M.G.
I just need to clarify that the drug is actually Focalin? If so, that is what I just switched my son to taking. He was taking Concerta but he had no appetite and was not eating so we switched him. He now has a bigger appetite and the switch went very well.
This is not a medical opinion this is mine from reading different books and speaking with our pediactric physician. These drugs are stimulants...just as if you are a smoker. When you smoke a cigarette your brain lets out a chemical they call the pleasure chemical into your body. When you haven't had a cig for a while your body starts to crave that pleasure and you become irritable so in return you light up and smoke another cig. It is the same with the drugs for ADD/ADHD. Your child will become emotional and irratable when the body is wanting that drug again. I give my child one 10mg Focalin a day, he gets it as soon as he opens his eyes in the morning. By the time we are all getting home from school and work the pill is wearing off but that is ok. If we wait until after he eats the affects are totally different. We tried the "not giving him a pill on the weekend" and it didn't work. He became very hyper and very emotional. For my sons sake not to have to go through that we give him one a day with no breaks.
You definatly have to find out what works best with your child but the way I see it is, "If my child had a kidney disease and needed medication everyday just to be able to live and have a happy day would I give him one everyday?", "YES"