My Zachary is almost 5 years old and goes to school everyday/all day. He has no trouble sitting still, following directions, listening to a book, watching a movie etc.... in school. He plays nice with other kids and often wonders why other kids aren't following the rules.
At home, he is active, but not hyperactive. He runs around, jumps on the bed, fights with his brother but he can sit and watch a movie for the entire time, read 2-3 books sitting still, play a board game or two with the family and will play with his brother for hours--with his brother directing.
He sleeps throughout the night and will fall asleep on his own and wakes up talking and ready to go! It does take SEVERAL times for him to do something sometimes (put on his shoes, brush his teeth, get dressed) and I am constantly telling him to "go do it". It usually works best if I count to 10 (and he has to finish the task before I reach 10) or I direct him to the task myself (take him into the bathroom and then leave for him to brush his teeth). I never thought of this as a attention issue--more like a 2nd child issue who has better things to do then brush his teeth.
Please think the whole medication thing out. As a former elementary teacher, I saw the effects of Ritalin and Adderall on these kids in school. I taught 4, 5 and 6 and it was downright scary sometimes. I would really consider the effects of medication on a 5-6-7 year old--that just seems too young for me.
Zachary loves structure and a schedule. When he is prepared and knows what is coming next, he is much happier. We work very hard on talking with him and letting him know of changes or differences in schedule. Sometimes, I get so tired of talking, but he is such a happier kid when he understands how the schedule is going to go. We and the school are very clear with rules and boundries and our expectations of him.
I do several kids that have trouble concentrating and focusing (and that are around 4-5) and none of them have albinism. My friend had her triplets repeat K because 2/3 kids had trouble with concentration. Another friend actually takes her son to a counselor, but he also has some other issues.
Jo