This blog post can be found at “A Mom’s View of ADHD” http://adhdmomma.blogspot.com/2009/05/ugh-more-meds.html

 
Last week, Luke had his second checkup with the Behavioral & Developmental M.D. at the Olson Huff Center since being diagnosed with ADHD there Nov. 2008. At the first checkup in March, his Concerta dosage was increased and the doctor was concerned because he had lost 4 pounds. I was, of course, nervous about going in again. I knew if he had lost any more weight, the doctor would change his medication. I agree that he has to grow. But I was also nervous as to the outcome because both his teacher and I had begun to realize the Concerta was loosing effectiveness again (that’s how he got the increased dose the last time). I just don’t approach the unknown very willingly.

So he was weighed and measured and his blood pressure was taken. Then we waited for our turn with his doctor. I saw what his weight and height were at the time measured, but I didn’t remember what they were in March so I was on the edge of my seat when we finally got in with the doctor. Fortunately, he looked at his weight first. It was exactly the same as two months ago, down to the tenth of a pound: 47.7 pounds (he had been 52 pounds when diagnosed in Nov.). He actually grew 1.5 inches too. Yeah, he was growing!

When I mentioned that the Concerta was beginning to loose effectiveness again, I got the dreaded “this may be as good as it gets” spiel. Frankly, I am fine with his current behavior. It can be frustrating at times, but we have dealt with it for a few years and can deal with it again. What is bothersome is how much trouble and learning prevention ADHD causes at school. When his meds are working he does so great and I really want that greatness for him.

So Dr. S told me about Tenex. Tenex is a hypertension medication that is often prescribed to ADHD individuals when stimulants aren’t tolerated or don’t work well. It is not yet FDA-approved for children and for treating ADHD but that is going to happen later this year. It affects a certain chemical in the brain causing a “slow-down.” I didn’t like the idea of giving him two medications every day and I didn’t like the idea of giving him a medication for high blood pressure when his blood pressure is a-okay. But Dr. S explained that it helps with hyperactivity and impulsivity, the two ADHD symptoms that Luke was again struggling with. He said we could try it for a few days to 1) see if he could take it without severe drowsiness or other side effects and 2) see if it would help with the re-emerging symptoms. If so, great. We’ll continue to take it. If not, he’ll tell me how to wean him off of it (you cannot stop this medicine abruptly).

TO READ THE REST OF THIS BLOG POST, PLEASE GO TO http://adhdmomma.blogspot.com/2009/05/ugh-more-meds.html.