10 doctors weighed in:

What is the best way to treat tourettes sindrome in an adolescent with adhi?

10 doctors weighed in
Dr. Kevin Passer
Pediatrics - Psychiatry
4 doctors agree

In brief: Tenex (guanfacine)

The medications Guanfacine or Tenex (guanfacine) and Clonidine or catapress can help with both tics and hyperactivity.

In brief: Tenex (guanfacine)

The medications Guanfacine or Tenex (guanfacine) and Clonidine or catapress can help with both tics and hyperactivity.
Dr. Kevin Passer
Dr. Kevin Passer
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Dr. Glen Elliott
Pediatrics - Psychiatry
2 doctors agree

In brief: Treat both

Many children with tourette syndrome also have adhd.
Most do not have pandas. Even if they do, treatment of the tics and adhd often is the most beneficial course. Some medicines such as Guanfacine or Clonidine help with both tics and adhd symptoms either alone or in combination with stimulants like methylphenidate (ritalin). Look for some experienced with both diseases.

In brief: Treat both

Many children with tourette syndrome also have adhd.
Most do not have pandas. Even if they do, treatment of the tics and adhd often is the most beneficial course. Some medicines such as Guanfacine or Clonidine help with both tics and adhd symptoms either alone or in combination with stimulants like methylphenidate (ritalin). Look for some experienced with both diseases.
Dr. Glen Elliott
Dr. Glen Elliott
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Dr. Christopher Guzik
Family Medicine
2 doctors agree

In brief: It depends on cause

The best treatments can only be determined after the cause of the condition is.
Pandas are a type of tremor or tic with vocalizing that occurs in some children. It is treated with oral antibiotics. See your healthcare provider to determine the cause of the tourette's before trying any over-the-counter medication. Never take anyone elaes medication for these type of conditions.

In brief: It depends on cause

The best treatments can only be determined after the cause of the condition is.
Pandas are a type of tremor or tic with vocalizing that occurs in some children. It is treated with oral antibiotics. See your healthcare provider to determine the cause of the tourette's before trying any over-the-counter medication. Never take anyone elaes medication for these type of conditions.
Dr. Christopher Guzik
Dr. Christopher Guzik
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Dr. William Holmes
Pediatrics - Psychiatry

In brief: Variable Treatments

As already mentioned, it is important to determine if this is really tourette's, or some other type of tic.
If tourette's is present with hyperactivity (which is not uncommon), most psychiatrists would try using non-stimulant medications such as intuniv, kapvay, or strattera, (atomoxetine) due to concerns about stimulant medicines possibly increasing tics. However, stimulants can be used if needed.

In brief: Variable Treatments

As already mentioned, it is important to determine if this is really tourette's, or some other type of tic.
If tourette's is present with hyperactivity (which is not uncommon), most psychiatrists would try using non-stimulant medications such as intuniv, kapvay, or strattera, (atomoxetine) due to concerns about stimulant medicines possibly increasing tics. However, stimulants can be used if needed.
Dr. William Holmes
Dr. William Holmes
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