Everything you wanted to know about Strattera

[Mayleng]

This post is very similar to the first one we gathered info on. I did update with newer findings and experiences regarding dosing levels and comorbs, adult dosing, inhalation and overlapping stims.
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Our collaborated effort to collect experiences on
Strat has turned out some fantastic information even
our doctors aren't giving. Thanks to everyone who took
the time to share thier experiences, I think it's safe
to say, we wrote the book on this Med! Anyway, I
realized on some other boards that there were loads of
people planning on switching to Strattera over the
summer. I wanted to post the tips we have learned and
shared with each other, not just for the newer
members, but for the older members who don't want to
wade through the dozens of posts. Of coarse I cannot
post it all but here are the biggies;
First; this isn't a med you want to start in the
middle of improtant times in their lives. I highly
recommend starting in summer. You can have results in
4 days or up to 6 weeks. Usually it is 4 weeks to see
consistant full effects. It can, temporarily, make
kids hyper and emotional and angry if they are med
sensitive or coming off amphets. There are also side
effects in the beginning as the liver learns how to
handle this med, the first few weeks. If you don't get
to 4 weeks, you haven't tried this med and put your
child through an ordeal for nothing. Impulsiveness and
hyperness are sometimes the last symtoms this kicks in
for. So hang in there.

Second; The target dose should be at least 1.2mgs for
every 2.2 lbs of body weight. If you aren't good with
formulas, you divide his weight by 2.2, then multiply
that # by 1.2. That will give you the mgs you need to
work up to. I am constantly shocked at how many
scaredycat doctors are perscribing doses too low, or
that they up it too high like stims to see better
results. You can read much of this in the script
insert. A low dose has almost no effect except
moodswings, a high dose can cause rage and is a
dangerous game to play with a childs blood pressure.
This is not like the other meds, there is only one
right dose and it is completely size dependant. There
are no increased effects over 1.8mgs per 2.2 and very
poor inconsistant effects on less than 1.2mgs. I do
not recommend going to the 1.8, the best results are
somewhere nicely in the middle of min and max.
Unfortunately, this med comes in limited mgs sizes
right now and a few mgs can make a big difference.
For some kids it can be tricky finding the perfect
dose where you get max theraputic bennies without any
mood changes. Hopefully the makers will catch on and
make the doses in more specific increments. I think
if they made them by the 5 mgs, a lot more people
would be successfull with this. If you are going to
resort to opening the capsules for any reason, PLEASE
BE CAREFUL, inhaling this powder can cause serious
repiratory problems!

In adults, and children over 150 pounds the dosing is a
little trickier and sometimes the formula won't be
accurate. here is whats recommended for the over 150
pound crowd;

Dosing of children and adolescents over 150 pounds body
weight and adults - STRATTERA should be initiated at a
total daily dose of 25mgs, and increased after a
minimum of 3 days to a target total daily dose of 40
mg to 80 mgs depending on thier weight. After 2 to 4
additional weeks, the dose may be increased to a
maximum of 100 mg in patients who have not achieved an
optimal response. There are no data that support
increased effectiveness at higher doses regardless of
weight(see CLINICAL STUDIES).

The maximum recommended total daily dose in children
and adolescents over 150 pounds and adults is 100 mg.

Third; Children and adults as well need to start on
low doses. They recommend 4 days, at a starting dose,
I say 8 with kids, from my experience. I also
recommend the first two weeks be given at night,
before bedtime. In the beginnining most kids have
extreme lethargy and stomach aches a few hours after
taking this med, not things you want happening in the
middle of the day for two weeks. At night, they sleep
through this and any other side effects. Don't beleive
that you can give this on an empty stomach. I
recommend a high Carb meal! Don't let the side effects
deter you, they go away 95% of the time and only
return when they are sick and run down or very tired
from too little sleep or take a main dose on an empty
stomach. If they do not go away, unfortunatley, this
might be the wrong med for you.
Contrary to claim's, you have to have to have to take
this on a full stomach. FULL! Another contrary, this
is not an all day med for many kids. It wears off the
important symptoms by 5-6 hours, mostly hyperactivity
and impulsiveness so don't expect to see results until
you go to administering this in the morning. It does
seem to help focus most of the day, but its irrelevant
when you have some fast forward sitcom going on
everyday by 2:30. That brings me to my next tip.

