Hi, my son also has ADHD and aspergers as well. We have tried numerous medications, intuniv, and the only one we've ever had any luck on was adderall. It takes about 30min to kick in and boy when it does, it is literally like a light switch going turned on - he is calm, reasonable (for the most part) and can focus much better. For a while, they tried adding intuniv on as well and if I remember correctly, intuniv was one he took at night...and I don't think it helped him much. But if there is one thing I've learned through this unpredictable journey, each child/person is wired differently and what works for one, obviously may not work for another. Good luck and hope this helps, even a tiny bit! :)

Have you thought about looking into his diet. Start with an elimination process,then starts slowly to add food items back into his diet and see the pattern of his behavior as you add different food back into his diet

Thanks. We try to avoid artificial additives and too much sugar. We have thought about trying GFCF, but it does seem daunting. Our son gets extra vitamin D3, Behavior Balance-DMG and fish oil, and we definitely notice improvements when he takes these.

Well, we found that making serious dietary changes and treatment changes including alot more physical exercise led to eliminating a need for psychiatric interventions. I don't want to offend but it is an idea to think about. We got started on this path of using meds, changing doses, doing ons and it just didn't feel right to keep doing that long term when dietary changes could result in treating root causes rather than controlling him with a box of meds.All I'm suggesting is to research dietary interventions while you work on this. Consider the long term effects of multiple medications over time. Some problems could be a side effect of what you are using now. Sometimes new challenges are not a cause for more add ons and labels but a reason to wonder if it really works to use meds long term. Doctors cannot tell you whst the long term effects are giving multiple meds long term. Just food for thought. My son was in such setious shape before implementing dietary chsnges and adding more exercise. He has become med free. Diet is something to discuss with a doctor familiar with non psychiatric treatments. Sory I don't know all of the latest meds.

When my daughter was on stimulants she was irritable and didn't listen very well so I asked her teachers if they thought the meds helped her concentrate when in school and they said they didn't see much of a difference with her concentration so I took her off permanently and her temperament is much better.