This Blog is a little bit of a vent. I hate the fact that when faced with a problem the go to solution for the medical community is adding a pill. Yes, I know that is what they do, but that is not the only solution. I do not consider my stance as a contradiction to my behavior with regard to medicating my children. I do believe ADHD is a true medical condition and it is appropriately treated with medications. That being said, I also believe there are effective non-medicinal alternatives that can work for many people. Where I have a problem is when we start medicating the side effects of the medication they are already taking.
Let me explain where my frustration begins. I took my son to the doctor for a standard medication appointment. During the appointment the doctor inquired about irritability in the afternoon. I indicated, he is very irritable when the medication wears off. The doctor then said she would prescribe X medication which could help with this irritability. We were dealing with a lot of issues and although I was familiar with the medication I am very hesitant to add to my son’s already lengthy medication needs. He is asthmatic, ADHD, and other concerns. We are dealing with a lot. A little shocked an unable to clearly articulate my concerns I accepted the prescription and it was filled. As I thought about it for a few days I decided not to start it. The reason for this is my mommy senses (like Spidey senses) says this is a bad idea, and I have learned over the years to trust those mommy senses more than I trust just about anything else, when it comes to my kids.
Let me be clear I do not think this particular doctor is trying to drug my child into submission. I honestly think she is trying to be helpful. The issues is, we have different philosophies when it comes to how to address these issues. My perspective is dealing with the irritability comes with the territory when my child is taking the stimulant medication. Every medication has risk and side effects. I am looking at this from the perspective of what is the cost/benefit ratio for my kid if I add this new medicine. Benefit, I potentially reduce the side effects of the medication he is already taking. Costs, I risk additional (possibly worse) side effects, I risk potential adverse drug interactions because he takes several medications, I add a medication when he is already resistant to taking medicine, and lastly I am not comfortable with him taking it. I am sure a physician could give me very good explanations for the first three costs I listed, but the last and most important can only be dismissed by me. That one benefit is not enough for me to overlook my uneasiness about the new medication.
I guess the question remains if the side effect is enough to be notable; what am I going to do about it? The answer is I am going to do the same thing I have done in the last five years. I am going to make sure he eats a good breakfast and snack at home, has a break before starting homework, encourage him to go outside an walk, run, or ride his bike, and I remind him that even if he feels cruddy he is in control and responsible for his behavior. ADHD does not absolve a child from responsibility. If anything, it puts a greater responsibility for them to consciously exert self-control whenever possible.
How do you deal with medication side effects with your kids?
Black ADHD Mom