Catherine - posted on 10/26/2013 ( 2 moms have responded )
Hi there. My nearly 7 year old son has been diagnosed ADHD since the age of about 18 months... there was never any question of medicating him before the age of six, partly because I am from Europe, where that is a real rarity, and partly (mainly) because I am in principle really opposed to meds for ADHD. Or in principle I was... but things change, and having tried all the other things one can try, and seeing the continuing problems at school (very bright child who can barely read or write or do basic maths) and outside because of his extreme hyperactivity and impulsivity, I am now willing to try meds. He had a two day DISASTROUS experiment with what I believe you call Metadate in the States - horrible rebound in the evening, violent tics, no appetite and no noticeable effect on his concentration. He is now trying Strattera and this morning I gave him the first capsule of 10mg. The doctor has prescribed 10mg for one week, jumping to 20mg after one week but after all the reading I have been doing, I would prefer to make the titration very slow. I would like to talk to the doctor about keeping him on 10mg for 2 weeks or a month, and then progressing to 18mg. There is quite a lot of data about Strattera being prescribed in too high doses - the accepted thinking is that the drug is effective at 1.2 mg per kg of body weight but some studies have shown this is erroneous and that it is EQUALLY effective at 0.5 mg per kg. I would be really interested to hear of other people's experience with Strattera, particularly in terms of dosage and titration.