"when my son couldn&#039;t swallow, the patch was the perfect alternative for his add. he never did have the hyperactivity. we used it for years but he developed a nasty allergic skin reaction to it and we had to stop using it. we miss the ease of it and the simplicity of the 8am-6pm use of it. by bedtime he was ready to sleep. with concerta he has to take benadryl to help him sleep. if only they could have fixed that problem"