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What Else Can I Do To Help My Child
- Become informed. Find out all you can about all aspects of ADHD.
- Find out aboutmental health services in your area, including parent programs, groups for kids, and individual interventions to learn ways of helping with ADHD symptoms. Psychologists, behaviour specialists, mental health therapists, and some physicians are able to help coach families with effective behaviour strategies.
- Advocate for your child. You may need to help your childs teacher understand ADHD and what is being recommended to help your child. Teachers will help put in place the educational aspects of your childs ADHD treatment plan. Their observations can also be helpful when children are trialing or adjusting medication.
There is good information for parents in the resources below.
Nonstimulants: Tips And Things To Be Aware Of
Before you take this type of medicine, be sure to tell your doctor if you:
- Are nursing, pregnant, or plan to become pregnant
- Take any prescription medications for other conditions, like blood pressure drugs, antidepressants, sedatives, or antipsychotics
- Take any dietary supplements, herbal medicines, or over-the-counter medications
- Have any medical problems, including high or low blood pressure, seizures, heart disease, glaucoma, mental health issues, liver disease or jaundice, or kidney problems
- Have had an allergic reaction to any medications
- Have a history of drug or alcohol abuse or dependency
- Become agitated or irritable, or have suicidal thoughts
If you and your doctor decide nonstimulants are right for you, take your medicine exactly as prescribed. Your doctor may order some lab tests once in a while to make sure the drug is working well and not causing you any problems.
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What Are The Other Health Effects Of Prescription Stimulants
Repeated misuse of prescription stimulants, even within a short period, can cause psychosis, anger, or paranoia. If the drug is injected, it is important to note that sharing drug injection equipment and having impaired judgment from drug misuse can increase the risk of contracting infectious diseases such as HIV and hepatitis.
Side Effects Of Adhd Medication
All classes of ADHD medication have possible side effects. These are often temporary and can be helped by reducing the dose or changing the timing of the dose. Stimulants can cause loss of appetite, difficulty falling asleep, weight loss, and irritability or increased anxiety. Strattera can cause nausea, vomiting, and daytime sleepiness. Tenex, Intuniv, and Kapvay may cause sleepiness or dizziness.
While there was a fear that stimulants might stunt childrens growth, more recent research suggests that stimulants typically dont affect how tall a child will ultimately be. For some kids, though, stimulants may cause a slight delay in the rate of growth.
With all of these drugs, side effects tend to occur only when the medication is active in the body. Very rare or serious side effects of ADHD medications may include heart problems in children with pre-existing heart defects. The FDA recommends that parents work with doctors to ensure their child has a thorough medical exam and health history review before taking ADHD medications.
Most side effects of ADHD medications are not serious. But any side effects should be reported to your childs doctor. Its crucial to work closely with the doctor or prescriber to find the medication and dosage that works best for your child. Keep an eye out for signs that your childs ADHD medication needs fine-tuning, and talk to the doctor if you have any concerns.
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Diet And Supplements For Adhd
Changing your diet to increase the consumption of certain ADHD-friendly nutrients fish oil, the minerals zinc, iron, and magnesium as well as protein and complex carbohydrates, can help the brain function at optimal levels and control swings in mood and behavior. Limiting sugar, artificial preservatives, and artificial food coloring reduces hyperactivity in some children. The effects of dietary treatment on ADHD symptoms are not proven. Dietary interventions may be most effective when augmenting a treatment plan, rather than when used as a stand-alone therapy.
Can I Use Cannabis Instead Of Adhd Medication
Switching your ADHD treatment away from medication to cannabis is strongly unadvised.
This is because cannabis has not been researched extensively enough to be considered an adequate treatment option for ADHD.
However, should you be considering it, it is very important to reach out to your healthcare provider about your thoughts and concerns. Finding a healthcare provider with knowledge on the benefits and risks of using cannabis instead of ADHD medication could be very beneficial to your overall treatment plans.
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High Blood Pressure Drugs: Tips And Precautions
When taking one of these meds for your ADHD, be sure to tell your doctor if you:
- Are nursing, pregnant, or plan to become pregnant
- Are taking or plan to take any dietary supplements, herbal medicines, or nonprescription medications
- Have any medical problems now or in the past, including low blood pressure, seizures, heart rhythm disturbances, and urinary problems
- Start having irregular heartbeats or fainting spells
Also, keep these guidelines in mind:
- Always take or give the medication exactly as prescribed. Call your doctor about any problems or questions. It’s best not to miss doses or patches, since this may cause the blood pressure to rise quickly, which may cause headaches and other symptoms.
