To monitor the effects of the medication, your pediatrician will probably have you and your child's teachers fill out behavior rating scales, observe changes in your child's target goals, notice any side effects, and monitor your child's height, weight, pulse and blood pressure. After that, periodic monitoring by your doctor is important to maintain the best effects. Monitoring the effects of your child's medicationĬlose contact with your pediatrician is needed until you find the best medication and dose for your child. Using a different stimulant or trying a non-stimulant Guanfacine and clonidine can cause drowsiness, fatigue, or a decrease in blood pressure. Rarely atomoxetine increased thoughts of suicide. There have been very rare cases of atomoxetine needing to be stopped because it was causing liver damage. The same sleep problems do not exist for atomoxetine, but initially it may make your child sleepy or upset her stomach. Transient muscle movements or sounds called tics Rebound effect (increased activity or a bad mood as the medication wears off) These tend to happen early in treatment and are usually mild and short-lived, but in rare cases they can be prolonged or more severe. They can advise which may work best for your child until the shortage eases and discuss other supports like behavior therapy. Talk with your pediatrician about alternative therapies available, such as the extended-release version of amphetamine mixed salts. The shortage of Adderall and some other ADHD medications has continued. Amphetamine mixed salts, including Adderall, are FDA-approved for the treatment of ADHD and These are often referred to by the brand name Adderall or Adderall IR. Food & Drug AdministrationĪnnounced a shortage of immediate release formulation of amphetamine mixed salts. Is it working? It is important for your child to have regular medical checkups to monitor how well the medication is working and check for possible side effects. For example, if the goal is to get relief from symptoms mostly at school, your child may take the medication only on school days. When to give it? The medication schedule also may be adjusted depending on the target outcome. Your pediatrician will vary the dosage over time to get the best results and control possible side effects. The dosage is not based solely on his weight. What dosage? The amount of medication (dosage) that your child needs also may need to be adjusted. Some children respond to one type of stimulant but not another. Your child may need to try different types of stimulants or other medication. It may take some time to find the best medication, dosage, and schedule for your child. Which ADHD medication is best for my child? Your doctor or pharmacist can proside you with important safety information for the products listed. Products are mentioned for informational purposes only and do not imply an endorsement by the American Academy of Pediatrics. Intermediate-acting methylphenidate stimulantsĮxtended-release methylphenidate (skin patch)Įxtended release dexmethylphenidate capsuleĮxtended-release methylphenidate (liquid) Methylphenidate (tablet, liquid, and chewable tablets) Non-stimulant ADHD medication can be tried when stimulant medications don't work or cause bothersome side effects. However, three are extended-release capsules that are made up of beads can be opened and sprinkled onto food for children who have difficulties swallowing tablets or capsules. It is important not to chew or crush extended-release capsules or tablets, unless it is labeled as a chewable form. Children who take extended-release forms of stimulants can avoid taking medication at school or after school. Extended-release medications usually are taken once in the morning.Įxtended-release (intermediate-acting and long-acting) medications are usually taken once in the morning. They are the cheapest of the medications. Immediate-release (short-acting) medications usually are taken every 4 hours, when needed. Studies show that about 80% of children with ADHD who are treated with stimulants improve a great deal once the right medication and dose are determined. Stimulants may be used alone or combined with behavior therapy to treat children with ADHD. If you are having trouble filling your child's prescription, With an ongoing shortage of some ADHD medications, pharmacies may be out of stock.
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