16 doctors weighed in:

What are some alternatives to ritalin (methylphenidate) and other stimulants, when treating ADHD in a child?

16 doctors weighed in
Dr. Mary Ann Block
General Practice
6 doctors agree

In brief: Find the cause

There are many underlying medical and educational causes of adhd symptoms.
Those should all be tested for and treated prior to giving a diagnosis of adhd and prior to prescribing adhd drugs. In my book, no more adhd, i recommend a course of action to help find the real cause of the symptoms.

In brief: Find the cause

There are many underlying medical and educational causes of adhd symptoms.
Those should all be tested for and treated prior to giving a diagnosis of adhd and prior to prescribing adhd drugs. In my book, no more adhd, i recommend a course of action to help find the real cause of the symptoms.
Dr. Mary Ann Block
Dr. Mary Ann Block
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Dr. Thomas Seck
Pediatrics
6 doctors agree

In brief: Therapy/nonstimulant

Non stimulants can be very helpful, especially now that there are long-acting ones (kapvay and intuniv).
Studies have consistently shown that stimulants are the most effective but there is also considerable evidence that certain therapies (cognitive behavioral therapy, applied behavioral analysis, parent-child interaction therapy, etc) can be beneficial alone, but especially in addition to meds.

In brief: Therapy/nonstimulant

Non stimulants can be very helpful, especially now that there are long-acting ones (kapvay and intuniv).
Studies have consistently shown that stimulants are the most effective but there is also considerable evidence that certain therapies (cognitive behavioral therapy, applied behavioral analysis, parent-child interaction therapy, etc) can be beneficial alone, but especially in addition to meds.
Dr. Thomas Seck
Dr. Thomas Seck
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1 comment
Dr. Thomas Riney
stimulants have the highest first try success rate , nonstimulants are second line therapy although they have a lower success rate, are quite helpful in some patients
Dr. Chris Esguerra
Psychiatry
4 doctors agree

In brief: Nonstimulants

Nonstimulants such as atomoxetine (strattera), guanfacine, or Clonidine are useful alternatives to stimulants like Ritalin (methylphenidate) for the treatment of adhd in kids.
These take between 4-6 weeks to take effect.

In brief: Nonstimulants

Nonstimulants such as atomoxetine (strattera), guanfacine, or Clonidine are useful alternatives to stimulants like Ritalin (methylphenidate) for the treatment of adhd in kids.
These take between 4-6 weeks to take effect.
Dr. Chris Esguerra
Dr. Chris Esguerra
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Dr. Alan Ali
Psychiatry
2 doctors agree

In brief: Ritalin (methylphenidate)

Non-stimulants such as intuniv, kapvay, wellbutrin, (bupropion) remeron, omega 3-6, and strattera, all have been used , with mixed results.

In brief: Ritalin (methylphenidate)

Non-stimulants such as intuniv, kapvay, wellbutrin, (bupropion) remeron, omega 3-6, and strattera, all have been used , with mixed results.
Dr. Alan Ali
Dr. Alan Ali
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Dr. William Singer
Pediatrics - Neurology
1 doctor agrees

In brief: Alternatives

The biochemical cause of ADHD is well known.
Therefore those medications that treat that imbalance are the best treatment and stimulants are first line. When a child does not tolerate stimulants due to side effects alternatives include Provigil, Nuvigil, Imipramine and Strattera (atomoxetine). If anxiety accompanies ADHD adding medications such as Intuniv can help. Amantadine is uncommonly used but can help

In brief: Alternatives

The biochemical cause of ADHD is well known.
Therefore those medications that treat that imbalance are the best treatment and stimulants are first line. When a child does not tolerate stimulants due to side effects alternatives include Provigil, Nuvigil, Imipramine and Strattera (atomoxetine). If anxiety accompanies ADHD adding medications such as Intuniv can help. Amantadine is uncommonly used but can help
Dr. William Singer
Dr. William Singer
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1 comment
Dr. Alan Ali
Provigil not appro ed for kids.
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Dr. Cindy Juster
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