Advise needed

My 5 yr old son has been diagnosed with ADHD, Oppositional Defiant Disorder, Anxiety and high IQ. He had a terrible year at school due to a no. of incidents with other kids and as a result we had to change schools. We have attended some therapy and seen a slight improvement. I have also been considering putting him onto medication, but am concerned about the long-term effects. What do you suggest?
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