Dd has been on Mediknet XL for about 18 months for the first year it worked amazingly well but then she hit puberty, grew about 6 Inches and whilst I wouldn't say it doesn't work its not working anywhere near as well as previously and we are starting to get the shouting out impulsively at school etc again she has a review coming up and am thinking of asking about an increase. She's 12 and is on 20mg a day she's also 5 foot 6 so adult size! This is our first proper NHS annual review (was titrated on right to choose) so was wondering about what they might ask and how to approach an increase...any experiences welcome.