| Posted: March 13 2007 at 7:29pm | IP Logged
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My son is 6 1/2, and was misdiagnosed as moderately autistic by his school at around age 4 (he had chronic ear infections causing profound hearing loss, and never passed a hearing test, which I know is a diagnosis pre-requisite).
Our pediatrician specializes in ADD/ADHD and was rather distressed at the schools' cavalier attitude - he said that he was more likely mild PDD, but that the speech delay from the hearing loss was a big factor. He started our son on morning Concerta in late October 2006 and there was an almost overnight improvement, although we noted the weight loss initially as well. As time progressed, he added Strattera before bed in late December/early January 2007, and the mix of the two has been such that he predicts there will be no apparent deficit by age 8 to 8 1/2. Additionally, his appetite is back to normal, and his weight loss stopped (although he does sleep more lightly than before).
As the pediatrician explained it to us, the Concerta helps stimulate construction of the neural network (I asked if it was like forcing the nerves to bridge across any lesions in the brain, and he agreed that's a good analogy) so that development was more consistent, rather than coming in fits & spurts. The addition of the Strattera, he said, helps him to "organize" things better. Before Concerta, he was more disassociated, and let schoolwork "pass him by". With Concerta he was more aware that he was missing things, and getting frustrated that he HAD missed them. Adding the Strattera helps him better focus and "cope."
Our pediatrician also commented that a California university (Irving?) was starting a study on these various meds, and he laughed that they should have come to him, because he has years of data he could drop in their laps!
On the swallowing issue, we've been very lucky that he swallows the pill whole very easily, and in fact is now functioning well enough that he knows which is his Concerta and which is his Strattera, and he brings US the appropriate bottle for his morning or evening dosage!
Edited by IansDad on March 13 2007 at 7:29pm
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