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ADHD

Parents Medication
Guide

Attention-Deficit/Hyperactivity
Disorder

Prepared
by:
American
Academy
of Child and
Adolescent
Psychiatry
and
American
Psychiatric
Associatio
n

ADHD Parents Medication Guide ■ ii

Table of Contents

Introduction 1
Causes, Symptoms & Choosing
Treatment
What is2ADHD? 2
How do I find out if my child has ADHD? 3
What types of treatments are effective? 3
Will medication cure my child? 4
Choices in Medication 5
What types of medication are available? 5
Taking ADHD Medication 6
How is ADHD medication taken? 6
Can over-the-counter or prescription medication interfere with ADHD medication? 6
How do I know the medication is working? 7
Are there times when my child can take a break from medication? 7
How will ADHD medication make my child feel? 7
When is it okay to stop taking ADHD medication? 8
How do I explain ADHD medication to my child? 8
Stimulant Medication & Addiction 9
Is there a risk my child may become addicted to stimulant medication? 9
Side Effects & ADHD Medication
9 What are the most common side effects? 9
What are the rare or serious side effects?
10
Do I need to monitor my child's appetite, weight, and height? 11
How can I best manage some of the common side effects my child may experience?
12
School & the Child with ADHD 13
How can the school help my child with ADHD? 13
How does ADHD affect my child's ability to form friendships? 14
Does my child need treatment when not in school? 14
Disorders that Can Accompany ADHD
15 What are some of the more common disorders that can accompany ADHD? 15
Can ADHD medication cause bipolar disorder? 16
Can my child take ADHD medication if there is a coexisting condition? 16
Psychosocial Treatments
17 What psychosocial or behavioral treatments can be useful?
17
Unproven Treatments
17 Do alternative treatments for ADHD, such as special diets or herbal supplements, really work? 17
What Does the Future Hold?
18
For More Information about ADHD
19 National Organizations 19
Fact Sheets about ADHD in English 21
Fact Sheets about ADHD in Spanish 22
Recommended Reading for Children 22
Recommended Reading for Adults 23
Contributors 24
Endnotes 25

The information contained in this guide is not intended as, and is not a substitute
for, professional
advice. medical
All decisions about clinical care should be made in consultation with a
ParentsMedGuide.or
child's
No treatment team.
pharmaceutical funding was used in the development or
maintenance of this guide.
g
helping parents help their kids

010000004c00000004000000000000000000000098060000 patients. distraction. All decisions 000000902000000020d000000320a1100000001000400000 about clinical care should be made in consultation with a child's No treatment team. 06f00000001000000555587407b4487400000000057000000 This medication guide is intended to help parents. research 000000000900000010000000980600000805000025000000 sug- gests that at least one will have 0c0000000e000080250000000c0000000e000080120000000 ADHD. but for those with ADHD. child and adolescent psychiatrists. Treatment may include medication. other children only 00000409e1100c09b1100fd516032409e1100389b11001000 have issues with hyperactivity and impulsivity. They also should 003010800050000000b0200000000050000000c02f5004101 have a thorough understanding of normal child development (such as pediatricians. behavioral therapy. and is not 000002d010100040000002d010100040000002d010100050 a substitute ParentsMedGuide. inattention.or for. pharmaceutical funding was used in the development or g helping parents help their kids maintenance of this guide. ADHD Parents Medication Guide ■ 1 0100090000032a0200000200a20100000000a201000026060 Introductio f003a03574d46430100000000000100c48500000000010000 00180300000000000018030000010000006c000000000000 n Attention-Deficit/Hyperactivity Disorder (ADHD) 0000000000350000006f0000000000000000000000e81b000 is a neurobehavioral condition characterized 04a15000020454d460000010018030000120000000200000 by excessive restlessness. The professional 00e000000140000000000000010000000140000000400000 treating your child for ADHD should be trained to diagnose and treat ADHD. and family mem- bers better understand the treatments used to care for children with 080500005000000020000923360000004600000028000000 ADHD. cigarette smoking. and impulsivity. and in other 000000002540000005400000000000000000000003500000 places. and substance 00a89b1100087a253107000000d09b11000c15db006476000 abuse. 000004101f50020000a00040000002d010000040000002d01 0000030000000000 . 040000002e0118001c000000fb020300010000000000bc020 developmental pediatricians. hyperactivity. and a physical examination should be 000000000046000000140000000800000047444943030000 ADHD symptoms should be assessed by a health00250000000c0000000e000080250000000c0000000e00008 conducted. 0009f712e31389b1100409e110020000000ffffffff0c15db001 children with ADHD tend to shed some of the overactivity and impulsivity. Over time. each child must have a careful review of his or her medical history. and 08000000080000e8e1120001000000000000005802000025 organization. 000000372e90010000020f0502020204030204ef0200a07b2 ADHD can interfere with a child's ability to perform in school and capacity to 0004000000000000000009f00000000000000430061006c00 develop and maintain social (peer) relationships. but they often continue to have significant problems a722e31ffffffffffff0180ffff01800fff0180ffffffff0000010000 with inattention. hyperactivity and 061006c00690062007200690000000000000000000000000 inat- tentiveness are excessive and interfere with 000000000000000000000000000000000000000000000000 daily functioning. and pediatric neurologists). 800000000250000000c00000001000000250000000c00000 Effective treatments are available to help manage the inattention. ADHD also is associated with an increased risk of having problems b005843cd006c9b11009c2d27310700000001000000a89b11 with hazardous driving. some 0000a89c1100249e110094516032409e1100389b110020000 children have problems with both. although it also can be diagnosed in people of all age groups. ADHD can increase a child's 6900620072000000000000007b04c1b760321f33820bec14d risk of dropping out of school or having disciplinary problems. 40000002d01000004000000020101001c000000fb02eeff000 0000000009001000000000440002243616c6962726900000 000000000000000000000000000000000000000000000040 The information contained in this guide is not intended as. It is usually first identified when 00f010000000000000000000000000000c019030027240400 children are school-aged. In 160000000c000000180000000a0000001000000000000000 an average classroom of 30 children. 1c0000004744494302000000ffffffffffffffff99060000090500 Before treatment can begin. 0000000000000000000000000c01200000b190000cb00000 distraction. 00000000102022253797374656d000000000000000000000 or a combination of the 0000000000000000000000000000000040000002d0100000 two. Some children with ADHD only have 0000000000000000000000000000000001100dc9a1100100 problems with attention. professional medical advice. at school. care professional quali- fied to evaluate children with ADHD. 1 c00000001000000520000007001000001000000a4ffffff000 High activity levels and short attention spans are 000000000000000000000900100000000000004400022430 a normal part of childhood for many children. 001000000250000000c00000001000000180000000c00000 and impulsiveness symptoms of ADHD and can improve a person's ability to function at home. however.

Recently. Food and Drug Administration (FDA) reviewed several research studies involving children and adolescents who were pre- scribed medication for ADHD and concluded that these medications are effective and that the risks associated with these medications are known and can be managed. influence how ADHD • Unplanned pregnancy affects the behavior of those with the condition. • Delinquency. These guides will be provided along with the ADHD medication when it is dispensed from the pharmacy. pharmaceutical funding was used in the development or maintenance of this guide. the U. and is not a substitute for. While the FDA found that these medications are generally safe and effective. criminality. please click here . But • Alcohol and drug abuse most research points to genes inherited from parents as the • Depression and other mental- leading contributor to ADHD. professional advice. Some of these side effects can be significant and should be closely monitored. poor attention. being exposed to alcohol in the womb. Recently.* Causes. *http://www. you may be aware of the debate surrounding the medication used to treat this condition.ht m The information contained in this guide is not intended as. Symptoms Choosing & Treatment Potential Consequences when What is ADHD? ADHD is Left Untreated ADHD is a neurobehavioral condition with symptoms that • Increased risk for school failure and include excessive restlessness. and impulsive acts. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.S. 2 For more information about the FDA's medication guides. ADHD Parents Medication Guide ■ 2 As a parent or guardian of a child or teenager diagnosed with ADHD. or combinations of genes. Parents and guardians of children being treated with ADHD medication should read the medication guides and talk to their child's doctor if they have any questions or concerns. maternal smoking or extreme stress during pregnancy. many children and teenagers who take medication for ADHD experience side effects at one time or another.or child's No treatment team. For example. the FDA directed the makers of ADHD medication to develop medi- cation guides to better inform patients and their families about the known po- tential side effects associated with these medicines—common and rare. and arrest Being born prematurely. g helping parents help their kids . studies clearly show that health disorders ADHD runs in families—seventy-six percent of children with ADHD • Employment problems have a relative with the condition. about 3 • Social difficulties and family strife • Accidental injury No single biological cause for ADHD has been found.fda. and traumatic brain injury also may contribute to the development of ADHD.gov/cder/drug/infopage/ADHD/default. dropout Estimates show that between 3 and 7 percent of school-aged children • Behavior and discipline problems and 4 percent of adults have ADHD. 4 Scientists are currently looking • Driving accidents for which genes.

