H.,
My 11 year old son now takes Daytrana 20mg, (the patch). He was diagnosed with ADHD and Sensory Integration Dysfunction when he was 5 years old, and like you, I was hesitant about putting him on medication as well. I didn't want his personality to change either, but considering how badly he was suffering at school, it had to be done. It is a gamble with any medication and believe me, we have tried them all! Concerta 36mg worked the best at first, but he experienced the side effects of decreased appetite, slower growth patterns, etc. But at least he could concentrate at school and eventually caught up with the rest of the class. I do not give him medication during the summer months, weekends, and on holidays because I can tolerate him without medication. It also gives him a break from the meds and his appetite and growth catch up during the summer months. Taking breaks also keeps them from graduating to higher doses of the drugs due to a "tolerance build up" to taking the medication everyday.
I put my son on the patch when it came out in 2006. I has been beautiful! He has no side effects that were experienced when taking Concerta pills. I don't have to apply the patch on the weekends if I don't want to, and he has less of a rebound effect in the evenings when he does wear the patch compared to the pills. When he was on the pill, he would become extremely hyper before bed when the pill was wearing off. With the Daytrana patch, he takes it off 4 hours before going to bed and all is well. Every child will act differently to each medication, and it may not be the one for your son, but I have had to learn from trial and error what worked and what didn't. But from mother to mother experiencing the same problems, hang in there! There is nothing wrong with trying to find the medication that works best for your son. But if you do want to try the patch first before the pill, keep in mind that it takes the patch 1 1/2 to 2 hours to start working, so you have to put in on by 6:30am to be "ready" by 8am. Try it for yourself on the weekend so you can see how it works on him. The only downside I have found with the patch is how long it takes for it to start working after applying it(1-2hours), otherwise all is great. You must also follow the directions on the medication, such as putting it on the hip, or it won't work properly.
Just so you know what my son has tried in the past: Strattera, Medidate, Concerta, Adderal, Ritalin, and now Daytrana. If you have any questions, please contact me. I know how hard it was for me with my son and it helps to have someone to talk to about it. I am also a single mother with one son who is now 11 (been on meds since 5).
Sincerely,
C.