![]() ![]() Pharmacotherapy has been proven effective, but close follow-up focusing on physical growth, cardiovascular monitoring, and the surveillance of potential side effects including tics, mood fluctuations, and psychotic symptoms, is essential. Alternatives include atomoxetine and guanfacine. Concerning pharmacotherapy, guidelines vary in drug choice and sequencing, with psychostimulants, such as methylphenidate and (lis)dexamfetamine, generally being the favored initial treatment. The treatment of ADHD typically involves a multimodal approach that encompasses a combination of psychoeducation, parent/teacher training, psychosocial/psychotherapeutic interventions, and pharmacotherapy. It is the most common neurodevelopmental disorder presenting to pediatric services, and pediatricians are often involved in the early assessment, diagnosis, and treatment of children with ADHD. ![]() Accessible at Accessed February 3, 2023.Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by a persistent pattern of inattention, hyperactivity, and impulsivity. National Heart, Lung and Blood Institute.Risk of Cardiovascular Diseases Associated with Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis.” Benzodiazepine and Stimulant Prescriptions Before Overdose in Youth. Attention-deficit/hyperactivity disorder as a risk factor for cardiovascular diseases: a nationwide population-based cohort study. Assessment of Stimulant Use and Cardiovascular Event Risks Among Older Adults. “These can include azithromycin and ciprofloxacin. “There are certain medications that, when combined with a stimulant, could be harmful,” Dr. It also is important to tell your doctor about any other medications that you are taking in addition to a stimulant. “We can find things on an EKG such as a prolonged QT interval, which can be dangerous.” A prolonged, or long, QT syndrome is a heart conduction disorder that causes arrhythmias (fast and chaotic heartbeats).⁵ “Also, the person should have an annual EKG if the doctor feels this is important,” he advises. Hirsh says.Īn individual who takes stimulant medications for ADHD should undergo a routine physical every year and be screened for high blood pressure, Dr. “The first step in managing ADHD symptoms could be with cognitive behavioral therapy or other types of therapies,” Dr. Or your doctor may want to consider other means of treatment (lifestyle changes, therapy, etc.) that can help supplement in order to achieve lower doses.” “One solution, if you are on a stimulant, is to take the lowest possible dose. “It is about understanding the risks and the benefits, and the things we can do to mitigate these risks,” Beavers says. ![]()
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