girls. For spent coping with instance. and adults with this condition are more likely to be identified and treated. Some doctors think that just as many girls have ADHD as boys. Most cases of ADHD are first diagnosed in the early school years. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. underdiagnosis remains a problem. professional advice. This study is called the Multi- modal Treatment Study of Children with ADHD (or the MTA). Despite the rise in ADHD diagnoses and the fear that some children are still being incorrectly identified as having ADHD. either alone or in The information contained in this guide is not intended as. and is not a substitute for. younger children. Research indicates that the increase is largely due to enhanced awareness and improved detection of the condition— including diagnosing children who may have less severe forms of ADHD. There are still many children with ADHD (almost half) who are not diagnosed and do not receive treatment. adolescents. 5 Some parents worry because more children are being diagnosed with ADHD now than in the past. There are three subtypes of ADHD: primarily inattentive.or child's No treatment team. Children who are diagnosed with ADHD have symptoms that impair their ability to function as well as other children the same age. and that with significant symptoms of both (called combined subtype) . the National Institute of Mental Health (NIMH) conducted the most in-depth study ever carried out for evaluating ADHD treatments. Now that more people know about ADHD and its symptoms. pharmaceutical funding was used in the development or maintenance of this guide. girls sometimes show their ADHD in less troublemaking ways. but was diagnosed. such as being inattentive." —an adult with ADHD receiving treatment. such as pediatricians and child and adolescent psychiatrists. more girls are being diagnosed and ways symptoms. primarily hyperac- tive/impulsive. Now that more health care professionals are aware of the my ADHD uniqueADHD affects girls and boys. Data from this study showed that methylphenidate (a commonly used stimulant medication for ADHD) is effective in treating the symptoms of ADHD. a theynot diagnosed as often because they are less disruptive and because are lot of my time was their symptoms may not become unmanageable until they are older. g helping parents help their kids . ADHD Parents Medication Guide ■ 3 How do I find out if my child has ADHD? Because there is no brain imaging scan or blood test to diagnose ADHD. will be able to tell whether your child's behaviors are symptoms of ADHD or if he or she is just unusually active or immature . 6 What types of treatments are effective? To help families make important decisions about treatment. These symptoms must last at least 6 months before a child can be diagnosed with ADHD. Clinicians. Boys diagnosed with ADHD outnumber girls with the condition by about "Before I three to one. it is important that a health care professional specifically trained to diagnose and treat ADHD evaluate your child's behavior.

such as depression and anxiety.fda. professional advice. : The FDA directed pharmaceutical companies • Parent Training: Helps parents learn about ADHD and ways to develop medication guides for each of these to manage ADHD behaviors. hydrochloride (liquid & While medicine alone is a proven treatment for ADHD. this list will grow. and is not a substitute for. It also found that Most Common ADHD Medications treat. Focalin dexmethylphenidate Focalin XR dexmethylphenidate This research demonstrates that for most young people Metadate methylphenidate with ADHD. Adderall mixed amphetamine salts dosage ismonitored and personalized for each closely Adderall XR mixed amphetamine salts child. academic. 7 Concerta methylphenidate The MTA study. These guides can be accessed by clicking here . and * http://www. medication dramatically reduces hyperactivity. g helping parents help their kids . Dextrostat dextroamphetamine adolescents.that includes medication is more effective for the ment symp- toms of ADHD (such as hyperactivity) than behavioral Trade Name Generic Name therapy This is especially true when the medication's alone.* • Child-Focused Treatment: Helps children and teens with ADHD learn to develop social. Over time. but it only works when it is taken as prescribed. medications. Children with ADHD who have other mental-health conditions. teachers. The information contained in this guide is not intended as.htm problem- solving skills. Metadate CD methylphenidate improves and increases the ability to get along with attention. Researchers are Behavioral treatments in the MTA study included continuing to develop new medications for three approaches ADHD. along with dozens of other large-scale Daytrana methylphenidate (patch) studies that have assessed the safety and effectiveness of Dexedrine dextroamphetamine ADHD medications. • School-Based Interventions: Help teachers meet children's educational needs by teaching them skills to manage the children's ADHD behaviors in the classroom (such as rewards. Unlike antibiotics and similar medications that are taken for short periods of time to treat infections and other ailments. Will medication cure my child? Medication is a highly effective way to treat the symptoms of ADHD. ADHD Parents Medication Guide ■ 4 combination with behavioral therapy. consequences. and adults with ADHD.or child's No treatment team. some Strattera atomoxetine children combined treatment were able to take lower receiving Vyvanse lisdexamfetamine doses of medicine.gov/cder/drug/infopage/ ADHD/default. provides evidence that medication plays Dexedrine Spansule dextroamphetamine an important role in the treatment of children. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. chewable tablets) the study found that combining behavioral treatment MTA Ritalin methylphenidate with medicine was useful in helping families. were especially helped by having individual and family treatment as part of their treatment plan. and daily report cards sent to parents). and Ritalin LA methylphenidate children learn ways to manage and modify the behaviors that Ritalin SR methylphenidate cause problems at home and at school. Methylin methylphenidate others. In addition. pharmaceutical funding was used in the development or maintenance of this guide.

these medications are usually only pre- scribed after first-line ADHD medications and behavioral treatment have already been tried. or switching medications. If your child does not do well on any of the usual treatments for ADHD. Finding the correct Stimulant medications. and is not a substitute for. also has been shown to be an effective treatment for ADHD. the majority of children with ADHD can improve significantly with a combination of medication and behavioral treatment. another medication because doctors often need to try more than one medication to find the one or adjusting the dose. such as methylphenidate and amphetamines. 8 Research is ongoing to learn more about the way ADHD affects brain function and how to best treat the condition. changing the time it is administered. Evidence shows that stimulants are quite safe when prescribed to healthy patients and used under medical being on a full supervision. Choices in Medication What types of medication are available? ADHD medications are grouped into two major categories: stimulant and non-stimulant. g helping parents help their kids .or child's No treatment team. professional advice. However. If decades. and both types of medication have been very well are not better after studied. Fortunately. Parents can help their child's doctor find the correct medication and dosage by keeping a medication diary or log book to track how well their child is doing and what side effects he or she may be experiencing. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. atomoxetine of a particular ADHD (Strattera). 9 The information contained in this guide is not intended as. pharmaceutical funding was used in the development or maintenance of this guide. the good alternative for children who do not respond well to stimulant prescribing doctor medication or have other conditions along with their ADHD. that works best. ADHD medication and are highly effective treatments for ADHD and have been available for dose takes time. Also. A medication's side effects usually can be managed by adjusting the dose. atomoxetine (Strattera) may be a week or more. Some ADHD medications might not be right for your child because of their side effects. some medications that have not been approved by the FDA for the treatment of ADHD may be helpful. ADHD Parents Medication Guide ■ 5 there is no ADHD medication that will cure this condition. therapeutic dose The only FDA-approved non-stimulant medication. Both stimulant and non-stimulant medications have side effects. Other research is looking at the long- term outcomes for people with ADHD. your child's symptoms methylphenidate for more than 50 years. Amphetamines have been prescribed for more than 70 years. may consider trying Deciding which ADHD medication is right for your child takes time. Some parents prefer the non-stimulant atomoxetine (Strattera) because of their medication for a concerns about stimulant medication.

