Choosing the Right ADHD Medication for Your Child
You have many options in types of medications, doses and treatment strategies.
Side Effects of Stimulant ADHD Medications
Loss of appetite and weight loss are common side effects of stimulant ADHD medications. Concern for growth delay has been raised, but studies have found little or no significant delay. Children usually catch up later on. Most doctors believe in "drug holidays" during summers, although no studies have looked at this.
Stimulants are not considered to be habit forming when used to treat ADHD in children and adolescents. Also, there is no evidence that their use leads to drug abuse. However, there is a potential for abuse and addiction with any stimulant medication -- especially if that person has a history of substance abuse.
Nonstimulant ADHD Medication
Individual children respond to drugs differently; a child may benefit from one drug but not another. Because some children don't benefit from stimulant drugs, doctors have turned to other medications to treat ADHD.
Sold under the trade name Strattera, this is the first nonstimulant ADHD medication approved by the FDA. Like the stimulants, Strattera works on the norepinephrine brain chemicals. And also like stimulant drugs, Strattera is effective in treating and controlling ADHD symptoms. However, this medication is not a controlled substance and children are less likely to abuse the drug or become dependant on it.
Strattera is given in a single dose either in the morning or afternoon. Effects last until the next dose. It may be taken with or without food. However, some evidence shows that taking it with food will decrease any stomach upsets.
Side Effects of Strattera
Overall, Strattera is well tolerated with minimal side effects, according to the AAP. It doesn't cause many of the potential side effects linked to stimulants, such as sleeplessness. The most common side effects: upset stomach, decreased appetite, nausea, dizziness, fatigue, and mood swings. Generally these side effects are not severe, and only a very small percentage of children in clinical trials testing Strattera stopped this ADHD medication due to side effects.
There have been reports of slightly decreased growth in children and teens taking Strattera. It is recommended that children and adolescents be observed, measured, and weighed periodically while on this ADHD medication. Allergic reactions are rare but do occur, usually as swelling or hives. The doctor or other health care professional should be advised immediately if anyone taking Strattera develops a skin rash, swelling, hives, or other allergic symptoms.