I have found that it also matters who does the prescribing. We have a developmental pediatrician whose entire business is thinking about all these meds in relation to the particular collection of symptoms my kid has. She is an artist-- she is very careful about what med, what dosage, and will listen to me and DS describe symptoms and situations for an hour or more if need be before making a decision.

I wouldn't want the regular pediatrician to be doing this job for us-- our DS is too complicated. YMMV.

DeeDee