All decisions 0100040000002d010100040000002d010100050000000902000 about clinical care should be made in consultation with a child's No treatment team. but wasif a light came as 0000000000000c01200000b190000cb0000000f010000000000 this approach has not been systematically studied. 00000000000000009f00000000000000430061006c006900620 There are other non-stimulant medications that are sometimes used for the treatment of ADHD. it is important to tell your child's 0000002d01000004000000020101001c000000fb02eeff000000 0000009001000000000440002243616c6962726900000000000 000000000000000000000000000000000000000040000002d01 The information contained in this guide is not intended as. However. 072000000000000007b04c1b760321f33820bec14db005843cd0 clonidine. some over-the-counter medications 0000400000003010800050000000b0200000000050000000c02 can interfere with your child's ADHD f5004101040000002e0118001c000000fb020300010000000000 medications. Short-acting stimulants are generally taken two to three timesand day a last 4 to 5 hours per dose. such as tricyclic antidepressants. ADHD Parents Medication Guide ■ 6 Taking ADHD Medication How is ADHD medication taken? 0100090000032a0200000200a20100000000a201000026060f0 03a03574d46430100000000000100c485000000000100000018 Stimulant Medications: Stimulant medication comes in short-acting and long- "As soon as I 0300000000000018030000010000006c0000000000000000000 acting forms. guanfacine. a patch applied to room. and is not a substitute ParentsMedGuide. 000000000000000000000000000000000040000002d01000004 Therefore. Long-acting started taking 000350000006f0000000000000000000000e81b00004a150000 stimulants are usually taken once a day and last between 7 and 12 hours. For example.or for. it 20454d460000010018030000120000000200000000000000000 prescribe a combination of long-acting and short-acting stimulant medication. 00009806000008050000250000000c0000000e0000802500000 that can be opened and sprinkled on food also are 00c0000000e000080120000000c000000010000005200000070 available. these drugs 06c9b11009c2d27310700000001000000a89b1100a89b110008 are not approved by the FDA for the treatment of ADHD. on in 000000000000000000c019030027240400160000000c0000001 the For those children who have difficulty swallowing pills. 000046000000280000001c0000004744494302000000fffffffffff Can over-the-counter or prescription fffff99060000090500000000000046000000140000000800000 medication interfere with ADHD 04744494303000000250000000c0000000e000080250000000c medication? 0000000e0000800e00000014000000000000001000000014000 Yes. It can take several 008000000080000e8e112000100000000000000580200002500 weeks to build up to the correct dosage and several additional weeks to see the full 0000372e90010000020f0502020204030204ef0200a07b200040 effects. Missing a single dose can leave your child without the beneficial effects of 000000000000000000000350000006f00000001000000555587 the medication. 000020d000000320a1100000001000400000000004101f50020 000a00040000002d010000040000002d010000030000000000 . It can take several months to 000000000000000000000000000000000000000000000000000 are find the correct dose of stimulant medication 000000000000000000000000000000000000000000000001100 . professional medical advice. Most doctors prescribe a lower dose initially and then gradually b001a722e31ffffffffffff0180ffff01800fff0180ffffffff000001000 increase the dosage as the patient adjusts to the medication." 80000000a000000100000000000000000000000090000001000 —an adult with ADHD the liquid medications. 01000001000000a4ffffff0000000000000000000000009001000 Most doctors start children at a low dosage of stimulant medication and increase the amount every 1 to 3 weeks until the ADHD symptoms 00000000004400022430061006c006900620072006900000000 under control. Sometimes doctors will stimulant medication. and bupropion (Wellbutrin). 7a253107000000d09b11000c15db00647600080000000025000 0000c00000001000000250000000c0000000100000025000000 It is important not to miss doses of any ADHD 0c00000001000000180000000c0000000000000254000000540 medication. chewable pills. pharmaceutical funding was used in the development or g helping parents help their kids maintenance of this guide. and capsules skin. Benadryl (diphenhydramine) bc02000000000102022253797374656d0000000000000000000 can cause agitation in some children with ADHD. and the ADHD symptoms 407b4487400000000057000000010000004c000000040000000 may return 000000000000000980600000805000050000000200009233600 . dc9a110010000000409e1100c09b1100fd516032409e1100389b Non-Stimulant Medications: The non-stimulant medication atomoxetine 110010000000a89c1100249e110094516032409e1100389b110 (Strattera) is usually taken as a single daily dose in the morning or as two 0200000009f712e31389b1100409e110020000000ffffffff0c15d divided doses in the morning and late afternoon or early evening.

parents and teachers should see some beneficial effects within 30 to 90 minutes—depending on the dose and formulation used. supplement. your child's symptoms may not be affected at all. g helping parents help their kids . it "My child can several weeks for the non-stimulant medication atomoxetine (Strattera) take is happier now to reach its full effect—even if the dosage is she's on correct. some breaks from medication or reducing the medication's dose may be considered for less demanding times or if your child has troublesome side effects. for some symptoms to linger. or vitamin. Your child's prescribing doctor will let you know which medicines are okay to take while on ADHD medication. medication. if the dose of stimulant medication is too low. and vitamins your child is taking. How do I know the medication is working? With stimulant medication. How will ADHD medication make my child feel? For most children. ADHD medication should not The information contained in this guide is not intended as. Some of these changes may go unnoticed by your child—although parents and teachers should notice positive behavioral changes if the medication is working properly. and is not a substitute for. or you can ask the pharmacist about drug interactions before purchasing a non-prescription medication. though. many doctors recommend that children stay on their ADHD medication full- time to get the benefits at home and at play. Behavioral treatments may help with the remaining symptoms. professional advice. However. many of the ADHD symptoms go away. on weekends. doctors often recommended that children take a break from their ADHD medication after school. and risky behavior. herbal supplements. Some beneficial effects of the non-stimulant medication atomoxetine (Strattera) might be noticed within the first week of taking medication." —a parent of When ADHD medication is working. In fact. up to 90 percent of children with ADHD will find at least one medication or a combination of medications that works well for them. ADHD medications do work. pharmaceutical funding was used in the development or maintenance of this guide. ADHD Parents Medication Guide ■ 7 doctor about all of the over-the-counter (OTC) and prescription medications. as well as help with completing their homework and paying attention while driving. It a with ADHD child is not uncommon. and during the summer. While it may take time to find an effective medication and dosage. 10 Are there times when my child can take a break from medication? In the past. However. ADHD medication will make them feel calmer and more able to focus and concentrate. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.or child's No treatment team. substance use. Now. 11 However. This can be especially true forwho may benefit from ADHD medication outside of school to help teens make decisions about cigarette smoking.