Fourth; Once you are up and running on target dose and
seeing good results, if it seems to be wearing off a
little, ask the doctor for two smaller sized doses
instead of the one big one, one before school and one
after school. This not only prolongs the positive
effects until bedtime, but really gives a boost to the
day over all. I recommend the morning dose be the
larger. For example, my son is 58lbs he takes 25mgs in
the morning and 10 after school. The 10 mgs alone
would do nothing, but what a whallop it packs as an
addition! It almost seems to wake up or bring back
some of that morning dose. We were very happy with the
results of one dose and would have gladly settled, but
our neuro recommended this and what a difference it
made! This tip is the one I get the most thanks on as
it really makes a huge difference, both in length of
effectiveness and dimishment of side effects. If you
have an experienced doctor, he may even perscribe it
this way without you asking. It is becoming a very
common trend as people learn more about this.

[Mayleng]

Fifth; Just some warnings. If you miss a dose, give it
asap! My son isn't very sensitive but gets emotional
if it's even 3 or 4 hours late, especially that
morning dose. Remember it has antidepressant
properties. Also, if I give my son the second dose any
later than 4pm, he has nightmares all night long, I
mean all night! (this is common but not across the
board). My theory is that if it is still at an
effectual level in his system, what would normally be
a fleeting tangential series of dreams has the power
to develope into a nightmare. He never had nightmares
before (rarely). Lastly, if your child has been on
amphets for some time, watch the weight gain on the
Strat! Some kids are eating themselves right into
needing a higher dose and just as they reach 3-4 weeks
when they should be having results, parents are
mistakenly thinking the stuff doesn't work. Keep an
eye on the weight. Adjust the dose accordingly.

Sixth; When things go wrong; For many kids, Strat
weakens when its up against the wall. By that I mean,
when kids are sick or tired or run down, or in a
new/overwhelming situation it can appear they aren't
on meds at all. Maybe its a metabolism thing, I'm
unsure. But I have heard many tell of this and it has
been my own experience as well. Keep giving the dose
every day. Stoppoing will only let the levels in his
system drop and you will need to ramp up again. The
levels drop much quicker than they ramp up so its
important not to miss more than an occasional day.
Also, if your child shows signs of being too highly
dosed (angry, weepy, easily agitated) and there is no
significant weight loss that would require a dose
adjustment, there could be a build up in their system.
For whatever reason (usually metabolic) the med
levels are getting too high and they need a little
temporary lowering. I did this for 3 weeks over the
summer, dropped him down 10 mgs and he came around
nicely. I don't know how or why he needed this but it
worked and I may have to do it regularly. If your
child has regular metabolizing problems, this med is
going to be hard to work as the levels in their system
need to be consistant.

Seventh; When to give up. If you child has a comorb
other than tics or mild depression, this med has a
higher failure rate (according to the polls we did).
This isn't a fix all med. It might make other
disorders worse, just like stims do. At its best, its
not going to cover all your bases. I'm not saying if
this fails, your child has another disorder, I will
say it is a red flag that maybe there is something
else going on. I have seen Strat work nice with the
anxious child and even the bipolar child, but just as
often it doesn't help these disorders and can even
exasperate them.

If you are still having trouble with activity levels,
I have met many people using very low doses of stims
along with it, just to pick up the slack. This med is
very mix friendly with the exception of some asthma
meds and MAO inhibitors. Over lapping stims is a nice
way to ramp up as well, having less negative effect on
school work and behavior, especially for the child
with a heavey side of Hyper.

If you see any positive effects in the first week or
two, that is a good sign. Stick it out. If you don't
get to 4 weeks on the target dose (6 for very hyper
kids), you never really tried this med, and you could
be cheating your child out of a very nice, side effect
free treatment. My most favorite thing about this med
is that it changed nothing about his core. He is now
the boy who has been stuck inside himself all his life
and he is very very happy to be out and about and in
control of his brain. It has helped in all areas,
academics, sports, family, friends, self esteme,
everything. Still it doesn't overpower him, he still
has good days and bad days, happy days and sad days.
It doesn't define him like the other meds we have
tried, it just sort of released him. I have only
stopped crying about a month ago. If your child takes
Strat and is not happy and has negative personality
changes, again, this may be bad news.

