Mudcat Café message #1612596 The Mudcat Café TM
Thread #86484   Message #1612596
Posted By: Mark Cohen
24-Nov-05 - 02:28 AM
Thread Name: ADHD- Ritalin
Subject: RE: ADHD- Ritalin
Villan, I think you may have been seeing doctors who haven't kept up. I don't keep measuring height, and don't do any blood tests. There is sometimes a problem with falling asleep, but once asleep they don't keep waking up. If they do, then it's not the medicine--it's some other problem, like depression or a sleep disorder. Problems getting to sleep and decreased appetite are the most common adverse effects we see with stimulant medication, and usually they can be managed with creative dosing or other "workarounds" like feeding the child at a time when he's hungry, and letting him just graze at family mealtime. Sometimes switching medications will help. But I never use "sleeping pills" for children who are having trouble falling asleep because of the medication. Sometimes I will recommend melatonin, which has a good track record and is extremely safe. All the above recommendations are fairly standard, at least among American pediatricians and child psychiatrists who have experience and expertise in treating children with ADHD. That's based on information from the American Academy of Pediatrics' Developmental-Behavioral Pediatrics board review course I took last year. (And I passed the Boards!)

Aloha,
Mark