Their irritability may im. Sometimes children report feeling 0300000000000018030000010000006c0000000000000000000 a little unusual when they first start taking ADHD medication. 008000000080000e8e112000100000000000000580200002500 For many others. the symptoms of ADHD lessen 0000372e90010000020f0502020204030204ef0200a07b200040 over time as they begin to "outgrow" ADHD or learn to compensate for their 00000000000000009f00000000000000430061006c006900620 behavioral symptoms. You may find that 0000046000000280000001c0000004744494302000000fffffffff your child needs extra support from teachers and family members to reinforce good behavior once the medication is stopped. In these cases. or changing the dose or medi- cation also may help. You may want to compare taking ADHD medications to wearing eyeglasses. fffffff9906000009050000000000004600000014000000080000 You also will need to monitor your child's behavior once he or she is off the medication to make sure 004744494303000000250000000c0000000e000080250000000 any lingering symptoms are attended to. or 4) your child has developed a newfound ability to 0000000000000000000000350000006f0000000100000055558 concentrate. 0000020d000000320a1100000001000400000000004101f5002 The information contained in this guide is not intended as. g helping parents help their kids . 2) your child is doing better and better. and is not a substitute ParentsMedGuide. All decisions 0000a00040000002d010000040000002d010000030000000000 about clinical care should be made in consultation with a child's No treatment team. and 10100040000002d010100040000002d01010005000000090200 behave.or for. 80000000a000000100000000000000000000000090000001000 prove with time. but 00000c00000001000000250000000c000000010000002500000 the dosage has stayed the same. and 000000000000000098060000080500005000000020000923360 your child. some children taking non-stimulant 0000000000000c01200000b190000cb0000000f010000000000 atomox- etine (Strattera) medication report feeling 000000000000000000c019030027240400160000000c0000001 more irritable than usual. The symptom most apt to lessen over time072000000000000007b04c1b760321f33820bec14db005843cd is hyperactivity. 40000002d01000004000000020101001c000000fb02eeff00000 ent" because they are taking medicine. 0bc02000000000102022253797374656d000000000000000000 why it is being prescribed. teachers. If you notice a 00009806000008050000250000000c0000000e0000802500000 personality change (such as a"zombie"-like personality) 00c0000000e000080120000000c000000010000005200000070 or if your child is continually irritable while 01000001000000a4ffffff0000000000000000000000009001000 taking medication. family members. Wearing glasses 00000009001000000000440002243616c696272690000000000 helps you see better just as medication gives you better control over behavior ADHD 0000000000000000000000000000000000000000040000002d0 so that it is easier to focus. talk with your child's 00000000004400022430061006c006900620072006900000000 doctor. ADHD Parents Medication Guide ■ 8 change a child's basic personality even 0100090000032a0200000200a20100000000a201000026060f0 though it may make them less hyperactive and 03a03574d46430100000000000100c485000000000100000018 more attentive. learn. pharmaceutical funding was used in the development or maintenance of this guide. 3) your child's behavior is appropriate despite 00c00000001000000180000000c000000000000025400000054 missing a dose or two. 9 7407b4487400000000057000000010000004c00000004000000 The choice to stop taking ADHD medication should be discussed with the prescribing doctor. pay attention. 006c9b11009c2d27310700000001000000a89b1100a89b11000 Some signs that your child may be ready to reduce or stop ADHD medication are: 1) your child has been symptom-free for more 87a253107000000d09b11000c15db0064760008000000002500 than a year while on medi- cation. professional medical advice. 20454d460000010018030000120000000200000000000000000 Also. This is especially true 0000000000000000000000000000000000040000002d0100000 for older children and adolescents who may have concerns about being"differ. ADHD medication can be taken into adulthood to help b001a722e31ffffffffffff0180ffff01800fff0180ffffffff000001000 control their symptoms. c0000000e0000800e0000001400000000000000100000001400 00000400000003010800050000000b0200000000050000000c0 How do I explain ADHD medication to my child? 2f5004101040000002e0118001c000000fb02030001000000000 It is important that your child understands what ADHD medication is. and how it can be helpful. 000000000000000000000000000000000000000000000000000 When is it okay to stop taking 000000000000000000000000000000000000000000000001100 ADHD medication? dc9a110010000000409e1100c09b1100fd516032409e1100389b Many children diagnosed with ADHD will 110010000000a89c1100249e110094516032409e1100389b110 continue to have problems with one or more symptoms of this condition 0200000009f712e31389b1100409e110020000000ffffffff0c15d later in life. but these feelings are 000350000006f0000000000000000000000e81b00004a150000 usu- ally minor and often go away with time.

Some children complain of drowsiness or mild irritability during the day while taking this medication. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. and irritability. and is not a substitute for. medication should be dispensed by a parent. These are referred to as Schedule or II controlled medications. the Drug Enforcement Administration (DEA) has classified stimulants as medications that require stricter control.or child's No treatment team. Side Effects & ADHD Medication What are the most common side effects? Most children treated with ADHD medication have some side effects. The children and adolescents who misuse stimulant medication often do so to"get high" or to improve school performance ("cram all night"). The non-stimulant atomoxetine (Strattera) also can cause nausea. but they should all be reported to your child's doctor—especially if they cause discomfort or interfere with your child's everyday activities. reduced appetite. professional advice. not addictive. The information contained in this guide is not intended as. Side effects often can be reduced by switching medications. This is a common misconception about ADHD ADHD stimulant medication. weight loss. pharmaceutical funding was used in the development or maintenance of this guide. most school jurisdictions require medication that the medication be given by school personnel. Some of the most common and predictable side effects from stimulant medication are reduced appetite. If is taken during school hours. ADHD Parents Medication Guide ■ 9 Stimulant Medication & Addiction Is there a risk my child may become addicted to stimulant medication? Some parents worry that stimulant medication may make their child If taken appropriately. To ensure these medications are used correctly. g helping parents help their kids . 12 While few people who are prescribed ADHD medications abuse their medication. suscep- tible to addiction. problems sleeping. parents and guardians should make sure they are kept in a secure place. stomach pain. These side effects usually get better within the first couple of months of treatment. however. adjusting the dose. these side effects usually go away after the first month of treatment. Parents also must inform the child's doctor if medication is missing or being taken inappro- priately. a Because of the known risk of abuse with these types of medications. giving or selling stimulant medication to others remains concern. and their use should be monitored. If misuse is a concern. headaches. and weight loss. According to the National Institute on Drug Abuse (NIDA). using another form of the medication. or changing the time the medication is taken. children who take medications are medication to treat their ADHD are less likely to have problems with substance abuse than children with ADHD who don't receive treatment. Side effects usually are not dangerous.

The FDA investigated these reports and found that major heart problems many involved patients who had undiagnosed heart defects. pharmaceutical funding was used in the development or maintenance of this guide.or child's No treatment team. becoming suspicious for no reason. ADHD Parents Medication Guide ■ 10 What are the rare or serious side effects? Heart-related problems. or a history of drug abuse should be carefully monitored when using ADHD medication. in patients taking ADHD medication. or a combination of the two caused the heart-related problems in the reports. monitor your child's mental welfare carefully by asking them about their thoughts and feelings when they are on this medication—especially during the first few months after starting medication or when your child's dose is increased or decreased. Some children 13 with heart defects may be able to take stimulants.000) for hearing voices. professional advice. but only un- der close supervision of their physician. However. Evidence shows that some ADHD medications may worsen pre-existing psychosis and bipolar disorder. such as sudden death. or ticular. There is a slightly increased risk (about 4 per 1. Be sure to tell the and problems are some of the rare and serious side effects people on liver ADHD doctor if your child medication may be at risk of developing. hallucinations and agitation. the medication.000) of voicing suicidal thoughts and feelings while taking the non-stimulant ADHD medication atomoxetine (Strattera). psychosis. dizziness. heart attack. and if there is a family history of these Also. side effect. can benefit from ADHD medication but may need other The information contained in this guide is not intended as. the FDA added a warning label to ADHD medication cautioning doctors about prescribing them for people who have heart defects. for stroke or children taking ADHD medication if the child is healthy and has no current heart problems. 2 doctor if there is a Heart-Related Problems: There have been rare reports of serious heart-related family history of problems. It appears that there is no increased risk of sudden death. g helping parents help their kids . however. concluded it was not possible to determine whether or not the hidden heart defect. you should tell the doctor about any heart or mental- health problems your child experiences while on ADHD medication irregular heart rate. Some children with these conditions. and is not a substitute for. Hallucinations and Agitation: The FDA also investigated a small number of reports of visual hallucinations. Another FDA review of medications used to treat ADHD showed a slightly increased risk (about 1 per 1. fainting. and aggressive outbursts in patients taking ADHD medication. but potentially serious. The FDA or sudden death. In par. suicidal thoughts. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. has a history of The FDA recommends that parents who are considering ADHD medication heart problems or for child work with the prescribing doctor to develop a treatment plan their symptoms. and stroke. 2 Voicing Suicidal Thoughts: The non-stimulant medication atomoxetine (Strattera) is associated with a rare. inform the problems. such as that includes a careful review of health history and regular medical exams. or becoming manic in patients who did not have these symptoms prior to starting medication. bipolar disorder. heart attack. 14 Pre-Existing Mental-Health Conditions: Patients with pre-existing psychosis. While this risk is very low.

