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LanternwayMayaAge 10

Medications

What's been prescribed, when it changed, and how home and school days looked around each change.

Current medications

Methylphenidate ER

36 mg · Once daily, morning

For
Prescribed for ADHD (focus at school)
Prescriber
Dr. Elena Marsh
Started
Aug 21, 2023
How
Extended-release tablet, taken with breakfast

Refill due Oct 28, 2026 (in 7 days) · Corner Street Pharmacy

Guanfacine ER

1 mg · Once daily, with dinner

For
Prescribed for ADHD (evenings and winding down)
Prescriber
Dr. Elena Marsh
Started
Sep 15, 2025
How
Extended-release tablet, taken at dinner

Refill due Nov 4, 2026 (in 14 days) · Corner Street Pharmacy

The last two years

Numbered lines mark medication changes. Teacher ratings come from weekly check-ins, so there are gaps over school breaks.

Methylphenidate ER dosemg per day
Teacher focus rating4-week average, 1–5
Sleepweekly average, hours
  1. 1Feb 10, 2025: Methylphenidate ER changed to 27 mg
  2. 2Sep 15, 2025: started Guanfacine ER 1 mg
  3. 3Mar 3, 2026: Methylphenidate ER changed to 36 mg
See the numbers as a table
MonthDose (mg)Teacher focusSleep (hrs)
October 2024182.38.9
November 2024182.28.9
December 2024182.98.9
January 2025182.78.9
February 2025253.38.8
March 2025273.38.8
April 2025273.48.8
May 2025273.58.7
June 2025273.38.7
July 202527–8.8
August 2025273.08.8
September 2025272.79.1
October 2025272.99.4
November 2025272.89.4
December 2025272.69.5
January 2026272.49.4
February 2026271.99.4
March 2026362.99.4
April 2026364.19.3
May 2026363.49.3
June 2026363.49.4
July 202636–9.3
August 2026363.99.2
September 2026363.99.4
October 2026364.29.4

Changes and what was recorded around them

3

Mar 3, 2026: Methylphenidate ER changed to 36 mg

Once daily, morning

Why: Dr. Marsh increased the dose after we shared Mr. Okafor's check-ins from January and February.

Noticed afterward: Smaller appetite at lunch; Bigger snack after school

Packing a smaller lunch plus a protein snack for after school.

6 weeks before vs. after
MeasureBeforeAfter
Teacher focus1.8 / 53.7 / 5
Sleep9.4 hrs9.4 hrs
Appetite3.3 / 52.4 / 5
Mood2.9 / 53.7 / 5
Meltdowns2.0 / week1.2 / week

Since the Methylphenidate ER dose change on Mar 3, teacher focus ratings averaged 3.7 (was 1.8); sleep averaged 9.4 hrs (was 9.4 hrs); appetite averaged 2.4 (was 3.3); mood averaged 3.7 (was 2.9); meltdowns 1.2/week (was 2.0).

2

Sep 15, 2025: started Guanfacine ER 1 mg

Once daily, with dinner

Why: Dr. Marsh added this at the September visit. We'd talked about evening meltdowns and long bedtimes.

Noticed afterward: Sleepy in the evening for the first week

6 weeks before vs. after
MeasureBeforeAfter
Teacher focus2.7 / 53.0 / 5
Sleep8.8 hrs9.4 hrs
Appetite2.7 / 53.1 / 5
Mood3.5 / 53.6 / 5
Meltdowns1.8 / week1.0 / week

Since the start of Guanfacine ER on Sep 15, teacher focus ratings averaged 3.0 (was 2.7); sleep averaged 9.4 hrs (was 8.8 hrs); appetite averaged 3.1 (was 2.7); mood averaged 3.6 (was 3.5); meltdowns 1.0/week (was 1.8).

1

Feb 10, 2025: Methylphenidate ER changed to 27 mg

Once daily, morning

Why: Dr. Marsh increased the dose at the February visit after we shared teacher check-ins showing focus fading by late morning.

Noticed afterward: Trouble falling asleep some nights

Asked the school to keep sending weekly check-ins so we can compare.

6 weeks before vs. after
MeasureBeforeAfter
Teacher focus2.6 / 53.5 / 5
Sleep8.9 hrs8.8 hrs
Appetite3.3 / 52.8 / 5
Mood3.0 / 53.4 / 5
Meltdowns1.8 / week1.3 / week

Since the Methylphenidate ER dose change on Feb 10, teacher focus ratings averaged 3.5 (was 2.6); sleep averaged 8.8 hrs (was 8.9 hrs); appetite averaged 2.8 (was 3.3); mood averaged 3.4 (was 3.0); meltdowns 1.3/week (was 1.8).

Earlier

  • Aug 21, 2023: started Methylphenidate ER 18 mgDr. Marsh started this after we talked about focus at school.

Lanternway is a record-keeping tool and does not provide medical advice.