Elaine Taylor-Klaus's daughter developed facial tics not long after starting medications for attention deficit hyperactivity disorder (ADHD).
The tics came on suddenly while she was performing in a school play and were noticeable even from the back of the auditorium, where her mother was watching. They frightened Taylor-Klaus.
"I thought, oh my gosh, what's going on?" Taylor-Klaus remembers. "I started to cry."
Fortunately, Taylor-Klaus got reassurance quickly. A friend at the same play told her...
If that doesn't work well, the doctor might have your child keep taking the stimulant along with another type of medicine at the same time. This is called “adjunctive therapy.”
Treatment With Medication
The doctor will probably start your child on a small dose (or amount) of ADHD medicine. He’ll raise the dose slowly until it starts helping. The goal is to improve your child's symptoms and cause the fewest side effects.
The stimulant medications used most often for ADHD include:
These drugs don’t work for every child who takes them. About 20% of kids who take stimulants don't have much symptom relief. Or they get side effects.
There isn't a one-size-fits-all treatment. Your child might need one medication or more. Combining medications with behavior therapy might help, too.
Adjunctive Therapy Medications
When a stimulant medicine is only partially effective in controlling symptoms, doctors may try to improve its effectiveness by adding one of the following non-stimulant drugs:
Atomoxetine (Strattera). This medication is related to antidepressants. It was the first non-stimulant approved as a solo treatment for ADHD.
Clonidine ER (Kapvay). This high blood pressure medication was recently approved in an extended release (long-lasting) form for ADHD.
Guanfacine ER (Intuniv). This is another high blood pressure medication that is also approved to treat ADHD.
These medicines can also be used on their own in kids with ADHD.
Non-stimulant drugs work in a different way than stimulants. This is why the two types of medicines sometimes work better when combined.
Any ADHD medication can cause these. They can include:
Sleepiness or trouble sleeping
Changes in heart rate and other heart problems also have been reported with some of these medicines. Your doctor should check your child’s blood pressure and heart rate routinely to watch for these effects.
Researchers still need to learn more about the safety and effectiveness of combining stimulants with other types of medications to treat ADHD. They are studying these different combos in clinical trials.
If your child has side effects, tell your pediatrician or psychiatrist immediately. The doctor may suggest stopping the medication or changing the dose.