ADHD Parents Medication Guide ■ 11 When to Call the Doctor Immediately • If your child is feeling faint or dizzy. or unexplained flu-like symptoms or if he or she has dark urine or yellow eyes or skin treatment as well. Monitoring weight and height is primarily the doctor's responsibility. at least during the first 1 to 3 years of treatment. professional advice. Also. yellow skin or eyes. treatments and medication may have side effects. pharmaceutical funding was used in the development or maintenance of this guide.gov/bbs/topics/NEWS/2007/NEW01568. weight. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. Recent research shows that stimu- lant medication may be associated with a small reduction in growth (primarily weight related). and height? Parents are in the best position to monitor their child's well-being— including mental and physical health. dark urine. To find out more about the FDA's warnings regarding cardiac risk and psychiat- ric side effects of ADHD medications. or voices suicidal thoughts • If your child complains of itching.ht ml The information contained in this guide is not intended as.or child's No treatment team. Some of the things that are important to watch when your child is on ADHD medi- cation include changes in appetite and weight. † http://www. patients with a history of drug abuse may be at increased risk of a relapse or misusing their medication if taking stimulant medication. or shortness of breath. and is not a substitute for. As with any disorder. Signs to watch for are itching. complains of unusual heartbeats (such as rapid or skipped beats). most studies show that any reduction in growth rate is often temporary and unrelated to the child's ultimate height. g helping parents help their kids . right upper belly pain. click here . The effect of ADHD treatment on growth has been studied for many years. Liver Problems: There have been rare cases reported of the non- stimulant atomoxetine (Strattera) causing potentially serious liver problems. but it is helpful for parents to pay attention as well. The role of stimulants in the treatment of adolescents with ADHD and substance abuse problems remains unclear. However.fda. seems depressed. Your child's growth rate also should be monitored. begins having hallucinations. becomes agitated. right upper belly pain. and unexplained flu-like symptoms. chest pains. † Do I need to monitor my child's appetite.

you can talk to the doctor about reducing the or stopping the medication in the afternoon to0000400000003010800050000000b0200000000050000000c02 dose help your child get to sleep. reading. pharmaceutical funding was used in the development or 000a00040000002d010000040000002d010000030000000000 g helping parents help their kids maintenance of this guide. for example). or being read to. as appropriate. If your child's reduced appetite continues for a long period of time. setting up a healthy bedtime routine should help them 0000c00000001000000250000000c0000000100000025000000 get to sleep. It also is prudent to feed children taking ADHD medication a balanced diet 008000000080000e8e112000100000000000000580200002500 with high-caloric foods drinks. 03a03574d46430100000000000100c485000000000100000018 You. and televisions. to overcome any loss 0000372e90010000020f0502020204030204ef0200a07b200040 and in weight. in certain instances. brushing teeth.or 000020d000000320a1100000001000400000000004101f50020 child's No treatment team. 000000000000000000000000000000000000000000000001100 Decreased Appetite: Some solutions for a dc9a110010000000409e1100c09b1100fd516032409e1100389b decreased appetite include administering 110010000000a89c1100249e110094516032409e1100389b110 medi- cation after breakfast so your child will be hungry for the morning meal. bc02000000000102022253797374656d0000000000000000000 Drowsiness: If your child is taking the non-stimulant atomoxetine (Strattera) 000000000000000000000000000000000040000002d01000004 and becomes sleepy in the daytime. 000000000000000000c019030027240400160000000c0000001 80000000a000000100000000000000000000000090000001000 How can I best manage some of the 00009806000008050000250000000c0000000e0000802500000 common side effects my child may 00c0000000e000080120000000c000000010000005200000070 experience? 01000001000000a4ffffff0000000000000000000000009001000 There are several things you can do to 00000000004400022430061006c006900620072006900000000 decrease problems caused by the most common side effects associated with ADHD 000000000000000000000000000000000000000000000000000 medication. you should contact your child's doctor. and is for. ADHD Parents Medication Guide ■ 12 If there is a change in your child's appetite 0100090000032a0200000200a20100000000a201000026060f0 or weight. as well as possible changes 0000000000000c01200000b190000cb0000000f010000000000 in dosing or medications. try to avoid stimulating and distracting such as radios. 06c9b11009c2d27310700000001000000a89b1100a89b110008 Sleep Problems: Regardless of the cause of your 7a253107000000d09b11000c15db00647600080000000025000 child's sleep problems. For children fffff99060000090500000000000046000000140000000800000 taking a long-acting stimulant medication. If your child is already taking 0000000e0000800e00000014000000000000001000000014000 short-acting medication. computers. 407b4487400000000057000000010000004c000000040000000 If your child is taking a stimulant medication and 000000000000000980600000805000050000000200009233600 a bedtime routine does not help the sleep problems. professional advice. These activities should 0c00000001000000180000000c0000000000000254000000540 be designed to relax your child. bedtime. 00000000000000009f00000000000000430061006c006900620 you may want to ask the prescrib- ing doctor if it would be okay to stop or reduce the dose of the medication 072000000000000007b04c1b760321f33820bec14db005843cd0 in the summertime or on the weekends. your child's doctor may recommend 0000002d01000004000000020101001c000000fb02eeff000000 giving the medication at bedtime instead of in the morning. before 000000000000000000000350000006f00000001000000555587 electronics. . medical All decisions not a substitute about clinical care should be made in consultation with a ParentsMedGuide. talk with your doctor 000046000000280000001c0000004744494302000000fffffffffff about administering the medication earlier in the day. or having food available when the child is hungry. Or. This can include bathing. 0200000009f712e31389b1100409e110020000000ffffffff0c15d feeding your child large meals in the evening when the medication is beginning to wear b001a722e31ffffffffffff0180ffff01800fff0180ffffffff000001000 off. a medication may be f5004101040000002e0118001c000000fb020300010000000000 used to help with sleep. dividing dose and administering the medication twice a0000009001000000000440002243616c6962726900000000000 the day. Also. your child's doctor. and your child (if your child is involved in making decisions 0300000000000018030000010000006c0000000000000000000 about treatment) can talk about changing 000350000006f0000000000000000000000e81b00004a150000 eating habits to keep his or her weight within 20454d460000010018030000120000000200000000000000000 the normal range. 0100040000002d010100040000002d010100050000000902000 The information contained in this guide is not intended as. or lowering the dose to reduce 000000000000000000000000000000000000000040000002d01 drowsiness. you can ask about changing to a shorter-acting 04744494303000000250000000c0000000e000080250000000c medication (8 hours instead of 12 hours.

dc9a110010000000409e1100c09b1100fd516032409e1100389b ers often are the first to notice ADHD- like behaviors and can provide parents. your child's doctor may recommend trying a medication that lasts longer or taking03a03574d46430100000000000100c485000000000100000018 a small dose of immediate- release stimulant later in the 0300000000000018030000010000006c0000000000000000000 day. 0000000e0000800e00000014000000000000001000000014000 Families also with ADHD can request that their child be tested to help decide 0000400000003010800050000000b0200000000050000000c02 if he or she can qualify for educational services. professional medical advice. 0000372e90010000020f0502020204030204ef0200a07b200040 ing at home as well as at school. 110010000000a89c1100249e110094516032409e1100389b110 guardians. 06c9b11009c2d27310700000001000000a89b1100a89b110008 7a253107000000d09b11000c15db00647600080000000025000 Students whose ADHD impairs their ability to learn may qualify for "Finding out special 0000c00000001000000250000000c0000000100000025000000 education under the Individuals with Disabilities Act (IDEA) or for a that child our 504 15 plan under the Rehabilitation Act of 1973. 0000000000000c01200000b190000cb0000000f010000000000 000000000000000000c019030027240400160000000c0000001 School & the Child with ADHD 80000000a000000100000000000000000000000090000001000 00009806000008050000250000000c0000000e0000802500000 How can the school help my 00c0000000e000080120000000c000000010000005200000070 child with ADHD? 01000001000000a4ffffff0000000000000000000000009001000 Schools can work with families and 00000000004400022430061006c006900620072006900000000 doctors to help children with ADHD in school. and is not a substitute ParentsMedGuide. All decisions 0100040000002d010100040000002d010100050000000902000 about clinical care should be made in consultation with a child's No treatment team. This is called"rebounding" by some doctors and may be caused by the 0100090000032a0200000200a20100000000a201000026060f0 medication wearing off.or for. Children who do not qualify for special education may still be she 000046000000280000001c0000004744494302000000fffffffffff wasn't eligible for a 504 plan. and services are confidential and are providedbc02000000000102022253797374656d0000000000000000000 Testing through the public school system at no cost to the 000000000000000000000000000000000040000002d01000004 family. teachers will often use specific 00000000000000009f00000000000000430061006c006900620 instructional and behavioral strategies in the classroom 072000000000000007b04c1b760321f33820bec14db005843cd0 to help students with ADHD. However. To remedy this. ADHD Parents Medication Guide ■ 13 Behavioral Rebound: Some children taking stimulant medication may seem more irritable and have an increase in ADHD symptoms in the afternoon or evening. fffff99060000090500000000000046000000140000000800000 performing at better Public schools are required to evaluate students and provide free04744494303000000250000000c0000000e000080250000000c school. Open 000000000000000000000000000000000000000000000000000 communication between parents and 000000000000000000000000000000000000000000000001100 school staff can be the key to a child's success. contact your child's doctor. 000020d000000320a1100000001000400000000004101f50020 000a00040000002d010000040000002d010000030000000000 . 407b4487400000000057000000010000004c000000040000000 their Children with ADHD are answered a lot of eligible for special education in the"Other Health Impairment" disability questions 000000000000000980600000805000050000000200009233600 about why category under IDEA. 9 000350000006f0000000000000000000000e81b00004a150000 Other Side Effects: If you have questions or concerns about these or other side 20454d460000010018030000120000000200000000000000000 effects. parents and guardians must give written f5004101040000002e0118001c000000fb020300010000000000 permission before a school can provide testing or services to a child. b001a722e31ffffffffffff0180ffff01800fff0180ffffffff000001000 teachers and parents can work together to solve 008000000080000e8e112000100000000000000580200002500 prob- lems and plan ways to support a child's learn. Also. For example. and doctors with information that may 0200000009f712e31389b1100409e110020000000ffffffff0c15d help with diagnosis and treatment.0c00000001000000180000000c0000000000000254000000540 Section Special education and 504 plans provide assistance to students with disabilities and are designed to had ADHD 000000000000000000000350000006f00000001000000555587 meet unique learning and behavioral needs." —a parent of a child appropriate public education (FAPE) 16 to all students with disabilities. Teach. pharmaceutical funding was used in the development or g helping parents help their kids maintenance of this guide. 0000002d01000004000000020101001c000000fb02eeff000000 0000009001000000000440002243616c6962726900000000000 000000000000000000000000000000000000000040000002d01 The information contained in this guide is not intended as.

medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. Younger children are at risk for injuries and for having social issues when they are not taking their ADHD medication. arranging one-on-one play dates. professional advice. thoughtless. Does my child need treatment when not in school? The symptoms of ADHD are usually with your child—at school and at play as well as at home. children with ADHD. impulsive. How does ADHD affect my child's ability to form friendships? Children with ADHD often have difficulty with social relationships. which may cause conflict with family members or lead to rejection by other children their age. like children with other disabilities. Parents and guardians should contact the school principal. pharmaceutical funding was used in the development or maintenance of this guide. Federal law states that schools cannot make decisions about medicine for a or require students to take medicine to attend child school. school counselors. Parents can help foster good friendships for their children by letting teachers. school staff can give a child prescription medicine. and adolescents are more at risk for motor vehicle accidents and other risky behaviors."—an adult with ADHD participation in school activities and peer-group programs. The information contained in this guide is not intended as. bossy. and encouraging l. and coaches know about problems at schoo that might develop. A lack of social skills combined with hyperactive. Not taking ADHD medication may put your child at risk. and inattentive behavior may cause children with ADHD to act in ways that others think are mean. such as when they are out of school. "ADHD Medicine for ADHD can have positive effects on social behavior and always made me improve the way that a child relates to others. or weird. to help manage side effects. ADHD Parents Medication Guide ■ 14 Some children may need to take their ADHD medication during school hours. If authorized by a parent or guardian. In addition. are more frequently the targets of bullies. g helping parents help their kids . rude. and is not a substitute for. nurse. they may be more feel different able wait to their turn in games or conversations or less likely to blurt out comments from the other kids without thinking. For example. It is important for you and your child to be aware that the symptoms of ADHD are likely to resurface once your child is off of medication. It is possible that your child's doctor may direct you to give your child breakafrom medication during certain times.or child's No treatment team. especially if ADHD symptoms cause distress in situations outside of school. Most doctors recommend that children stay on ADHD medication most of the waking day. or counselor if their child needs to take medicine while at school.

your child's doctor will look Accompany ADHD for other conditions that show the same types of symptoms as ADHD. Twenty-five to 35 percent of children with ADHD will have a coexisting lan- guage or learning problem. so it is important to identify and treat these other • Tourette's Disorder conditions. another condition. • Oppositional defiant disorder The doctor may find that your child has ADHD. pharmaceutical funding was used in the development or maintenance of this guide. professional advice. and anxiety and depressive disorders .or child's No treatment team. Children with these problems may benefit from additional treatment as well. The information contained in this guide is not intended as. 33 percent of children with ADHD also have a problem with anxiety or mood disorders (such as depression). as well as extra help at school. Additionally. Children with oppositional defiant disorder often are defiant of authority and have a tendency to intentionally bother others. or both. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. • Anxiety disorders Coexisting conditions can make diagnosing and treating • Depressive disorders ADHD difficult. Studies have shown that half or more children with ADHD also have opposi- tional defiant disorder. learning and language disabilities. ADHD Parents Medication Guide ■ 15 Disorders that Accompany ADHD Can What are some of the more common disorders that can accompany ADHD? Research shows that two-thirds of children diagnosed with ADHD have at least one additional mental-health or learning disorder. and is not a substitute for. Children with these coexisting conditions often benefit from scholastic and language therapies. Some of the more common coexisting conditions are oppositional defiant disorder. medication. Conduct disorder is a serious psychiatric disorder in which the child is aggressive to people and animals. • Conduct disorder or ADHD and another condition. Children with coexisting conduct disorder are at much higher risk for getting into trouble with the law than children who have only ADHD. and frequently violates society's rules. g helping parents help their kids . Some children with ADHD who exhibit more significant behavioral problems are diagnosed with conduct disorder. Having more than one condition is • Learning and language disabilities called having coexisting (also called comorbid) conditions. is destructive to property. possibly including talk therapy. They also create more challenges for a child to more • Bipolar disorder over- come. Disorders that Commonly To ensure an accurate diagnosis. Your child's doctor may recommend coun- seling if your child has either oppositional defiant disorder or conduct disorder.

children with ADHD and anxiety or disruptive behavior disorders have as good a response to stimulants as do patients who do not have these coexisting conditions." to improve a child's Only a qualified mental-health clinician can determine whether your child's symptoms. they also may cause manic episodes or behavior. contact your child's doctor immediately. 9 Can ADHD medication cause bipolar disorder? No. or a combination of the two. a treatment plan should be developed to address each coexisting condition as well as the ADHD. including which medication might benefit your child right condition. it may be behaviors are caused by ADHD. Can my child take ADHD medication if there is a coexisting condition? If your child's doctor determines that your child has one or more coexisting conditions. many children with bipolar disorder as a coexisting condition appear highly irritable and overly sensitive and reactive and are often When ADHD described as"an emotional roller medication fails coaster. ADHD Parents Medication Guide ■ 16 One of the more serious coexisting conditions that can occur with ADHD is bipolar disorder. If your child suddenly becomes aggressive or depressed. racing thoughts. in rare in- stances. g helping parents help their kids . 9 Proceed with medication cautiously if your child is diagnosed with bipolar disorder as a coexisting condition. professional advice. he contact your child's doctor immediately. For example. ADHD medications can make pre-existing manic symptoms worse. And. and is not a substitute for. or ifor she voices suicidal thoughts after starting an ADHD medication. another condition. ADHD medication does not cause bipolar disorder. There have been rare reports that stimulants worsen bipolar disorder. On the other hand. pharmaceutical funding was used in the development or maintenance of this guide. Some signs that suggest your child has bipolar disorder are overly happy mood. A thorough assessment and accurate diagnosis are essential to choosing a sign of a coexisting the treatments.or child's No treatment team. However. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. the most and which medication might make certain disorders worse. Many children with ADHD and coexisting conditions take medication to help treat their ADHD. grandiosity (believing that they are much more talented than they really are). Additional monitoring also is advised when treating youth with stimulant medications who have coexisting substance abuse disorders. If your child becomes manic or overly irritable while taking ADHD medication. and less need for sleep. The information contained in this guide is not intended as.

