My 4 year old has bicuspid aortic valve. i think he also has adhd. what are his options as far as medications go?

Ask the cardiologist: Though bicuspid valves are definitely heart defects, most seem to express a normal tolerance to the lions share of medications. Obviously this is best discussed with your sons cardiologist before embarking on the use of stimulant medications. Many would argue that behavior modification is a more suitable initial approach for adhd than meds due to his age anyway--even with a defect-free heart!

Meds unlikely: Only rarely are children this young treated with medication for adhd unless it is very extreme. If the bifid valve is not of hemodynamic significance the medications would probably not be a cardiac risk. This should be checked out with the cardiologist.

Full range of meds: The bicuspid valve doesn't change the treatment considerations. In many ways, you should be more comfortable with the meds that are rx'd than some parents.That's because the rare, unknown cardiac problems may be problematic in some situations, but you know what you are dealing with, he presumably gets regular cardiac exams, & his condition does not make him more susceptible to arrhythmia.

Many: Uncomplicated bicuspid aortic valve--that is, without obstruction or leakiness--should not affect your child's medication options. Most cardiologists recommend a screening ECG after starting an adhd medication. Please see your child's cardiologist to discuss your specific options.