I think this should first be discussed with the parents. They may not realize that their child is skipping doses and can make adjustments with this knowledge. Often times, this should resolve the issue, but if it doesn't, it may help to get in touch with the school nurse and the parents to have a dosing schedule and medications available at school. On the days that he does not take his medication, have a plan of action in place to deal with the hyperactivity, such as a change of seating arrangements, extra breaks, sensory toys, etc.

This is something that once you notice that the student doesn't always take his medication, you should have plans for both days. If you notice that the student acts one way on the medication and one way off the medication see what you can do. See what the student likes to do when they are off the medication, because once you know that, than it is going to be easier, to keep the student calm during the class and throughout the day. Always have a plan, even if it take a month or two to get it down.

This is very tricky but try to help him the best that you can. Try letting the student stand at their desk, pace the back of the classroom or even have five extra minutes of recess. This is tricky but no not much too much effort into that one student.

I would provide this student with an outlet for his energy. Try letting him pass out papers or run an errand. Anything that will allow him to let his energy out in a way that doesn't disrupt your class. If possible, try to arrange with the parents and nurse to have an extra container of medication in the office for days he forgets, but your bes bet would probably be finding an outlet on your own.

I would definitely contact the parents and see if there is any way they can leave some of the student's medication in the school clinic so if he forgets, he still has some available.

Give him a quote corner in the classroom or seat him by himself so he can concentrate with out distractions

Conduct a behavior assessment for your student. Try to understand the behavior this find as trouble behavior and decide on your replacement behaviors. This can be for either when the student is or isn't on their medication. As far as ensuring the student takes their medication, set up a schedule to record what days the student takes their medication and what days the student doesn't. This way perhaps you'll notice a pattern of some kind. Afterwards, contact the parents and talk to them about the troubles this causes in class and any solutions you have thought to help with this. If the parents have to come back to the school to make sure the students has what they need, then try and encourage this.

possibly ask his parents to leave you a script at school so if they forget it is in school he just has to walk down to the nurses office.

There are a couple different ways to address this situation. A possibly solution would be to start tracking his behavior and record his behaviors on the days he does take his medication and on the days he doesn't take his medication. That way if you think you'd like to talk to the parents, this data would give them explicit evidence of his behaviors and that might make them take more responsibility for monitoring his medications. Another way would be to do your best to utilize his behavior by giving him tasks to keep him busy and to let him feel important. I would also suggest either making him sit an an "island" desk or seating him at a desk closest to your, so you can keep an eye on him.

I think this should be discussed with the parents, I know you can't make a child take his or her medication.

On days that the student does not take his medicine, always keep him busy. Give him little tasks to do and make him teacher's helper. It will constantly keep his mind focused. Another option is to bring in sensory toys or add hands-on activities to the lesson. Another fun idea is what I call "One minute brain breaks" where students get up for one minute to shake all of their energy out.

I would start by documenting the behaviors. Then, if it is persistent, talk to the parents. I agree that they might have no idea that this is happening with their child. I would talk to the guidance counselor as well.

I would suggest first talking to the student, I would then reach out to the parents. The student may not like the way the meds make him feel and need to be adjusted or something of that nature and the parents maybe completely unaware.

put reminders in their agenda books.

talk to the parents