I might be facing this same issue at some point once DS4 enters school. For now our view is NO meds unless he becomes violent or dangerous ... and we would consider meds if he became unhappy with himself and miserable ... medicating as the easy way out (for doctors, teachers, etc) is not our way of doing things.
That said, I was very anti meds yet had to give up on it when DS4 started having serious sleep issues ... as in going on 2-3 hours of sleep per day (or night). He's now on a serious dose of Melatonin and sometimes Hydroxyzine (strong antihistamine) to get him through the night. So, all my good intentions of non-medicating have already gone out the window.
We went in to see a Psychiatrist in August officially seeking to confirm or rule out ADHD but also with suspected Asperger's or other form of Autism. The Psych for now ruled out the ADHD and is going with PDD-NOS but we will be doing further testing regarding where on the Autism spectrum DS really is. In line with the current diagnosis, I wouldn't want to medicate for something that may be presenting as ADHD but very likely is NOT.