When ADHD medicine does not work for your child

Medications for the symptoms of attention deficit/hyperactivity disorder (ADHD) are very effective for children, making it easier for them to concentrate, maintain friendships, and manage their lives in school.

Sometimes it is difficult to find the right medicine and the right dosage with minimal side effects. However, with some careful adjustments, an effective procedure can usually be found.

ADHD medications

There are different drug options for ADHD. Most are stimulants, but this is not your only option. Non-stimulants can also be used.

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The most commonly used ADHD drugs are stimulants. They may be based on methylphenidate, for example:

  • Ritalin and Ritalin LA (methylphenidate)
  • Focalin and Focalin XR (dex methylphenidate)
  • Concerta (methylphenidate), a sustained-release tablet that can be taken once a day
  • Jornay PM (methylphenidate), taken before going to bed, so the clinical effect starts in the morning
  • Daytrana (methylphenidate), a transdermal patch, taken out after nine hours of wearing

Stimulants may also be based on amphetamine, such as:

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  • Adderall and Adderall XR (dextroamphetamine and amphetamine), mixed amphetamine salt
  • Dextroamphetamine and Dextroamphetamine Capsules
  • Vyvanse (lisdexamfetamine), taken once a day
  • Mydayis (dextroamphetamine and amphetamine), a sustained-release form, can also be taken once a day

These stimulants are thought to work by increasing the levels of a neurotransmitter called dopamine in the brain. Dopamine is related to motivation and attention. For many people with ADHD, stimulant drugs can improve concentration and concentration, while suppressing hyperactivity and impulsive behavior.

In most cases, ADHD medications are effective. According to the ADHD treatment guidelines of the American Academy of Pediatrics (AAP), stimulants can reduce ADHD symptoms in most adolescents.

Non-stimulant drugs

When stimulants cannot be used, non-stimulant drugs are usually considered. For example, this may be due to side effects of medications. If stimulants do not work, you can also consider using them.

For children who cannot tolerate stimulants, a non-stimulant medication called Strattera (tomoxetine) is sometimes a good choice. Some doctors also prescribe Strattera together with stimulants, which can reduce the dose of stimulants so that they no longer cause side effects.

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Other drugs used to treat ADHD include the non-stimulant Catapres (clonidine) and Tenex (guanfacine). These are effective against impulsivity, hyperactivity and sleep disorders.

When the medicine doesn’t work

When the medicine does not work or causes unbearable side effects, the options are usually:

  • Adjust the dose up or down
  • Switch to another drug

For example, if Adderall cannot relieve your child’s symptoms or make them cry too much, lowering the dose or asking them to try one of the other stimulant drugs may solve the problem.

However, sometimes the child does not respond to two or three different stimulant drugs and continues to perform poorly. It may be that the diagnosis of ADHD is wrong, and other reasons are causing the symptoms that the child is experiencing.

In this case, AAP recommends that the pediatrician evaluate the child’s diagnosis. It is also recommended to test your child for co-existing diseases, such as depression, bipolar disorder or learning disabilities or behavior problems.

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If your child has ADHD, it can be frustrating to test various drugs and dosages to find out what works for them. Don’t hesitate to ask your pediatrician any questions about effectiveness and timing.Sometimes adjust When The dose taken can make a big difference.

Let the doctor know about any side effects you think are related to your child’s treatment. Don’t be afraid to push for change. There are many options.

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