Will a higher dose of ADHD neds last longer

[Gelz68]

My son has been on Quillichew ER 20 mg (lowest dose) for almost two weeks. We have seen improvements at home as well as the school definitely is seeing improvements. One issue is that the medication is wearing off after around 5 hrs. I will be calling the doc to relay this info tomorrow. Question..could a higher dose make the medication last longer? Anyone have experience with titration of meds?

[Onthemove1971]

Nope.. most of us use a booster dose of them same medication to get throuh the rest of the day.

I only give out son medication as he is walking out the door in the morning to get 1 more hour to get through school, then I give him a booster to help with homework and sports in the afternoon.

[willandgrace in reply to Onthemove1971]

what is the booster you give your son? my son is out of steam by 3;00 and Im considering something to help with homework

[Onthemove1971 in reply to willandgrace]

Its the same medication, we just take a weaker dose to get through the evening time. He takes 60mg extended release. Meaning at 3 times during the day he gets a release of medication. But by 4pm we add 40mg to get through the homework and sports. We also give melatonin at night.

Hope this helps.

[Gelz68 in reply to Onthemove1971]

That does help because I wasn’t sure if with extended release you could give a booster with it. Thanks for the insight!

[Gelz68 in reply to Onthemove1971]

Yes I figured the higher dose may just improve symptoms if need be. Thanks for your reply.

[anirush]

When my grandsons were younger they had to have another dose at lunch time which is a pain because they had to schedule a trip to the nurse's office.

Now that they are in their teens they can control themselves a bit better and only take morning meds.

[Gelz68 in reply to anirush]

My son is 7 so we are not quite at the poiny of him controlling himself yet. Meds are working just seems like he may need a booster.

[16571498K in reply to Gelz68]

Hello Gelz68: what do you mean by "to boost" as in the context you express yourself it could get to be missed with the evidence from years and years of hardwork with metliphenidate, dextroanphetamine and so on: for children and adults that really need it, that is quite the opposite the effect they have in humans like you? and me: they help you to build up and - in case it is required- to re-build them up- one´s capabilities and give strcuture to the knowlnledge that the patient has obtained. That is key for the person to does for a living in the mid term and long term: so...may be you should measure yourwords before posting.

Many thanks!

[azulaco]

I had this same question for my 7 year old son. Good to hear others’ answers.

[16571498K]

Not at all. But it could happen that your son has a synthesizing capability that works under his optimum. That is completely different. Most of the times it is the family doctor who is leading this refinations. If not, you must show your reference professional proper evidence meanwhile giving insight to him/her. not with the purpose to be taxative, you can give structure to the "desease menu" with Strategic shapes for his(her)" line of thought" with proposals such as: 1- intolerance to milk and extensions ( comorbility indicators such us markers for prolactine and stuff, by asking him/her to get DNA markers for correlated desases from the block of DNA etiology -Histocompatibility ( Narcolepsy )- or in seldom cases Cymatochrome system- with a "default" performance. 2- A second group for you to offer him(her) could be some other not deseases not impairments, but characteristics such as neocortex lack of intensiveness in its management. This mentioned trace of ADHD in adults and in several cases of dementia it is not bad but makes the individual more vulnerable to some others "twilight intentions" ( specially if one consider nowadays strange environment) so that canvas I have just drawn up builds up a reason why by it self to increase the medication rythm.

Second best ( not ellusive from the first menu): ask for the kind of KPI´s the professional ask you to and compare with those ones you have grounded.

PD:

Don´t take into account a bias reading of the situation that links the issue to addiction features. That could be unfair for your children and for you. every human being works differently ( thanks to God)

[16571498K]

titration doesn´t look a solution as in scientific environments it says that an experiment only imatates the experiment itself: in thecnical terms this method can turn out to be quite more of a bigger problem that a solution. if I were you, it could be much more useful to identify genetic identifiers: the reason why for the failure otf the titration is related to the fact that the strips do degrade when in contact with the atmosphere and the test doesn´t output proper results. Genetics( Neurofarmagen®TDAH- in Spain-in the US of A i can not give you a name but for sure that in the Vademecum it appears) and this other tests avoid from strips offering different techniques more feasible. if you use it can be more useful to compare the grades your son gets, and compare. If it is not possible try to solve it by asking to your phisician about other deseases that can impact into the co-morbility for ADHD ( prolactine and cymatochrome, narcolepsy, or other issues related to intracreneal pressure, this indicator would fit in a perfect way: more intracraneal pressure, less long lasting medication effects. this relationship is an statistical one that is funded on scientific reasons.