His teachers say that he is focused in all subjects at school except the last one of the day where he has a large friend group and all the kids are extra social. However; I personally spend hours each evening organizing his binder, asking questions, going over homework, helping him with projects, and I know many parents simply do not have the time or interest to spend this much time every weekday afterschool and on the weekends.
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I think you should not go for medicines. He must be tired towards the last class of the day. Also there is a possibility that he lacks interest in that particular class. I am still a student and I always forget quickly what we have in the class in which I have no interest. On the other hand, I remember classes in which I have interest very well.
There are significant short term and long term ramifications and yes, you are right that he is not as interested in the subject and the teacher is not patient, which is somewhat understandable if the majority of the class are talkative.
Exactly. Instead of going for medicines, I would say you should study with him for that subject on priority. As soon as his interest develops, he will focus it. I have two major classes: Antenna and Signal Processing. I have no interest in antenna and will always feel sleepy in the class plus the teacher is not that good. On the other hand, the teacher discusses everything with the students in the signal class and I listen to every word carefully