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Perhaps the reason your son didn’t like the way he felt and decided to stop taking the Concerta was because the dose was too high.  If it was just “standard practice” to raise the dose once per year (without regard to if the prior dose was still working) that formula easily may have bumped him up to a dose that was unnecessarily high. 

Dosing is based on the rate at which someone metabolizes the drug, not their height/weight/age.  There is no reason to arbitrarily increase the dose once per year. 

Why he has such a low resting heart rate now—I have no idea (nor is it an expected thing to happen after stopping Concerta).  Definitely need a cardiologist to take a look at that. 

Caffeine (Mountain Dew) may or may not help out with ADHD—that’s very much an individual call.  It has about half the amount of caffeine as a cup of coffee.  On the other hand, it’s other main ingredient (high fructose corn syrup)...well, I’m sure you can finish that sentence.  They do sell caffeine in pill form…if that is something you want to do AFTER the cardiologist appointment.

Posted by BC on May 01, 2014 at 4:08am

Mitzi is right.
Whatever works.
I know of a case where eating salty cold cuts reduced mania in bipolar disorder. Who knew?

Posted by John Tucker, PhD, ACG. ADHD Coach on May 01, 2014 at 4:37am

Mtn Dew = high caffeine =-self-medication….  A genuine concern for sure.
Have you considered having him see a Psychiatrist who specializes in medication management for ADHD?

Posted by vross on May 01, 2014 at 7:01am

Many ADHD experts will tell you using caffeine to treat ADHD is not a good idea (

In addition to that, soda contains many no-no ingredients for individuals with ADHD (for all of us, if you ask me): artificial color, artificial flavor, other chemicals, lots and lots of sugar. It’s hard on your stomach and other organs and will rot your teeth.

There has to be a better way. I wouldn’t make any decisions until he sees the cardiologist though. Don’t change anything until you get that specialist’s advice.

ADDconnect Moderator & Mom to Tween Boy with ADHD and LDs

Posted by adhdmomma on May 01, 2014 at 4:41pm

From what I read BB7 never said anything about blood pressure—only heart rate.  If the child’s heart rate was in the 30s AND his blood pressure was low he would (technically) be having a major medical crisis or on the verge of one (and likely be extremely symptomatic—decreased level of consciousness and/or unresponsive, “in shock”).

Posted by BC on May 01, 2014 at 10:01pm

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