- Your doctor will probably want to start the medication at a low dose and increase it gradually until your symptoms are under control.
- For very young children, clonidine tablets can be changed into a liquid by a compounding pharmacy. This will make it easier for them to take. Tablets can be crushed and mixed with food if you have to.
- Do not stop taking clonidine or guanfacine suddenly. This can cause an increase in blood pressure. These medications must be tapered off gradually.
Are There Tips And Precautions Related To Strattera
Be sure to tell your healthcare provider:
- If you are nursing, pregnant or plan to become pregnant.
- If you are taking or plan to take any prescription drugs , dietary supplements, herbal medicines or nonprescription medications .
- If you have any past or present medical problems, including high blood pressure, seizures, heart disease, glaucoma or liver or kidney disease.
- If you have a history of drug or alcohol abuse or dependency or if you have had mental health problems, including depression, manic depression or psychosis.
- If you have had any liver problems or jaundice in the past.
- If you become agitated or irritable or if you develop ideas of hurting yourself.
Take Strattera exactly as prescribed by your healthcare provider. It’s usually taken once or twice a day and may be taken with or without food. Your physician may adjust the dose until it’s correct for you or your child. No specific laboratory testing is required while taking Strattera. It may be used for extended or long-term treatment as long as there are periodic evaluations with your healthcare provider.
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What Does Adhd Medication Do
ADHD medications work in different ways depending on the type. But all ADHD medications work by increasing the levels of important chemicals in your brain. These neurotransmitters include dopamine and norepinephrine. Increasing the amount of these neurotransmitters helps improve the symptoms of ADHD, including:
- Increasing attention span.
- Managing executive dysfunction.
ADHD medications affect each person differently. What works for one person may not be effective for you or your child. And the first ADHD medication you or your child tries may not be the right one. It may not be effective, or it may cause bothersome side effects. Or you may have the correct medication but need a higher dose.
Make sure to tell your provider about all of the medications you or your child takes, whether prescribed or over-the-counter. Also, tell your provider if you consume any caffeinated drinks or take any supplements . Combining certain medications can have a harmful effect on the body.
Your healthcare provider may need to try different medications and doses to find what works for you or your child. Your provider will observe you or your child and adjust the dose of the medication to find the right balance between the benefits and side effects.
Once you find the right medication and dose, most people find ADHD medication helps their symptoms. The symptoms involved with hyperactivity, attention span and impulsive behaviors improve.
What Should Parents Do
So what does this mean for parents trying to decide whether their child should take ADHD medication? First, they dont need to worry about whether taking the most widely prescribed medication methylphenidate will cause serious, long-term problems. It most likely will not. Second, because a fairly large percentage of kids who take methylphenidate may experience minor and short-lived problems such as difficulty with appetite and sleep, parents should be prepared to see these effects in their children. Knowing that issues such as these might be a problem, and that these issues may improve as a child adjusts to the medication, can help parents anticipate possible solutions which can include, for example, having a big breakfast before taking the medication or lowering the dose if sleep is an issue. These are all things that can be discussed with a childs pediatrician, and there are ways to cope with these issues once they are identified. Finally, parents can be comforted by the fact that these medications can improve a familys quality of life at home, a childs general behavior at school, and result in fewer problems with attention, impulsivity, and hyperactivity.
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What Other Nonstimulant Therapies Are Used To Treat Adhd
Two drugs, Kapvay® and Intuniv® , have been approved by the FDA for use alone or with stimulant drugs for the treatment of ADHD. These drugs can improve mental functioning as well as behavior in people with ADHD. However, they are usually reserved for those who respond poorly to and cannot tolerate stimulants or Strattera.
Clonidine is also available as a short-acting tablet and as a transdermal patch. Guanfacine is also available as a short-acting tablet. These dosage forms have also been used to treat ADHD, however they are not specifically approved by the FDA for this indication.
