Let me clarify, we have an excellent working relationship with our peds and pretty solid medical backgrounds. My husband is a nurse anesthetist, I am an RN. Our peds instructions to us when we started the Concerta were " Start at 27 mg, then increase by half if you aren't seeing results. We can go higher if we need too." We tried 27 mg for 2 weeks and 40 mg for one week. I rec'd an e-mail from his teacher last week saying she wasn't seeing any improvement, and neither were we. That info, combined with the new possibilty of needing testing for giftedness, has made me leery of maxing out his dose until we have solid evidence that that is what we need to do. Everything I have read says that Concerta will work fairly quickly. If our Peds calls back today and says, " Try 54 mg, and it might be what he needs for it to kick in", then I will do so, but I am not comfortable increasing the dose on my own nor continuing on a dose that so far is ineffective.

Thanks all,
Jen