After a brief period off of Strattera, Gus has been back on for a little while now. He started at 10 mg and then increased to 15. I took him to the doctor last week, it had been almost a month. The word she used to describe him was 'loopy.' He was not running all around the room like he usually would, but he wasn't exactly what you could call focused either. Instead of his body buzzing, his brain and mouth were motorized. He went on and on about Who Framed Roger Rabbit, very perseverative and going a mile a minute. Our pediatrician wasn't sure what to make of Gus's behavior, so she consulted with the specialist.
The specialist felt that Gus was not on a high enough dosage to see any result. He wanted to go for 36 mg a day, but the dosing guidelines limit his size/age at 25. So he started on that level this weekend.
The only real difference I see is that the meds are making him subdued and sleepy, but I don't know if that equates to focused. He's less responsive when I call him and still needs lots of reminders to complete tasks like getting dressed, maybe not as many as before, but not a huge improvement there. On the other hand, he is having some sleep issues (waking up before 5 am randomly, getting out of bed several times at bed time, sometimes waking in the middle of the night). He's not eating normally. Several times I've had to feed him. He's still anxious and has been getting grumpy on & off, but he's expressing himself more clearly.
This morning, about an hour after taking the meds, he started complaining of feeling sick, tired and of a headache, which is very out of character for him. Even when he's sick, he rarely complains, which told me that he had to be feeling pretty bad, at least for a while.
So I don't know. The side effects haven't been earth-shattering, but neither have the positive results. I'm thinking this medication may help a bit, but ultimately is probably not worth it. We'll have to let him adjust to this new dosage, but it seems more pessimistic by the day.