Thats all I got, I think. I am not a doctor, nor am
crusading against Stims, I know they help many many
kids, I must admit they helped my son concentraite
great at school, but there was a stranger living in
our house and he was miserable, we all were. Plus they
really worsened his tics. I think there are a lot of
kids out there like mine, and this is a great
alternative. For a long time, we have been stuck
envying the kids who were helped by stims. Now there
is something for us, too. Plus they eat and sleep and
grow on this stuff. I can't think of three more
important things my kids need to do. We also had an
unexpected perk. DS's tics, which began at 2yo,
(beleived PANDAS induced) have near completely
stopped. When he misses a dose of Strat they come
right back within a few hours. I have read of a few
cases where it worsened or brought on tics, but
overwhelmingly I read it stops or deminishes tics more
than the meds perscribed to help with tics. Truth be
told, if Strat stopped working on my sons ADD, we'd
keep him on it for its tic bennies. We have tried
everything and this is the only thing that has stopped
his tics. Well, there are mild ones but only a mom
would notice. For all intensive purposes, the tics
are gone.

Good luck, I hope there were people interested in what
we have learned, this was one heck of a long post.
Thanks again to everyone who shared their tricks and
everyone else who tried them and gave them a thumbs
up. I hope our combined efforts help some parents find
that this is the a great alternative for their child.

WARNING for Paxil and Prozac users

When using strattera and Paxil or Prozac together, the strattera dosage has to be half the target dose. The warning is in insert that comes with strattera under Dosage and Administration and also Drug Interactions.

Quote:

Coadministration of Strattera with potent inhibitors of CYP2D6 , such as fluoxetine, paroxetine, or quinidine ( meaning Paxil and Prozac) results in a substantial increase in atomoxetine plasma exposure, an dosing adjustments may be necessary.

Unquote


Millermom

[mattandchris]

[shadow=red,left,300]TEXT[/shadow]

This is also my favorite thing about this medication. We were very reluctant to put our son on any medication. After being diagnosed our Dr. asked us if we would try Straterra. It has been very successful for our son. He has not lost or had muffled any of his energetic, imaginative creativity. It is nice being able to go to bed at night and not wonder what he will forget to turn in tomorrow.

[mattandchris]

"My most favorite thing about this med
is that it changed nothing about his core. He is now
the boy who has been stuck inside himself all his life
and he is very very happy to be out and about and in
control of his brain. "

This is also my favorite thing about this medication. We were very reluctant to put our son on any medication. After being diagnosed our Dr. asked us if we would try Straterra. It has been very successful for our son. He has not lost or had muffled any of his energetic, imaginative creativity. It is nice being able to go to bed at night and not wonder what he will forget to turn in tomorrow.

[jenwahoo]

My son is 8 and has been on Strattera since July. I am actually tearing up as I'm writing this, but he is the same boy he always was, but is doing wonderfully in all aspects of his life. He was diagnosed in January and in the 11 months, he is successful in school, sports, self-esteem and everything. He got the best report card ever this term. Everywhere we go, everyone is telling us how mature he has gotten in such a short period of time.

He does not know that he is taking medication for ADHD. He thinks it is a vitamin. When asked why the changes in him, he says he just made up his mind, buckled down and works hard. He thinks it is all due to his hard work---not a pill.

He was on adderrall, ritalin, and was a sad, lethargic boy. My son is back and doing great.

[Mayleng]

jenwahoo said:

My son is 8 and has been on Strattera since July. I am actually tearing up as I'm writing this, but he is the same boy he always was, but is doing wonderfully in all aspects of his life. He was diagnosed in January and in the 11 months, he is successful in school, sports, self-esteem and everything. He got the best report card ever this term. Everywhere we go, everyone is telling us how mature he has gotten in such a short period of time.

He does not know that he is taking medication for ADHD. He thinks it is a vitamin. When asked why the changes in him, he says he just made up his mind, buckled down and works hard. He thinks it is all due to his hard work---not a pill.

He was on adderrall, ritalin, and was a sad, lethargic boy. My son is back and doing great.

It is wonderful to hear that Strattera has helped. But don't underplay that your son actually has buckled down and works hard. The thing about Strattera is that it enables him to do all that but he also has to want to do it. So I would say you are getting success both from the Stratt as well as your son's attitude (which is just as important). He is now able to take control of himself. This is wonderful news. Thank you for sharing with us. It gives us hope for our own kids.

[randy]

I am beside myself over the impact strattera is having on my child --but he has only just started to ramp up. I am wondering if this is usual: He is unable to stay awake more than about 5 hours a day. Our doctor has said to wait until he reaches his does + 10 days, but this is 20 days more, and this boy cannot go to school. Is this usual?

