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Post by crillmom on Nov 21, 2003 22:29:11 GMT -5
My son seems to do the best on straight ritilan as opposed to conceta. Will he respond just as well on ritilan LA as he does on regular ritilan? I don't really want him to take a pill at school if he doesn't have to but there was a major difference between the concerta and ritilan
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Post by AnneM on Nov 23, 2003 5:39:43 GMT -5
This is interesting because apparently (according to my son's doctor) although 85% do better on concerta than straight Ritalin there are 15% who find it the other way around and it definitely sounds like your son is in that 15% We haven't personally tried Ritalin XR so I can't comment on that .... hopefully others can ... if you try it please keep us posted how it goes and how it compares to the regular ritalin. GOOD LUCK!!
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Post by eaccae on Nov 23, 2003 12:42:43 GMT -5
We switched over to Metadate CD this year. I asked the ped. about concerta but she said she has had way too many problems with concerta and the metabalizing rate - she found with her patients that it was too unstable - didn't necessarily release when it should. Clearly it is working for a lot of people so I can't help but wonder if the problemsyou are having may lie in the metabolizing of the concerta?
My gut is - that with children who do well with ritalin and then switch over to time release - I think a lot of the differences probably have to do with metabolic rate.
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Post by Angelia on Nov 24, 2003 10:20:54 GMT -5
My son is 9 and started on regular ritilan at 4, and it was wonderful, but overtime it seemed not to work as well anymore, so the doctors switched him to ritilan La, and it was horrible. It was nothing like the regular ritilan was. He had mood swings very bad he would cry at the drop of a hat. You could say boo to him, and he would start to cry. So, the doctor then switched him to concerta. We also had the same responce from concerta that we had had with the ritilan la. He was then placed on dexedrine which is what he is on now, and it worked just as well as the regular ritilan had in the passed for him. His doctor told me that dexedrine is just like ritilan but a different brand. The example he gave me to better understand it was some people use asprin for headaches some use tylenol and others use advil it all does the same thing but other brands work better for each individual. So, you may have to tell your doctor that your child does better on ritilan type medications. That is how I have had to explain it to his doctors in the past and they understand completely. We also discovered that the dexidrine that he is on now also has a time release, and we tried it also he had the same reactions from it as he had the ritilan la and concerta. So, we have discovered that he can not take time release medications. Although most people do very well on them. Good luck! Hopefully some of this will help!!
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Post by Jayebird on Nov 25, 2003 22:32:18 GMT -5
There are basically 3 types of Ritalin and my dd has taken all three. I'll try to explain it as best as I understand it.
Regular Ritalin lasts approximately 4 hours and is available in generic.
Ritalin SR (Sustained Release) lasts approx. 8 hours and is also available in generic. I think it's supposed to be the entire dose delivered at once and lasts the entire time.
Ritalin LA (Long Acting) lasts approx. 8 hours also but is still too new for generic. My understanding of this one is that it releases half of it's medicine into the system when initially taken and then releases the other half of the medicine 4 hours later. This is to mimick taking a 4 hour pill twice a day.
My dd did fine on the Ritalin and Ritalin SR and is just now on the 3rd week of the Ritalin LA. The reason the Dr. switched from SR to LA was due to the doses available. She was taking 20 mg of the SR and then I added 10 mg of the regular Ritalin. So he wanted to go to 30 mg and that's not available in SR so that's when he decided to try the LA. The teacher hasn't noticed a difference and all is well at school. She's been with me for a couple of weekends and so far it seems to me to do as well as the SR. The only difference I've noticed is that it doesn't seem to take affect as soon as when I was giving her both the regular Ritalin and the SR together in the morning.
And as we all know, mornings are hard enough as it is...
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