I don't think it's the patch. He started that about 3 weeks ago and felt really good. I think it is the Xanax that the Dr. prescribed. I think it is way to strong...then mix it up with the patch and it is too much for his little body! I had him stop taking the Xanax this morning and I am already noticing some improvement. He is still tired, but at least he is not as "Loopy" as before. I am uncertain as to how long Xanax takes to get out of your system. Hopefully by tomorrow we will see a marked change!