Behavior Therapy Including Training For Parents
ADHD affects not only a childs ability to pay attention or sit still at school, it also affects relationships with family and other children. Children with ADHD often show behaviors that can be very disruptive to others. Behavior therapy is a treatment option that can help reduce these behaviors it is often helpful to start behavior therapy as soon as a diagnosis is made.
The goals of behavior therapy are to learn or strengthen positive behaviors and eliminate unwanted or problem behaviors. Behavior therapy for ADHD can include
These approaches can also be used together. For children who attend early childhood programs, it is usually most effective if parents and educators work together to help the child.
Children younger than 6 years of age
For young children with ADHD, behavior therapy is an important first step before trying medication because:
- Parent training in behavior management gives parents the skills and strategies to help their child.
- Parent training in behavior management has been shown to work as well as medication for ADHD in young children.
- Young children have more side effects from ADHD medications than older children.
- The long-term effects of ADHD medications on young children have not been well-studied.
School-age children and adolescents
- Parent training in behavior management
- Behavioral interventions in the classroom
- Peer interventions that focus on behavior and
- Organizational skills training.
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Importance Of A Professional Diagnosis
Anyone experiencing symptoms of ADHD should seek a diagnosis from a qualified doctor. The doctor can rule out other potential causes of the symptoms and put an appropriate treatment plan in place.
Without treatment, many people with ADHD may find it difficult to manage their symptoms. These individuals could have an increased risk of developing substance use disorders as a coping strategy.
An ADHD diagnosis involves a comprehensive assessment of the persons symptoms, their family history, and the presence of any other health conditions. Although the specific approach may vary among doctors, diagnostic protocols generally include:
What Are The Side Effects Of These Drugs
The most common side effects include:
For Kapvay:
These drugs can rarely cause irregular heartbeats. They can lower blood pressure and slow heart rate.
Careful screening for heart rhythm irregularities and regular monitoring of blood pressure and EKGs is recommended.
Both drugs can cause significant drowsiness use caution when operating dangerous equipment or driving until you know how these drugs affect you.
This is not a complete list of side effects. If you experience a potential side effect while taking these drugs, please consult a healthcare professional.
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Using Caffeine For Concentration
What’s most consistent in caffeine studies is their inconsistency. Mixed results for those with and without ADHD. A May 2021 publication reviewing several studies stated: Studies do not support caffeine having any significant effect on attention, but it does seem to play a role in enhancing processing speedMost of the data suggest caffeine has a significant positive effects on both short-term and long-term memory in the adult and elderly population, but not in children.
Authors of a large study of children ages 9-10, using guidelines from the National Institutes of Health Toolbox, suggested worse overall cognitive performance with long-term caffeine use in all areas but two: reading decoding and inhibitory control .
That means about an equal number of boys and girls scored worse in the ways we process, use, and remember information.
A UK study featured in Nutrients of adults ages 37-73 showed lower performance with recent caffeine use during specific tasks: prospective memory , pairs matching and fluid intelligence which suggested impairments in reasoning and memory.
Caffeine doesn’t really work on the system in the brain that helps you focus it. It just makes you more awake. In general, people are able to focus better when they are awake, Temple explains.
Contraindications For Adhd Medications
Administration of stimulants can lead to physical and psychological drug dependence. Therefore methamphetamine is contraindicated in patients with a history of alcoholism.
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Psyctropic Meds And Blood Pressure
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Parent Training And Education Programmes
If your child has ADHD, specially tailored parent training and education programmes can help you learn specific ways of talking to your child, and playing and working with them to improve their attention and behaviour.
You may also be offered parent training before your child is formally diagnosed with ADHD.
These programmes are usually arranged in groups of around 10 to 12 parents. A programme usually consists of 10 to 16 meetings, lasting up to 2 hours each.
Being offered a parent training and education programme does not mean you have been a bad parent it aims to teach parents and carers about behaviour management, while increasing confidence in your ability to help your child and improve your relationship.
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How To Approach Adhd Treatments
Most people with ADHD try a variety of treatment programs to maximize symptom control. If you plan to do this, keep a log, so you can follow the progress of your efforts and understand the outcomes of each strategy you try. Dont drop a treatment from your plan if changes arent happening as fast as youd like. Change takes time. Before you stop unless side effects are getting in the way of your life consult a professional. Look for ways to adjust the treatment before you give up on it.