Since no one else has commented on it, I'll comment on the Attend. My son, who is a 4th grader, has been on it since kindergarten. He also takes the 2 other meds that go along with it, Extress and Memorin. They do wonderfully for him. He takes 2 Attends and 1 of each of the others every morning.
Background, my son was diagnosed by a child psychologist right when he turned 5. He had been having some problems in day care and we started seeing the psychologist. She didn't recommend any drugs then, just to wait and see how kinder started out. Well, it wasn't good. He couldn't sit still, and his impulsiveness was out of control. My husband and I neither wanted to put him on the narcotic drugs, so I went to our local health food store, Peak Nutrition, to see what they had. They had about 5 different brands, I picked Attend because it is "homeopathic" and I knew he had done well with the Hyland's Teething Tablets as a baby.
We started him on one, not much change after a few weeks, so we increased it to two pills a day, immediate change. His teacher said he was like a whole different child. At home he could suddenly sit still and color in a coloring book, which was something he had never done in the past. He would only scribble. He made it through kinder with only a few problems, mainly impulsiveness.
In first grade we added the Memorin and Extress. He had some trouble in first grade with behavior, plus he had a very hard time learning to read (which is a whole other story). But, I must add his 1st grade teacher in the spring semester did not have a real strong classroom management style. The kids kind of ran amok. This semester was also tough, because the teachers did not like the idea of a homeopathic drug and suggested we put him on narcotics. Wasn't going to happen.
I have to say that my son is very smart and creative and should most likely be in GT. He is reading a grade level ahead. Most GT kids do show signs of ADHD. Just because your son has good grades does not mean that he is not ADHD, and the not paying attention might one day catch up with him.
To continue, between 2nd and 3rd grade, he changed a lot. He matured and his whole physique changed. His teacher for 3rd grade was a "no holes barred, it's my way or the highway" type of teacher, very structured. He needed the structure, as do all ADHD people.
He also started taekwondo in January of 3rd grade and is doing wonderfully. Now that he has matured more we can reason with him and he has gotten much more in control of his self control.