Mine started on adderall, as best I can recall, and though we have tried a lot including strattera,adderall xr, etc, reg adderall still works the best after nine, almost ten years. His effective dosage isn't even reflecting a demonstrable tolerance issue, which was a concern and one of the reasons we tried other meds. So, I guess we, too, will cross that bridge when we come to it, but perhaps it is something that if used properly, may not have as many tolerance, etc issues as previously thought. Abusers, yes, because it isn't correcting a chemical issue in their body, and so their bodies prob fight it more, but perhaps not legitimate users. I have been on high dosages of several meds for my entire life for various medical conditions, and yet, despite reports that I should have a high tolerance now and need ever higher dosing schedules, I don't. Keep up the hope, for now that is all you can do. Oh, and I would advise them not to let the school know, it just labels the child and is really none of their business. We were actually told that when deciding classroom placement and advanced learning opportunities, children with ADD, ADHD were generally not considered for them, even with perfect criteria, simply based on this diagnosis, so be careful. JMO, hope it helps.