July 24, 2016
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ADHD Medications (cont.)

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Medical Editor:

Black box warnings for ADHD medications

Dexmethylphenidate and methylphenidate should be used cautiously in patients with a history of alcoholism because prolonged administration can lead to physical and psychological drug dependence.

Dextroamphetamine/amphetamine, dextroamphetamine and methamphetamine should not be used in patients with cardiac disease. These stimulants can cause increases in blood pressure and heart rate and can lead to myocardial infarction and sudden unexplained death (SUD).

Atomoxetine increases the risk of suicidal ideation and/or suicidal behavior. Patients should be closely monitored while taking atomoxetine.

Dextroamphetamine/amphetamine, dexmethylphenidate, lisdexamfetamine and methylphenidate should be used cautiously in patients with a history of substance abuse because prolonged administration can lead to physical and psychological drug dependence. Dextroamphetamine/amphetamine has a high potential for abuse and is contraindicated for use in this setting.

ADHD medication for children with autism

ADHD can exist concurrently in children with autism. However many of these cases are undiagnosed and are under treated. A study of 2,000 children treated at autism treatment centers across the US found that more than half of them had symptoms of inactivity and hyperactivity. However, only 11% of the children were being treated for ADHD. Physicians should screen autism patients for ADHD and develop a treatment plan that addresses both disorders.

Reviewed by:

Marina Katz, MD

American Board of Psychiatry & Neurology


Medically Reviewed by a Doctor on 5/2/2016


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