Finding the right right medications can be so hard. Every kid is different and with so many co-morbid (aka co-existing) diagnoses, it's hard to get it right. It took us 3 years to find the right combination but we've been on the same meds for 3 years now and he's doing great (that's six years total). Be patient - there are lots of side effects and sometimes a higher dose makes it worse, not better. I encourage you to ask other parents what they've tried and what the side effects were, but please work with your doctor to determine what's right for your child.