![]() Parents in our survey said medication helped equally-and most of all-with academic performance (very helpful for 35 percent) and behavior at school (very helpful for 35 percent). Medication helped more in some areas than others. (See Parent satisfaction with medication below.) In fact, only 52 percent of the parents agreed strongly that if they had to do it over again, they would have their kids take medication, and 44 percent wished there was another way to help their child. And while medication was cited as the strategy most helpful in managing ADHD (see ADHD treatments that work), parents were not very satisfied with it overall. About 10 percent of the parents whose children tried amphetamines and methylphenidates said they didn't notice any positive changes.Īccording to the parents we surveyed, children on medication had slightly better outcomes than those who weren't. Second-line medications (Strattera) took longer to work, but most parents noticed positive changes within a few weeks. In our survey, parents of children who tried medication reported positive changes within a few days of starting amphetamines or methylphenidates. If families are worried about using a controlled substance for children, Straterra might be more acceptable, Goldstein says, although many professionals think it might be less effective. Fewer restrictions apply to prescriptions for Straterra, and some parents think that makes it safer. The stimulants are controlled substances, while Straterra is not. You should be skeptical if a doctor or therapist diagnoses ADHD at the first visit and immediately prescribes a drug and should seek a second opinion. Dosing convenience (taking one pill a day instead of two or more oral solutions for those who have difficulty swallowing tablets or the use of a patch) and how long the medicine is active are critical elements of ADHD treatment. Each raises different safety issues, however, which your doctor should discuss with you. Those medicines don't cure ADHD but they can keep symptoms under control, which may improve a person's daily functioning. Nonstimulant medication, such as the antidepressant bupropion (Wellbutrin and generic) or atomoxetine (Strattera), which is not available as a generic.Stimulant medications, such as dextroamphetamine-based drugs (Adderall, Vyvanese) and methylphenidate-based drugs (Concerta, Daytrana, Ritalin).Two classes of medication are available for treating ADHD: Goldstein, M.D., a child neurologist with Western Neurological Associates in Salt Lake City, and a former vice president of the American Academy of Neurology. But behavior therapy alone does not work for all children, especially those who have severe symptoms.Īs with most disorders for which multiple medications are available, there are no definitive comparison studies to show which ones work best in specific circumstances, according to Michael L. There is some evidence that the combination of behavioral therapy with medication can work better than drugs alone for some children. ![]() The most effective strategy for treating ADHD consists of more than one approach. A pediatrician can refer you to a mental-health specialist (some specialize in ADHD), who should begin by ruling out other possible reasons for the behavior. Even if your child meets the criteria for ADHD, he or she might not need a drug. Be sure to get a diagnosis from a physician or mental-health professional with expertise in ADHD and a second opinion if you have doubts. Because diagnosis of the condition can be difficult, and a variety of medical and psychiatric disorders can cause symptoms that mimic ADHD, many children and teenagers taking medication might not have ADHD or have only mild symptoms that do not require it. Diagnosis, too, can be quite subjective, varying from doctor to doctor. The severity of symptoms and abnormal behavior patterns in children and teenagers with ADHD varies widely. But the disorder can persist into adolescence and adulthood about 30 percent to 70 percent of the time.Īll of the ADHD stimulant medicines have been linked to rare cases of heart attack, stroke, and sudden death, so children should first be evaluated for underlying heart problems. But there is no good evidence showing that these benefits last longer than about two years, and the long-term consequences of taking stimulants for years on end have not been fully evaluated in studies.įortunately, many children with ADHD-even when they are not treated-improve as they reach the teenage years and early 20s. ![]() Most children and teenagers (60 percent to 80 percent) who take them become less hyperactive and impulsive, are better able to focus, and are less disruptive at home and school. The drugs usually prescribed to treat ADHD are generally effective and safe.
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