I have custody of my 6 year old granddaughter, have had since she was 9 months old. Her mother is a recovering meth addict. My daughter is doing well now, has a job, her own apt and is slowly taking more responsibility for her daughter. BUT she is being very anal over the medication the child takes. She has no trouble with giving her clonidine at night as it lets the child sleep all night. Where she has trouble is the daytime med. i have had the kid on Vyvance for going on 2 years now. It has made a whole world of difference. She can get through both school and the afternoon program fine but as with most meds it starts to wear off somewhere around 6 pm. Then she gets moody and disagreeable etc etc. This is the time I use to get the kid to eat something other than the junky food she will eat while she is on the Vyvance. The school helps me out by having one of the lunchtime aids make sure she eats at least half her lunch and drink her milk. I also send snacks with her to school, sometimes she eats them sometimes not. She is on the thinner side but not out of her weight % for her height and age group. My daughter will not give her the Vyvance on the Monday morning she has her and takes her to school, and will not give it to her on the weekend visits. My daughter says it makes her too "tweaky". Yet she is always telling me I need to have her on this med or that med simply from things others have mentioned to her. I have read extensive comments on DS from other people who have kids that take one of these meds and they all seem to report the same things for side effects. I am ready to come unglued as i am the one school calls when the child acts out due to no meds. I am the one who has to deal with the effects of a non medicated child the other times and it is no picnic. It was not until she was close to 5 before the doctor would even put her on anything, and that only took place after a visit to the office where she had a complete add meltdown in the waiting room. That is when the drs finally were able to see what i had been telling them for years. So, do i stick to my guns or do i try another med to pacify daughter? I mean, here is a person who spent over 10 years of her life smoking a substance made of god knows what and is being judgmental over a choice I have made so my granddaughter can have a more productive and calm life. Even the kids Pdoc said she probably would not be this way had her mother not been on drugs during conception and during the first part of her pregnancy but my daughter says that is a load of bs. I am past the crying part, I am on the screaming part now. I also saw a lot of the parents here give their add child ensure to help get the nutrients they need due to the appetite problems being on these meds cause. i plan on picking some up today, just hope she will drink it. Do they make ensure in any kind of snack bar or anything? I guess i will just have to look.