[SJsMom]

Randy,
Please check your dosage and talk to your Dr again. I had the same problem with my daughter. She was asleep before the car left the driveway. - every time we pulled out!!! We made the decision to stop the Strat until we could get in to see the Dr. (It was summer time) When school started up she was back on Ritalin, but we switched her over to try a lower dose of Strat in mid Sept and WOW. What a difference. She fell asleep the first day in school so I gave her the first week at night and then tried again and she's going strong now. Wearing herself out playing like a normal 9 year old is supposed to do. And I'm relieved shes not on a stim!

[randy]

Hi, Thanks, our situation is a bit different in that my son is 15 and weighs 200 pounds. The doctor says he will need the dose for efficacy. The stimulants cause him a kind of tic where he literally picks himself to shreds --he can no longer tolerate them. He is a straight A honors student on medication, and without it, cannot even read a book. The strattera has worked very well for his brother. What I am wondering is this: Has anyone had this kind of side-effect with sleep, to this degree, and seen it subside once the patient is at dose? Our doctor is increasing the dose every four days, and says that the side-effect may occur for as long as 10 days after the last dose increase. For us, this is 11 more days until we are at dose and then 10 days beyond. 21 days. In addition, this boy crashed when his adderall was removed --also predicted to happen by the doctor. This crash lasted 10 days. Already you can see that this boy, who is a high school sophomore, has missed a semester of school --and there is no guarantee that the straterra will work, although given his reaction to stimulants, and how far into the process we already are it seems like we should see it through. So ...has anyone seen this level of sleep side effect all the way while ramping up to dose subside? We cannot go down on the dose in our case. Randy

[irishbutterfly]

When my son started strat he was given 18mg for four days, 25 mg for two weeks, then went to dose of 40 mg. He was on this dose for about 6 weeks and the doctor just upped him to 50 mgs.
Maybe they are ramping him too fast. Is he taking his strat in the evening?
My son is'nt as old as yours, but I know that he has fallen asleep at school a couple of times. The teachers give him 10-15 min and then wake him up. They say he is fine after and goes on about his day.
Dont give up, if it doesnt get better talk to the doctor again.
Wish I could be more helpful.

[thebrowns4]

I had originally posted on note on the adhd.com website before it went down about my son being put on Zoloft along with Straterra.. After talking with my son's therapist and a pediatric neurologist, we decided that he did NOT need to be on Zoloft. He showed no signs of depression, and complained of headaches and was over exicted while he was on Zoloft.. We did decide to up his dosage of Straterra from 18mg to 25mg.. WOW.. what a difference in just a day ;D I just wanted to share this with all of you.. My son is 4 and was diagnosed with ADHD in April of 2003. Since being on Straterra, he has improved tremedously...

[kluv2jazz]

randy said:

I am beside myself over the impact strattera is having on my child --but he has only just started to ramp up. I am wondering if this is usual: He is unable to stay awake more than about 5 hours a day. Our doctor has said to wait until he reaches his does + 10 days, but this is 20 days more, and this boy cannot go to school. Is this usual?

I have heard of one case......the mom has to give it to her son at bedtime because he will sleep for 3 hours after taking it. He also takes buspar which may be the reason; not sure. He has been on it since the beginning of summer and his sleepiness won't go away.

[mattandchris]

I have a question for you Millermom. When do I become concerned about my son's weight loss. Since beginning Strattera my son has grown 3and1/2 inches and lost 8 lbs. I know that as he goes through puberty, growth spurts and weight loss are common but how do i know what is normal and what can be attributed to medication. Thanks.

[mattandchris]

I forgot to say that he is 102 lbs and is on 60 mg Strattera. I think that is the right dosage for his weight.

[Mayleng]

When did he start Strattera and has he leveled off? Or is he still losing.

All I can tell you is that my son lost weight on Straterra for 3 or 4 months, didn't gain any. Started at 57 lbs, dropped as low as 52lbs. He is up to 58 now. He is lean but, medically speaking he is perfect for his height. He is healthy in all other ways and very very active. If this is your sons case, I would not worry.

[mattandchris]

He started Strattera about 6 months ago. He looks thin, however today a couple people told me that they thought he looked good. Maybe he's a bit thinner because he is not eating as much junk food as he was. I'll just keep an eye on him. Thanks for the response.

