day, back on track here…

Symptoms of ADHDIt is important for parents to understand the difference between a symptom and a behavior.  I think that’s where a lot of things get confused.  Bad behaviors should not be tolerated by parents and excused based on the fact that the child has ADHD.  Bad behaviors should be corrected no matter what.  Think about it, as an adult, society does not excuse bad behavior based on an ADHD diagnosis.  If I throw a temper tantrum and punch a cop, I’m going to jail… if I survive.  Children need to be taught to conform to the laws and rules no matter what their disability is.

Symptoms should be worked with but not considered bad behaviors.  Symptoms are things that a child cannot help.  People with Tourette’s Syndrome have tics.  The tics are a symptom, they cannot be helped.  Throwing a temper tantrum is a behavior…a decision is made to do it and it can be stopped and started at will.  This is some of the stuff that behavior therapy works on.  You teach a child ways to behave.  You teach them coping mechanisms for the behaviors that may be influenced by their disabilities as opposed to shoving pills down their throats as an automatic fix.

My son has been off of ADHD meds for a little over a year now and other than being off task, trouble focusing, and sometimes a bit hyper, he’s doing fantastic.  His mom started teaching him when he was young how to cope with symptoms and how to control his behavior.  Now, at 10 years old, he’s able to tell himself to take a deep breath and relax when he starts feeling a little out of control.  And he does so without having to be prompted.  Pills didn’t do that.  Mom’s behavior therapy did.  Mom couldn’t afford all of the therapists and specialists over the years so he never received official behavior therapy.  I’m sure if he did, maybe he’d be a little more organized today or a little better at staying on task.  But it’s alright because he’s off of the drugs and he’s doing wonderful.  Good parenting goes a long way.

 

What Do Studies Show?


Pills

Stop pushing meds!

I read an article today that talks about the old study that was done two decades ago on ADHD medications for children.  As I read it I just sat here shaking my head.  They figured out that you can pop a pill and focus all of a sudden so they started pushing drugs out to all these kids.  Sure, they thought about the consequences such as stunted growth and sleeping problems, but the benefits of the drugs were more important.  Now they’re finding out that behavior therapy is more effective as ADHD drugs.  At the end of the article, you find out why, skill building is taught with behavior therapy and is a whole lot more useful than symptom reduction which is what drugs are for.  It makes perfect sense now.

The reason I’m shaking my head: until I read this article, I didn’t know there was behavior therapy for ADHD children.  Why did I not know this?  He was diagnosed with ADHD 7 years ago.  Never once was behavior therapy mentioned to me. The pediatrician said “stimulants”, the occupational therapist said “meds”, the sleep specialist said “Adderall”.  For 5 years I was led to believe that medications were my only option.  All the while they were exacerbating my son’s epilepsy.  It took a neurologist to tell me stop with the meds.

 

Why Do I Care?


Help

No Funds = No Aid

Because.  Here’s the thing, and the article mentions it, the unintended consequences from that study that pushed meds are that the schools didn’t get the funding to give these kids the proper assistance that they need in a classroom setting.  I was gritting my teeth as I typed that.  My son needs help in the classroom and that’s the one place I can’t be to help him.  But the school’s can’t do it either now.  Just one month ago I asked the school principal if we could get my son a math tutor.  “Our school doesn’t have tutors.”  Really?  My son could use an aid in the classroom to keep him on task and make sure he’s really learning the lessons because we don’t know if he’s listening to the teacher or having an absence seizure while she’s teaching.  All we know is that when it comes time for him to do the work, he gets in trouble because he doesn’t know how to do it.

The result is, a frustrated teacher that has given up and said, “I just can’t teach this kid,” a child that has given up because no matter how hard he tries he just can’t seem to stay on task…or in his words, “I just can’t do anything right this year,” and a highly frustrated parent that has no idea what to do now.  Somehow, some way, we have to find a way to get something changed in the system so that our school can effectively teach our children.

Bottom line: stop pushing the meds and start teaching the kids how to cope with the systems and work around their disabilities.  I have ADHD.  I have never been managed by medication.  My physician prescribed it to me one time and I quit it after 3 weeks because I didn’t want to lose my job.  It made me a zombie.  I have learned to work on important tasks when I’m hyper…because I hyper focus and get it done.  I’ve learned to tweak my behaviors so that they are most beneficial to me.  I talked about this a little bit in my article on ADHD symptoms in adults.  Stop pushing the meds.  Do your research and find what will be most beneficial to you and your children.  Remember that medication is not a substitute for good parenting.

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Success for Strattera in Children – Product Review

Strattera

My son was prescribed Strattera when he was 5 – 8 years old. This was the third ADHD drug that we tried. This is not a recommendation to put children on Strattera. I am not an advocate of medicating children unless it is absolutely necessary. My family and I did a ton of research and had some real hard conversations before accepting any prescriptions for ADHD medication. Based on his behavior at school, we determined that it was necessary to medicate him in order for him to succeed. Without medications, he was at high risk from being expelled from school in Kindergarten. He was a danger to himself and others.

My big issue with Strattera is that it can have some real serious side effects. None of these affected my son when he was on it. But the risk was there and that was bothersome. While on this medication, my son’s grades became consistent and he, for the most part, made A’s and B’s. He was able to focus in class with minimal redirection or by moving himself to a quieter area of the classroom. He was better able to control his hyperactivity and calm himself down when overstimulated. This was, by far, the best medicine he had experience with for ADHD.

