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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by e503 on May 29, 2001, at 8:27:43
My daughter is 11 years old. She was taking ritalin tabs 10mg. a.m., 5 mg. at noon and 5 at 4 p.m. last year with very good success. This year was a different story. When we tried to up the meds to 10, 10 and 5, it seemed as though she got very anxious. We decreased to 10, 5 and 5 and she was not as anxious as she had been (picking at her skin, etc.). The problem is, she still seems very impulsive to me ( a lot of yelling, and anger). Anyways, I was thinking about Concerta and was wondering what the dosage would be for her. Any ideas?
thanks, elise
Posted by SalArmy4me on June 2, 2001, at 14:49:20
In reply to concerta, posted by e503 on May 29, 2001, at 8:27:43
Checklist for administering rating scales
The following are administered at 2–4 weeks, 6–8 weeks, 8–10 weeks, and 3, 4, 5 and 6 months.* Parents' rating
* Teachers' rating
* Parents' side effects
* Teachers' side effects.
If no benefit is obtained from methylphenidate, withdraw over a few days and substitute dexamphetamine.TITRATION WITH DEXAMPHETAMINE
This follows the same principles of basic conditions, baseline, and monitoring.* Baseline measurements
* Two to four weeks—dexamphetamine 2.5 mg morning, 2.5 mg midday, 2.5 mg mid-afternoon
* Two to four further weeks—if room for improvement, dexamphetamine 5 mg morning, 5 mg midday, 2.5 mg mid-afternoon (can omit if insomnia)
* Two to four further weeks—if room for improvement, dexamphetamine 7.5 mg morning, 7.5 mg midday, 2.5–5 mg mid-afternoon (can omit if insomnia).
An antihistamine, clonidine, or melatonin can be used as evening dose as per methylphenidate. Follow up is as for methylphenidate.The checklist for administering rating scales is as for methylphenidate.
If no benefit is obtained from dexamphetamine, or if side effects unacceptable, withdraw over a few days and substitute imipramine.
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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