[momof2boys]

Dear MillerMom,

I could really use some advice, and it sound like you are just the one! My son (8yrs old, 60 lbs) has ADD and we have been trying medication since Sept. (for 4 mos.) He is not hyperactive, but has a very hard time writing in school, staying focused and starting and completing assignments in school.

Okay, so here is our story .... first we started with Concerta ... 18mg to 27mg ... then tried 36mg. This seemed okay for 2 days, but then seemed to backfire. My son was so explosive in the afternoon and began ripping up papers, etc. I could not continue. I should mention that it this point there was a noticeable improvement at school, but still he needed help with his writing. Our Dr. wanted to increase the dose to see if this would improve. Next we tried metadate CD ... but again there were side effects (my son said he was feeling sad, almost depressed every afternoon). At this point we took some weeks off meds and he started to fall apart at school ... losing everything, getting attention for inappropriate behavior, etc.

We decided to begin Strattera over the Christmas break. We did one week at 10 mg, then one week and 20 mg, and finally started 30 mg. He just began his third week on 30mg, but I am getting discouraged. Last weekend he broke out in hives (not terribly uncommon for him; happens about twice a year?) and I was just not sure if the Strattera had anything to do with this. We finally concluded no, but we were giving him benadryl for the hives. He missed a day of school, but was just totally 'out of whack' the rest of the week ... he could not keep his focus, was all over the place at home, and his teacher told me he had regressed to where he was at the start of the year! I just don't know what was happening ... if it wasn't for reading your information, I would have stopped! Anyway, we are continuing with the 30mg and will see what happens this week at school.

I must say that my son is so much more himself on this medication - and, he never complains about taking it. When he was taking Concerta, it really stiffled him and though he was performing better in school, I missed parts of his personality. He is naturally somewhat of a worrier and tense ... the Concerta seemed to make this worse. The one thing I do notice on Strattera is that his mood is more even and he is not inclined to so many outbursts. But, will this help him at school?

I understand from what you have written that we need to go at least 4 weeks at the 30mg, which is pretty close to the 1.2mgs per 2.2 lbs for him. But, should we be seeing something more at school? Is there more that we can be doing? (By the way I have not noticed any problems with sleepiness or apetite, though I think he tends to eat less at lunchtime.)

THANKS!

[mattandchris]

momof2boys- Good luck. I think the thing with Strattera is that everyone needs to be patient. I know that for some it does take a while. We were lucky enough to begin over the summer. Once school began he had already been at his target dose for 2 months. I do like the way my son is on Strattera. He has lost none of his energetic, imaginative self.
I do have a question foe millermom or mayleng, Have either of your son's experienced upset stomachs with Strattera? Matt has been on it sice June. Today he said he doesn't like taking it because it gives hime a stomache. He has never complained before. Of course that doesn't mean much since he doesn't like to share a lot anyway. The warning on the label said it can be taken with or without food. Would you suggest eating first. I do not want to try any other medication because I have really liked the results we have seen.
Thanks.
Peace.

[swmom]

We always take Strattera with food, always. Haven't had a problem with stomach upset so far and we've been on since July 30th. We are having nosebleeds though. Don't know what to think of that.

[Mayleng]

momof2boys,

Hives are very common with Strat. If your son is prone to react to things with hives.. well, there you go. Usually they go away, but I have met a few cases where they had to stop and restart, sometimes with success, sometimes without.

From my son's experience and many I have read from, Strat gets weakend by other health issues and medications. Even just stress can send my son into a tail spin. He is a lot like yours, same age, mostly inattentive, poor handwriting (he is being tested for disabilities within the handwriting realm). He has some hyperactivity, but they say he is in the norm, high end, but still age appropriate range. Stimulants also had a bad effect on him, unacceptable changes to his personality.

I'm not a doctor, but from my personal experience, your son might benefit from a higher dose. Ask the doctor if you can try 36 (18/18) or the 40mg pill. I won't kid you, ADD is mysterious and no one knows why some meds work and others don't, there is no rhyme or reason, but I think you need to get the doctor to agree to let you play around with the dosing. There is a delicate balance, a sweet spot, btwn when this med either works good or mediocre or causes mood disturbances. Personally, I'd go a bit higher, but not over 43mgs. Time and time again I recommend slight increases and decreases and the feedback I get has proved to me that as little as 3-5mgs can make or break this treatment. But being under dosed, even by just a little, almost always gives the impression of "not quite being enough" in effectiveness.