Purpose

Strattera is a non-stimulant medication that is prescribed to gradually improve symptoms of ADHD.

Pros:
 Improves academic issues
 Increased ability to focus
 Decrease in impulsiveness
 Decrease in hyperactivity
 Price

Cons:
 Increases the risk of suicidal thoughts or actions
 May cause liver damage
 Can cause heart problems or sudden death in those with heart problems
 Long term use can stunt growth

 

Price

$48.71 after insurance. This was a high price in comparison to other ADHD meds. Prices start at $238.84 without insurance.

 

Overall Rating

5 on a scale of 1-5.

 

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If you have any questions or would like to share your personal experience, please be sure to leave a comment below by clicking on the response link next to my name. I welcome all feedback and will respond to each comment.


Intuitive ADHD Medication – Review on Intuniv

Intuniv

My son was prescribed Intuniv when he was 6 – 8 years old. This was the fourth ADHD drug that we tried. This is not a recommendation to put children on Intuniv. It was prescribed to replace Concerta which made him overly tired and emotional. He took Intuniv in addition to Strattera. We stayed with the Intuniv for about two years. He didn’t seem to have any adverse reactions to it other than it making him drowsy. We adjusted his med schedule for him to take it at night so that it would help him sleep as he’s always had sleep problems. He was immediately taken off of this medication upon his sleep specialist and neurologist finding seizure activity on his sleep studies.

The Intuniv seemed to work real well with the Strattera in helping him to focus at school and stay on task. He was also less impulsive and hyper. His teachers noticed an immediate difference in his behavior and academic performance upon stopping these meds and his grades are now all over the board with no consistency.

Purpose

Intuniv is a non-stimulant medication that is prescribed to treat children ages 6 – 17 with ADHD. It can be effective by itself or with an ADHD stimulant.

Pros:
 Improves academic issues
 Increased ability to focus
 Decrease in impulsiveness
 Decrease in hyperactivity

Cons:
 May cause serious side effects such as low blood pressure, low heart rate, fainting, and drowsiness
 May cause trouble sleeping
 Suddenly stopping can cause issues with blood pressure
 Long term use has not been systematically tested
 Price

 

Price

$70.85 after insurance. This was a high price in comparison to other ADHD meds. Prices start at $715.52 without insurance.

 

Overall Rating

4 on a scale of 1-5.

 

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If you have any questions or would like to share your personal experience, please be sure to leave a comment below by clicking on the response link next to my name. I welcome all feedback and will respond to each comment.


Review of ADHD Drugs – Children on Concerta

Concerta

Pills

Each person responds differently to medication.

My son was prescribed Concerta when he was 5 years old. Concerta was the second ADHD drug that we tried. This is not a recommendation to put children on Concerta. It was prescribed to replace Vyvanse which made him overly fearful and heightened his senses. He also began taking Strattera with it. We stayed with the Concerta for almost a year before I told the pediatrician it was definitely not going to work. On the Concerta, he was a whole lot more emotional than normal, he was very anxious and irritable, and he was very tired.

Purpose

Concerta is a stimulant medication. In essence, it stimulates the brain and nervous system for the purpose of improving hyperactivity and impulse control in people with ADHD. It can help people pay attention, stay focused, and control behavior. It can also improve listening skills and increase organization skills.

Pros:
 Improves academic issues
 Increased ability to focus
 Price

Cons:
 Caused major fatigue/insomnia is a listed side effect
 He became very emotional/depression is a listed side effect and can lead to suicidal thoughts
 He became very anxious/nervousness is a listed side effect
 Concerta is addictive and withdrawals can occur upon stopping the medication
 Long-term use can slow the growth of a child

Price

$34.85 after insurance. This was a good price in comparison to other ADHD meds. Prices start at $183 without insurance.

 

Overall Rating

3 on a scale of 1-5.

 

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If you have any questions or would like to share your personal experience, please be sure to leave a comment below by clicking on the response link next to my name.  I welcome all feedback and will respond to each comment.


Review of ADHD Drugs – Vyvanse

Vyvanse

 

My son was prescribed Vyvanse when he was 4 years old.  Vyvanse was the first of the ADHD drugs that we tried.  We stuck with it for four months before I told the pediatrician it was definitely not going to work.  At first, he was just more emotional than normal…which was a lot.  He got overstimulated easier.  And it heightened his sensory defensiveness to the point that fight or flight kicked in and caused dangerous situations (running toward the street in a panic).

Purpose

Vyvanse is a stimulant medication.  In essence, it stimulates the brain and nervous system for the purpose of improving hyperactivity and impulse control in people with ADHD.

Pros:

  • It did improve his hyperactivity
  • He was less impulsive
  • Price

Cons:

  • Energy level reduced too dramatically.  He was like a zombie constantly in a zone.
  • Can cause insomnia.  He already had sleep problems.  They got worse with this med.
  • Blood pressure and heart rate have to be checked often due to possible serious side effects on the heart.
  • Vyvanse is addictive and withdrawals can occur upon stopping the medication.
  • Long-term use can slow the growth of a child.

 

Price

$25 after insurance.  This was a good price in comparison to other ADHD meds.  Prices start at $197.85 without insurance.

 

Overall Rating

2 on a scale of 1-5.

 

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If you have any questions or would like to share your personal experience, please be sure to leave a comment below by clicking on the response link next to my name.  I welcome all feedback and will respond to each comment.