Blackcat our DD takes 1-2 weeks to fully settle down when taken off meds. For her the mood swings and impulsive tantrums are about the same when taking medication regularly or well settled off it. They are much worse for a week ++ as she stops taking it. She also eats voraciously the first week or two off and then settles down.

Currently she's off and we are yet again weighing up the pros and cons of medication, or not medicating, all of which are significant... It feels like a lose lose lose scenario to me....