A 40-year-old male asked:
Is there an alternate to methylphenidate to cure/control adhd in a 5 year old child, who also has mild autism and 2 instances of epileptic seizures?
3 doctor answers • 8 doctors weighed in
Dr. Johanna Frickeanswered
Pediatrics - Developmental and Behavioral 52 years experience
MPH has a slight : Risk of lowering the seizure threshhold. Start with a very low dose of vyvanse; it often causes fewer side effects than its active ingredient, Adderall xr. 20 mg. Of vyanse = ~ 6.5 mg. Of Adderall xr. Onset of action is 2 hrs.; duration is 12-14 hrs. Intuniv 1mg. Or strattera (atomoxetine) 10 mg. With very slow titration works in ~ 4-6 wks., when a low-dose stimulant often can be added without side effects.
5.3k viewsReviewed >2 years ago
Dr. Anthony Vertinoanswered
Clinical Psychology 25 years experience
Nonstimulants: With a history of seizures in a child so young, nonstimulant medications such as intunive or stratera may be worth discussing with your doctor.
4.9k viewsReviewed >2 years ago
Dr. William Singeranswered
Pediatric Neurology 53 years experience
Several alternatives: Among the alternatives are amphetamines (adderall, vyvanse) Provigil and nuvigil. these are not likely to cause a recurrence of seizures but are efficacious in treating ADHD
2.6k viewsReviewed >2 years ago
Last updated Dec 3, 2020
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