FAQs

Long Term Safety

  • not unless you have a personal or family history of serious arrhythmia

Most patients dont need one. There was a time when we worried about stimulants causing kids to drop dead. Fortunately good research showed this was not the case. We still worry that if there is a family history of dropping dead from a fatal arrhythmia, it might be genetic and safer to get a bailine EKG before starting treatment.

Some medications pose a risk for altering heart electrical function slightly and we worry that adding a second medication that can cause palpitations could be dangerous – so an EKG within a few weeks of starting treatment is a good idea.

  • NO

Evidence and experience both say no, that treating a child for ADHD with medication means that as an adult (not on medication), they have a higher education, make more money, have more stable relationships, fewer problems with the law and are generally more happy than those who were not treated as children.

It’s true that we can’t cure ADHD and symptoms will return if you go off medication, but not any more than if you’d never been on medication in the first place and in fact more likely to be a bit less as you have learned good habits while on medication.

Patients commonly report that ADHD medication isn’t working any more. While tolerance (weakening of effect) is fairly common in the first few months, it doesn’t tend to happen after that and if we do see that medication is less effective, we look for a good reason – a change in job to something more linear, involving more paper work, or with more distractions from doing what you are good at. Sometimes it’s going back to school, or having a family or being in a long term relationship with requires better focus.

A common scenario is that the medication is still effective but it wears off way too early in the day and a top up later in the day is both needed and very effective.

Depression can make adhd look a whole lot worse and make medication less effective.

Category: Long Term Safety
  • no, they are safe to take for the rest of your life

In the past we could only rely on our experience which was suggestive of safety but hardly proof. We do now have the scientific evidence to show long term safety. At last year’s CADDRA meeting, one researcher was able to show us that long term stimulant use does not lead to premature death, or heart attacks, something we had worried about in the past. This evidence is based on 30 years of detailed records collected in Norway which has a centralized medical record system, and surprisingly, in the US, where health insurance companies keep detailed records of outcomes. Kiaser Permanente existed 40 years ago and we can follow patients long term cz-lekarna.com.

Category: Long Term Safety

Medication

  • not unless you have a personal or family history of serious arrhythmia

Most patients dont need one. There was a time when we worried about stimulants causing kids to drop dead. Fortunately good research showed this was not the case. We still worry that if there is a family history of dropping dead from a fatal arrhythmia, it might be genetic and safer to get a bailine EKG before starting treatment.

Some medications pose a risk for altering heart electrical function slightly and we worry that adding a second medication that can cause palpitations could be dangerous – so an EKG within a few weeks of starting treatment is a good idea.