Curious if anyone has gone down the route of doing genetic testing to see what meds work best for their child? My son currently is on Ritalin ER in am and then an immediate release at 3pm. This seems to be working pretty well for him but we think he needs to probably be on something else also to help with his anxiety. This started before starting any stimulant so can rule that out. He has pretty severe social anxiety and bedtime is rough. There is also some sprinkling of odd fears (bugs, going to different room by himself, ect.) Terrified to be in his bedroom even with his brother in there with him. He will have nightmares frequently when in his room. And yes have tried ALL the things. Special lights, sleep stories, weighted blankets, weighted lovies, door open with hall light on, soft music, melatonin...The fast acting ritalin seems to be totally out of his system by 6pm.
Anywho, we have a follow up soon with his neurologist to see about adding on something to help. When trying to research it seems an anti depressant might be the way to go but also have seen things like clonidine or guanfacine? I would like to avoid a long guessing game and see if others have really seen benefit from doing the genetic testing for meds.
Thanks for sharing your situation with us. While I can't comment on the medi ation testing I can say we have had great success on guanfacine with Ritalin. He take 2 extended release to make it though the day and at bed time he takes the guanfacine as a 24 hour dose.
You didn't say the age of your child.. just curious.
One of the positive effects of guanfacine is help with sleep.
If your child is under the age of 10-12 I wonder if you try to " get energy our before bed so he is tired if this will help.
One last thing, have you worked with a Psychiatrist? They are very skilled in dealing with medication. We have had great success with this type of Specialiat.
Best of luck
Thanks for reply! My son is 6. Just about every night when short acting ritalin seems to be out of his system (6pm) he gets high energy so plays quite a bit during this time. Him and his younger brother love to dance so often they do "dance parties" in the living room to dance/club techno music 😆 He has some quite cartoon time after this with the last snack/meal of the night. You would think this would tire him out. Does your son also have anxiety? When we see his neurologist I plan on asking for a referral for a child psychiatrist. From what I hear its going to be a long wait to see someone so would like to atleast try to get a start on something before he goes off to kindergarten. His current teacher is wonderful and understands what his baseline is now so would be great to get her feedback while we can.
Thanks for the reply. I think all children with ADHD have some form of Anxiety. I just think of it what impacts his life the most. For us it is focus and impulse control. Honestly, we did not see success until working with an amazing child psychiatrist, who knew what medications would help him the most. They specialize in medications and they know it is trial and error. I was so worried about him remembering all the different medications we tried. But when I asked him how much he
remembers he said nothing.
When we saw his thearpist in the past we discussed anixeity and we both agreed it is connected to the ADHD and minor.
The tired our son is the better he sleeps and yes he has a lot of energy as we are all winding down. But we let him go outside or run on the treadmill even if it is 9pm.
Our kids "run" differently than Neurotypical kids.
Good luck finding what works.
I hope we can be connected to a knowledgeable psychiatrist that can get us on the right path. Thanks again!