As far as the handwriting goes, we have had some improvement but not enough. He is only in second grade and I have decided not to break his chops over it. I so want him to enjoy writing as he is very creative and bright. If your son is in 2nd grade, I'd go easy on him, he has enough on his plate. If he is in 3rd, the pressure may be on him to improve. Have they tried occupational therapy? Edumom recommends a good program called Handwriting without tears. Check out www.hwtears.com/

[Dakotah]

I have to put a plug in for Handwriting Without Tears. It is honestly well worth the money and time!! We have been using it for two months and it is amazing!

[Mayleng]

mattandchris

The label is wrong. Take it with food. My son will still get tummy aches, if i give it without food. No citrus juice.

[Mayleng]

mattandchris, my son gets tummy aches once in a while at school. He goes to the nurse, and he lays down for about 15 mins and he is OK. He takes his Stratt with food, and the tummy aches don't seem to happen until he is in school. The nurse is very good about it and says M. doesn't take advantage. He lays down, and 15 mins later, he tells her he is ready to go back to class. It happens once a week, sometimes twice and then not for a few weeks. To be honest, he has never complained at home about it, but then again, he can rest anytime he wants at home.

[momof2boys]

Dear MillerMom,
Thanks for the information on the hives ... very interesting. So far, we have been able to tolerate, though we did have to give him some more benadryl Sat. night. We'll keep our fingers crossed on that one.

The issue with writing, somehow, seems to be more cognitive and not physical. He has been seen by occupational therapists, and they come up with nothing. He just cannot get his thoughts down on paper, though he has a lot of thoughts ... right now he is doing a lot of dictating which is okay, but not allowing him to be independent. He is learning keyboarding at school and we will see if this is a help (right now, both are hard!) Do you know anything about dysgraphia (like dyslexia except with writing)? I sometimes wonder if my son doesn't have this?

I'll also check the hwtears.com. Thanks.

[Mayleng]

momof2boys said:

Dear MillerMom,
Thanks for the information on the hives ... very interesting. So far, we have been able to tolerate, though we did have to give him some more benadryl Sat. night. We'll keep our fingers crossed on that one.

The issue with writing, somehow, seems to be more cognitive and not physical. He has been seen by occupational therapists, and they come up with nothing. He just cannot get his thoughts down on paper, though he has a lot of thoughts ... right now he is doing a lot of dictating which is okay, but not allowing him to be independent. He is learning keyboarding at school and we will see if this is a help (right now, both are hard!) Do you know anything about dysgraphia (like dyslexia except with writing)? I sometimes wonder if my son doesn't have this?

I'll also check the hwtears.com. Thanks.

You should ask the school to evaluate him for Learning Disability ie. dysgraphia. Does he have an IEP or 504 currently? Medication is not going to make him able to write without the proper remediation. Medication only helps him be able to focus and pay attention to what is being taught.

[mattandchris]

Well it was a false alarm as far as the stomach ache being a side effect of the Strattera ( He has been taking it on a full stomach after breakfast.) He now has a full blown case of the flu

[momof2boys]

Does anyone know anything about a possible Strattera side effect related to the bladder? My 8 yr old son tells me his body is not telling him when he has to go to the bathroom. So, he has less warning. Of course, he is a young boy with ADD who waits until the last possible second. (And, it could also be that the Strattera is not helping as much with the ADD ... he's on his fourth day at 40mg) But, there is some mention of bladder stuff in the Strattera package insert, so I thought I would pose this question. Has anyone else noted anything like this?

[Mayleng]

momof2boys, my son has difficulity urinating sometimes, he says it's hurts a little. This could be caused by constipation (Strattera can cause constipation I think). Once I give him Fibre (benefibre) he is OK.

He does know when he needs to go to the bathroom. Although like your son, he leaves it till the last possible minute because he is too engrossed in whatever he is doing at the time.

[Mayleng]

Testing

[irishbutterfly]

swmom-

How old is your son?
My daughter started having nose bleeds when she was 9. I talked to her pediatrician and he said that it was a normal part of growing for some kids (like growing pains). He told me not to be worried unless she started showing other symptoms like fever, stomach pains, bleeding from other areas. She hasnt had any of these symptoms and she stopped having the nose bleeds right after she turned 10.
I would ask your sons doctor about them.