metronome training. Before considering any treatment for ADHD. or in advertisements. effective as medicine for the core symptoms of ADHD. and is not a substitute for. such as special diets or herbal supplements. professional advice. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. Also keep in mind that there is no known cure for ADHD at this time. really work? Parents often hear reports of"miracle cures" for ADHD on the television. such as social for Your Child skills training or individual therapies. Some of the more prevalent unproven treatments for ADHD are special diets. in magazines. Teachers also can benefit from using behavioral training techniques.or child's No treatment team. behavioral treatment on its own may be recommended as an initial treatment if • Use organizers for homework. find out whether the source of this information is unbiased and whether the claims are valid. Whether or not your child is on medication. giving rewards for good behaviors and consequences for unwanted behaviors to help children learn boundaries and how to deal with choices in the school setting. behavioral treatment can help manage ADHD symptoms and lessen their impact on your child. the diagnosis of ADHD is uncertain. vision therapy. Unproven Treatments Do alternative treatments for ADHD. Many parents find that the best way to learn how to use these techniques is to work with a therapist who has experience in behavior issues. g helping parents help their kids . treatment. auditory stimulation. However. or • Keep rules consistent and bal- the family prefers this type of anced. 17 While it would be wonderful if these treatments worked. the symptoms of ADHD are mild. rigorous scientific research has not found these alternatives to be effective managing the symptoms of ADHD—and they are definitely not"cures. Most doctors recom- mend that parents and guardians attend parenting classes. particularly those focused on managing children with ADHD. • Organize everyday items. anti-motion-sickness medication. chiropractic adjustments. herbal supplements." The information contained in this guide is not intended as. and brain wave biofeedback. has not been shown to be as • Have the same routine every day. yeast infection treatments. They can set up programs similar to those at home. homeopathic treatments. ADHD Parents Medication Guide ■ 17 Psychosocial Treatments What psychosocial or behavioral treatments can be useful? Home and School Strategies Psychosocial (or behavioral) treatment alone. applied kinesiology (realigning bones in the skull). One study showed that you may be able to lower your child's medica- tion dosage if behavioral therapy is working well. pharmaceutical funding was used in the development or maintenance of this guide. and discuss it with your child's doctor.

These include behavior rating scales and specific target goals that you set up in consultation with your child's doctor. They may interact over-the-counter with prescribed medications and hinder your child's progress or compromise your child's safety. 9 why some things I Early diagnosis can help these individuals learn how to manage their symptoms tried had and succeed in life. pharmaceutical funding was used in the development or maintenance of this guide. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. What Does the Future Hold? It was once thought that most children would outgrow ADHD by their teenage years. We now know this is not true. failed. ADHD Parents Medication Guide ■ 18 Always tell your child's doctor about any alternative therapies. 9 perspec- tive to look back For some people. ADHD is a lifelong condition. and is not a substitute for. or medications that your child is using. started ADHD most children with ADHD will continue to experience some ADHD symptoms dur. it is helpful to use the same measures you would use to tell if one of the FDA-approved medications is working. If you plan to try this type of treatment. supplements." —an adult with ADHD The information contained in this guide is not intended as. I had the ing their later years. 10 and some children may outgrow the disorder. Almost 50 percent of on my life and see children with ADHD still have symptoms that require treatment in adulthood. g helping parents help their kids .or child's No treatment team. medication. professional advice. While some of the symptoms of "Once I ADHD can diminish over time.

and is not a substitute for. Suite 150 Landover.aacap.addresources.or g The information contained in this guide is not intended as.aafp.chadd.psych. ADHD Parents Medication Guide ■ 19 For More Information about ADHD National Organizations American Academy of Child and Adolescent Psychiatry (AACAP) 3615 Wisconsin Avenue. GA 30333 1-404-639- 3311 http://www.aap. VA 22209 1-703-907- 7300 http://www.or child's No treatment team. Suite 1825 Arlington. g helping parents help their kids .or g American Psychiatric Association (APA) 1000 Wilson Boulevard.or g Centers for Disease Control and Prevention (CDC) 1600 Clifton Road Atlanta. WA 98402 1-253-759- 5085 http://www.go v Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) 8181 Professional Place. pharmaceutical funding was used in the development or maintenance of this guide.or g Attention Deficit Disorder Resources 223 Tacoma Avenue.cdc.or g American Academy of Family Physicians (AAFP) 11400 Tomahawk Creek Parkway Leawood. NW Washington. IL 60007- 1098 1-847-434- 4000 http://www. #100 Tacoma. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. DC 20016- 3007 1-202-966- 7300 http://www. MD 20785 1-800-233- 4050 http://www. South. professional advice. KS 66211- 2672 1-800-274- 2237 http://www.or g American Academy of Pediatrics (AAP) 141 Northwest Point Boulevard Elk GroveVillage.

professional advice. MD 1-240-403- 1901 http://www.or child's No treatment team. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.or g Parent Advocacy Coalition for Educational Rights (PACER Center) 8161 Normandale Boulevard Minneapolis.nichcy.ffcmh.ldonline.ideapartnership.or g National Institute of Mental Health (NIMH) 6001 Executive Boulevard Bethesda.or g LD OnLine WETA Public Television 2775 South Quincy Street Arlington. ADHD Parents Medication Guide ■ 20 Federation of Families for Children's Mental Health 9605 Medical Center Drive. pharmaceutical funding was used in the development or maintenance of this guide. Room 8184.pacer. MD 20785 1-800-233- 4050 http://www.nimh.or g The information contained in this guide is not intended as. MD 20892- 9663 1-866-615- 6464 http://www. Suite 320 Alexandria.help4adhd. VA 22206 http://www.or g National Dissemination Center for Children with Disabilities (NICHCY) P. MSC 9663 Bethesda. Suite 150 Landover.gov Public Information and Communications Branch National Institute of Mental Health (NIMH) 6001 Executive Boulevard. Box 1492 Washington. MD 20892 1-866-615- 6464 http://www. MN 55437 1-888-248- 0822 http://www.nimh. VA 22314 1-877-IDEA-info http://www.gov National Resource Center on AD/HD 8181 Professional Place. DC 20013 1-800-695- 0285 http://www.nih.org National Association of State Directors of Special Education. Inc.nih. g helping parents help their kids . Suite 280 Rockville. and is not a substitute for.O. (NASDSE) IDEA Partnership 1800 Diagonal Road.

org/documents/WWK5.org/documents/WWK7s.org/documents/WWK7.pdf The information contained in this guide is not intended as.pdf Parenting a Child with AD/HD http://www.org/documents/WWK3s.pdf AD/HD and Co-Existing Disorders http://www.or child's No treatment team.org/documents/WWK4. ADHD Parents Medication Guide ■ 21 Fact Sheets about ADHD in English Children Who Can't Pay Attention http://www.help4adhd. pharmaceutical funding was used in the development or maintenance of this guide.org/documents/WWK3.org/page.pdf http://www.help4adhd.org/documents/WWK6s.org/documents/WWK5c.help4adhd.org/en/about/wwk The Disorder Named ADHD http://www.help4adhd.org/documents/WWK6.help4adhd.org/documents/WWK1.help4adhd. g helping parents help their kids .pdf Psychosocial Treatment for Children and Adolescents with AD/HD http://www.help4adhd.pdf Complementary and Alternative Treatments http://www.pdf AD/HD and Coexisting Conditions: Disruptive Behavior Disorders http://www.org/documents/WWK5b3. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.help4adhd.help4adhd.help4adhd.ww?section=Facts%20for %20Families&name= Children%20Who%20Can't%20Pay%20Attention/ADHD What We Know http://www. and is not a substitute for.pdf AD/HD and Coexisting Conditions: Tics and Tourette Syndrome http://www.pdf (short version) Educational Rights for Children with AD/HD http://www.help4adhd.org/documents/WWK5a1.help4adhd.help4adhd. professional advice.help4adhd.aacap.pdf Managing Medication for Children and Adolescents with AD/HD http://www.pdf Deciding on a Treatment for AD/HD (short version) http://www.org/documents/WWK2.pdf AD/HD and Coexisting Conditions: Depression http://www.pdf Behavioral Treatment for Children and Teenagers with AD/HD http://www.

medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.ht m Derechos educacionales de los niños con el TDA/H http://209.help4adhd.236/fs/sfs2.cf m Recommended Reading for Children Learning To Slow Down & Pay Attention: A Book for Kids About ADHD (2004) Kathleen G.org/documents/WWK8.236/fs/sfs1.org/en/living/parenting/diversio n Fact Sheets about ADHD in Spanish Hoja de Datos de CHADD Spanish-Language Fact Sheets http://www. Taylor Joey Pigza Loses Control (2005) Jack Gantos The information contained in this guide is not intended as.179.ht m Criando a un niño con el Trastorno por Déficit de Atención e Hiperactividad http://209.179. and is not a substitute for.126.ht m Manejo médico de los niños y adultos con el TDA/H http://209.126.ht m Evaluando las Intervenciones Complementarias y/o Controvertibles http://209.help4adhd. and Charles Beyl Jumpin' Johnny Get Back to Work! A Child's Guide to ADHD/Hyperactivity (1991) Michael Gordon The Survival Guide for Kids with ADD or ADHD (2006) John F.org/espanol. g helping parents help their kids .pdf Medication Diversion http://www.179.cf m El Trastorno Llamado TDA/H http://209. pharmaceutical funding was used in the development or maintenance of this guide. ADHD Parents Medication Guide ■ 22 AD/HD Predominantly Inattentive Type http://www. Nadeau.236/fs/sfs6.236/fs/sfs5.help4adhd.ht m Educational Rights for Children with Attention-Deficit/Hyperactivity Disorder: A Primer for Parents (1996)—free bilingual booklet http://www. Ellen B.236/fs/sfs3.126.126.org/pr060106.179. Dixon.ht m TDA/H y Trastornos Coexistentes http://209.help4adhd.179.236/fs/sfs4.126.126. professional advice.or child's No treatment team.179.

and is not a substitute for. Tourette's.or child's No treatment team. Tony Attwood. Teachers. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. LD. Asperger's. Authoritative Guide for Parents (revised edition) (2000) Russell Barkley Raising Resilient Children: Fostering Strength. g helping parents help their kids . Quinn (Editor) The Girls' Guide To AD/HD: Don't Lose This Book! (2004) Beth Walker Recommended Reading for Adults Taking Charge of ADHD: The Complete. professional advice. and Other Professionals (2005) Martin Kutscher. and Robert Wolff Help4ADD@High School (1998) Kathleen Nadeau Putting on the Brakes:Young People's Guide to Understanding Attention Deficit Disorder Hyperactivity (2001) Patricia Quinn and Judith Stern The ADHD Book of Lists: A Practical Guide for Helping Children and Teens with Attention Deficit Disorders (2003) Sandra Rief The information contained in this guide is not intended as. and The More! One-Stop Guide for Parents. ADHD Parents Medication Guide ■ 23 50 Activities and Games for Kids with ADHD (2000) Patricia O. pharmaceutical funding was used in the development or maintenance of this guide. Hope. Bipolar. and Optimism inYour Child (2002) Robert Brooks and Sam Goldstein Attention Deficit Disorder: The Unfocused Mind in Children and Adults (2006) Tom Brown Teenagers with ADD and ADHD: A Guide for Parents and Professionals (revised edition) (2006) Chris Dendy A Bird's-Eye View of Life with ADD and ADHD: Advice fromYoung Survivors (2003) Chris Dendy and Alex Dendy Making the System Work forYour Child with ADHD (2004) Peter Jensen Practical Suggestions for AD/HD (2003) Clare Jones Kids in the Syndrome Mix of ADHD.

and is not a substitute for. Stevens Thom Hartmann's Complete Guide to ADHD: Help forYour Family at Home. Monastra. School and Work (paperback) (2000) Thom Hartmann.D. g helping parents help their kids . The Gift of ADHD: How to TransformYour Child's Problems into Strengths (paper- back) (2005) Lara Honos-Webb Twelve Effective Ways to HelpYour ADD/ADHD Child: Drug-Free Alternatives for Attention-Deficit Disorders (paperback) (2000) Laura J. pharmaceutical funding was used in the development or maintenance of this guide. Wilens.D. M. Ph. professional advice. Lucy Jo Palladino (Foreword).or child's No treatment team. ADHD Parents Medication Guide ■ 24 Parenting Children with ADHD: 10 Lessons That Medicine Cannot Teach (APA Lifetools) (paperback) (2004) Vincent J. Straight Talk About Psychiatric Medications for Kids (revised edition) (paperback) (2004) Timothy E. and Peter Jaksa (Afterword) ADD & ADHD Answer Book: The Top 275 Questions Parents Ask (paperback) (2005) Susan Ashley Contributors American Academy of Child and Adolescent Psychiatry (AACAP) American Psychiatric Association (APA) Children and Adults with Attention Deficit/Hyperactivity Disorder (CHADD) Child and Adolescent Bipolar Foundation Federation of Families for Children's Mental Health Mental Health America National Alliance on Mental Illness (NAMI) National Institute of Mental Health (NIMH) The information contained in this guide is not intended as. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide.

11 U. and is not a substitute for. 15 Available at: http://www.com/p020801b. Smoller JW. Doyle AE. Diagnosis and treatment ofattention-deficit/hyperactivity disorder in children and adolescents. g helping parents help their kids . 14 Available at: http://www. Bezman RJ. 8 Greenhill LL. Sklar P.gov/ocr/504. Molecular genetics of attention-deficit/hyperactivity disorder. Council on Scientific Affairs. Stimulant medication treatment of children with attention deficit hyperactivity disorder. Accessed 4/29/07.S. 2 Available at: http://www. Accessed 4/12/07.html.fda. J Am Acad Child Adolesc Psychiatry 2007.html. 16 Available at: http://www. 13 Available at: http://www.279:1100- 1107. The information contained in this guide is not intended as.org/healthtopics/adhd. Overcoming the specter of overdiagnoses. Accessed 4/12/07 . Traffic Tech 1996. Study shows that young adults diagnosed with severe attention deficit hyperactivity disorder as children have more driving risks. Holmgren MA. Fourth Edition (DSM-IV-TR).nih. Accessed 2/22/07. 4 Faraone SV. Kingston. Jensen PS.html.aap. 2004.drugabuse. 6 Psychiatric Times.131.ed. Goralnick JJ. html.57:1313- 1323. Accessed 3/12/07.gov/NIDA_Notes/NNVol14N4/ADHD. Accessed 2/13/07. professional advice. and adults with attention-deficit/hyperactivity disorder. Department of Transportation National Highway Traffic Safety Administration. Available at:http://www. medical All decisions about clinical care should be made in consultation with a ParentsMedGuide. Available at: http://www. Perlis RH. 7 Available at: http://www. Cooper JR.com/viewarticle/517925. ADHD in girls may often go undiagnosed. 3 American Psychiatric Association.gov/publicat/adhd.html. htm#Dexedrine.fda.gov/about/offices/list/ocr/docs/edlite- FAPE504. Washington.medscape.psychiatrictimes. Accessed 2/12/07. Slanetz PJ.46(7):894- 921. 2002.gov/childhp/mtaqa. 12 Available at: http://www. Accessed 2/12/07.fda.nih. 5 WebMD Health News.gov/medwatch/safety/2006/safety06.cfm#intro. adolescents. JAMA 1998.cfm. Accessed 2/13/07. Accessed 4/29/07. Practice parameter for the assessment and treatment of children. 17 Available at: http://www. Genel M. In: Attention Deficit Hyperactivity Disorder: State Of Science. eds. Civic NJ: Research Institute.nimh. Biol Psychiatry 2005.cfm. Best Practices. DC: American Psychiatric Association. pharmaceutical funding was used in the development or maintenance of this guide.hhs. ADHD Parents Medication Guide ■ 25 Endnotes 1 Available at: http://www. 10 Goldman LS. Diagnostic and Statistical Manual of Mental Disorders.or child's No treatment team.gov/bbs/topics/NEWS/2007/NEW01568. Accessed 2/10/07. html.nimh.gov/bbs/topics/NEWS/2005/NEW01237. 9 American Academy of Child and Adolescent Psychiatry.