to have expected to see a change on day 1 of ADHD medication?

[ADHDnewbie]

DD is 13 and has just started Delmosart 18mg
She took it at 8 after I made her a massive breakfast in case she lost her appetite but I can see no difference at all!
Is this normal?

You start on a low dose then slowly increase. My 10 yr old is on 63mg of delmosart to be effective

As pp... it is a low dose that will need up titrating but can cause side effects and some only need a low dose so you may well not see much initially... also you may only know it was doing something later today when it wears off and you get the emotional crash down ... This is always the case in my house every time we up a dose or try a new medication for the first few days !! My son eats like a horse at breakfast on ADHD meds it's only lunch it seems to affect for him.

Thank you.
Ive been so worried about starting it that I just expected to see some kind of change but she seems exactly the same which of course is great because I don’t want her to be any different - just more focused at school

You might not even notice a change (or much of) at home. My son is much more relaxed at home and for certain things I now notice a difference but school noticed changes faster than I did, totally different environment and expectations to school.

It’s only a starting dose,You might not notice any change at this dose, it was only when my dd’s dose went up to the next level that we noticed a change

@ADHDnewbie I agree with pp about the low dose.
When he had to change meds from tear1 (methylphenidate) to tear2 (Lisdexamfetamine), because had to start at the lowest dose and titrate up by 10mg every 6 weeks until we got the correct dose, poor ds was effectively unmedicated to the point that he was coming out of school saying how under medicated he was.
Give it time and a few dosage adjustments before you see a real difference

You shouldn't really see any changes in them but you should see differences in things they do, perhaps as die increases. DS seems exactly as he always is when on his meds, the only difference is that he can sit down, start a piece of work and finish it whereas before he could stare at a blank page for an hour or more.

Still no change
Is 18mg not a high enough dose maybe or is it more that the medication doesn’t work for her?

I'm not familiar with the specific medication that your dc is on, however yes 18mg is a very low dose. For contrast my ds (14) is on 60mg elvanse (Lisdexamfetamine).
The way they prescribe the meds is to start at the lowest dose and wait about a month and check for side effects and how well it works then up the dose to the next set level wait another month and keep going until you get the right dose for the individual.
Honestly you shouldn't expect to see any improvement in concentration etc until after the 2nd or 3rd increase and even then it may still not be at the right level for her and need increasing again.

Unfortunately, it usually takes 6-12 months to get the correct dose as they have to wait a minimum of 4 weeks between increasing the medication, though it can be up to 8 depending on the availability of appointments with peds/calms.
Hope that helps you understand the process a bit more