12 doctors weighed in:

Is it hard getting the medication just right for a child with adhd?

12 doctors weighed in
Dr. Susan Uhrich
Psychiatry
5 doctors agree

In brief: Getting medications

Right is a challenge in any patient and any disorder. That is part of the "art" of medicine.

In brief: Getting medications

Right is a challenge in any patient and any disorder. That is part of the "art" of medicine.
Dr. Susan Uhrich
Dr. Susan Uhrich
Thank
Dr. Carla Enriquez
Pediatrics
3 doctors agree

In brief: Many variables

In a study reported by nimh, up to 90% of adhd patients responded to stimulant medication.
Helping the other 10% is more tricky. The standard of care is to "normalize" the patients' neurological status. Often, other medications, particularly otc, can impact the effectiveness of treatment. Also, comorbid conditions can impact effectiveness as well. That's why it's important to have competent doc.

In brief: Many variables

In a study reported by nimh, up to 90% of adhd patients responded to stimulant medication.
Helping the other 10% is more tricky. The standard of care is to "normalize" the patients' neurological status. Often, other medications, particularly otc, can impact the effectiveness of treatment. Also, comorbid conditions can impact effectiveness as well. That's why it's important to have competent doc.
Dr. Carla Enriquez
Dr. Carla Enriquez
Thank
2 comments
Dr. Johanna Fricke
And we can't forget to ask what Complementary & Alternative meds they're on that can cause serious drug interactions, like St. John's Wort.
Dr. Johanna Fricke
And we can't forget to ask what Complementary & Alternative meds they're on that can cause serious drug interactions, like St. John's Wort.
Dr. William Singer
Pediatrics - Neurology
2 doctors agree

In brief: Can be tricky

Getting the right dose and right medication can be tricky.
It is very important that the diagnosis be confirmed with appropriate testing. If you are having difficulty getting the treatment that works, ask for a referral to a pediatric neurologist.

In brief: Can be tricky

Getting the right dose and right medication can be tricky.
It is very important that the diagnosis be confirmed with appropriate testing. If you are having difficulty getting the treatment that works, ask for a referral to a pediatric neurologist.
Dr. William Singer
Dr. William Singer
Thank
Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral
2 doctors agree

In brief: It's a process

Experience in diagnosis of chidren with adhd & co-existing conditions helps us initiate a med.
& dose, plan a titration schedule to reach an optimal dose & decide if/when to add adjunctive medicine. It takes time to educate parents about how the meds work, possible side effects, how/when to provide parent//teacher feedback, etc. When we all invest in the process, it works very well 90% of the time.

In brief: It's a process

Experience in diagnosis of chidren with adhd & co-existing conditions helps us initiate a med.
& dose, plan a titration schedule to reach an optimal dose & decide if/when to add adjunctive medicine. It takes time to educate parents about how the meds work, possible side effects, how/when to provide parent//teacher feedback, etc. When we all invest in the process, it works very well 90% of the time.
Dr. Johanna Fricke
Dr. Johanna Fricke
Thank
Dr. Andres R Villar
Pediatrics
2 doctors agree

In brief: Not always

Medicine is an art as well as a science.
A careful history and physical exam, and proper initial evaluation, is a good start.Monitoring meds, efficacy, side effects closely a must.Continous performance tests, and parent and teacher follow up rating scales as well as periodic reassesment are helpful in optimizing med response.Goal setting is important and helps assess progress.

In brief: Not always

Medicine is an art as well as a science.
A careful history and physical exam, and proper initial evaluation, is a good start.Monitoring meds, efficacy, side effects closely a must.Continous performance tests, and parent and teacher follow up rating scales as well as periodic reassesment are helpful in optimizing med response.Goal setting is important and helps assess progress.
Dr. Andres R Villar
Dr. Andres R Villar
Thank
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