I think I'm worried about a few things and that's why I can't sleep. I know it doesn't do any good to worry and is actually detrimental to my health so maybe if I write it down I will be able to stop worrying and go to sleep.
1. I'm worried about Oliver. We have a big decision to make. Last week, his doctor at The Melmed Center prescribed Riatlin. Our initial reaction is definitely no. His doctor said she recommends this one because it is a stimulant and she said stimulants have been around longer than non-stimulants so doctors know more about them. She said she would give a stimulant to her child over a non-stimulant for this reason. She said Oliver wouldn't have to build up to it so we would know right away if it works and if not, we can take him off of it immediately. From my research, here is what I've gathered about meds for ADHD so far.
Pros
- "Methylphenidate (Ritalin) works in the treatment of ADHD by increasing attention and decreasing restlessness in children and adults who are overactive, cannot concentrate for very long, or are easily distracted and impulsive. This medicine is used as part of a total treatment program that also includes social, educational, and psychological treatment." [https://www.mayoclinic.org/drugs-supplements/methylphenidate-oral-route/description/drg-20068297]
- I read numerous testimonials in the Facebook support group I am a part of about meds (in general, not specifically Ritalin) helping kids with ADHD. Many parents testified their kids were like different children (in a good way) after starting. They went from Bs and Cs to As, they had more friends, they had more confidence, they could focus, etc.
- I have heard several times that research shows kids who aren't medicated when they are young are at higher risk for self-medicating when they are older (drugs, alcohol, etc). I think this is what happened with my sister, Lindsey. (She has ADD and was not medicated as a child.)
Cons
- The side effects. These are the common ones:
- trouble sleeping
- loss of appetite
- dry mouth
- anxiety
- increased heart rate
- irritability
- headache
- dizziness
Among the more serious side effects are psychosis, heart rhythm problems, addiction, Rynaud's Syndrome and slowed growth.
- Some parents in the FB support group said it changed their children for the worse.
- Permanent changes in the brain. (Mayo clinic)
We don't even have an official diagnosis but Oliver's doctor said it's a "working diagnosis" and she believes he does have ADHD. His teacher eval this year indicated it other than one area (focus, I think) being one point below the cut off.