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ADHD Medicine For Kids Some children require more than one ADHD medicine to get the most effective results. Children should take their medicine on a regular basis. Stimulant medications work to aid normal brain chemicals to improve concentration and control impulses. They are available in pill form, liquid or extended-release capsules. The doctor will start you with a small dose and observe your reaction to the drug. Methylphenidate Methylphenidate is a stimulant that aids in reducing ADHD symptoms and can also be used to treat the symptoms of narcolepsy. It increases the levels of dopamine, which can improve mood and concentration. It is a controlled substance which means it is only available by prescription and must be prescribed by a physician. Methylphenidate can be purchased in capsules, tablets or oral solutions, as well as transdermal patches. The kind of methylphenidate prescribed will depend on the diagnosis of the doctor as well as other factors. Methylphenidate may cause side effects, such as stomachache or headache, a dry mouth, a rapid heartbeat, shakiness and anxiety. Some people may experience facial tics, which are uncontrollable movements of muscles in the face. This can happen in less than 1 in 100 people taking methylphenidate however, it is important to inform your doctor immediately when you or your child start having this problem. It may also cause an increase in blood pressure and heartbeat that your doctor will closely monitor when you're taking it. It can also cause reactions to the skin in certain people, including an itch that is swollen and itchy, or raised or blistered, as well as a change in the way blood flows through the fingers and toes (Raynaud's disease). This is very serious and requires immediate treatment at a hospital. In general, methylphenidate is able to be considered safe by most people if taken as directed. It can cause a dangerous drop in blood pressure when taken in excess or too often. It can also cause people to feel dizzy or sleepy. It is not recommended to operate machinery while taking it. Methylphenidate is classified as a Schedule II substance, meaning that it is a substance that can be misused. It can also cause addiction in some people. It is best not to give your medication away. Keep your methylphenidate in a cupboard and only use the amount prescribed. Amphetamines Amphétamines are utilized to treat ADHD in children, adolescents, and adults. They help by increasing the levels of certain chemicals in the brain which improves concentration and helps to control impulsive behaviour. They can also be used to help with some symptoms of Tourette's syndrome. These medicines are available as immediate-release tablets, extended-release capsules as well as an oral solution. In the UK, they are controlled medications (class C) which means that you have to be registered by your doctor to collect the pills. Most people take them once every week, however certain people may take them twice. Atomoxetine differs from other stimulant medicines. It is available to children and teenagers who are over 5 if methylphenidate or Lisdexamfetamine aren't available. It works in a different manner as other stimulant drugs, but may be offered to children and teens over the age of 5 if it's not possible to use methylphenidate and lisdexamfetamine or for adults if the condition is identified within this category. It's usually taken as a capsule one or twice daily. Drugs that stimulate the brain are often abused. It is important to keep your child's or teenager's medication secure, out of the reach of friends and family and family members, and not shared or sold to other people. It is risky to take the medication the wrong way. For example, crushing and injecting the medicine. Some street drugs, including MDMA (ecstasy) and methamphetamine, are made from amphetamines. Amphetamines can lead to addiction and side effects that are difficult to cope with especially for older people. These can include feelings of extreme exhaustion, irritability, cravings and a desire to take more. If you or your child experience any of these side effects consult your physician immediately. If you or your child are taking long-acting stimulants, it's important to be aware of a sudden drop in blood pressure when the drug is stopped. Contact triple zero (000) or an ambulance immediately if this occurs. This can be very dangerous and can lead to a heart attack, stroke or death. You can seek help and advice from your physician by discussing with them the consequences of stopping the medication or decreasing it. Long-acting stimulants Many people with ADHD discover that stimulants can aid in staying focused, complete tasks and enhance their relationships. However, not everyone responds to this kind of medication. And the side effectslike heart palpitations anxiety and a negative effect on sleep and appetite are often unpleasant. These problems can keep people from taking the medicines they require. There are methods to ease these side effects. Your doctor can reduce the dose of your medication or move you to another one. Self-help strategies can make a huge difference. Most people who are taking an ADHD medication must be closely monitored by a medical professional. It takes up to a month before the medication can take its full effect, therefore it is crucial to determine the appropriate dosage. The doctor will inquire about your daily routine and habits and also any other health issues you or your child might be suffering from. Concerta, Focalin, Ritalin SR and Vyvanse are a few of the most popular stimulants with long-acting properties. These are in a group of drugs known as methylphenidates and have been in use for a long time. Some are available as chewable tablets and liquid as well as applied to a skin patch for kids who don't want to swallow pills. Adderall, Dexedrine and other amphetamine-based ADHD medications are also available. These have a more potent and longer-lasting effect than the methylphenidates and can be taken in different ways, such as in the form of a powder for younger children who aren't able to take pills. These medicines can be mixed with juice or milk to make them more enjoyable for certain children. Strattera (atomoxetine) and Qelbree, (viloxazine), are long-acting stimulants which are not part of the methylphenidate or amphetamine group. They belong to a class of drugs called selective Norepinephrine Resuptake Inhibitors. They function by increasing levels of norepinephrine, a brain chemical. They can also reduce the symptoms of impulsivity and hyperactivity. www.iampsychiatry.uk If the stimulants don't work or have undesirable side effects, doctors might prescribe non-stimulant medication. These drugs take longer to effect but they can help improve your ability focus and control impulses. They can also help reduce anxiety and depression, which can occur in conjunction with ADHD. Doctors may also suggest therapy to aid in managing your symptoms and improve your behaviour or may suggest that you avoid certain food drinks, foods, or activities that can cause problems in people with ADHD. Stimulants regulate the levels of two chemical brain messengers called norepinephrine and dopamine. Norepinephrine increases concentration, and dopamine reinforces it. There are 12 drugs approved to treat ADHD. These include methylphenidate hydrochloride, lisdexamfetamine dimesylate, amphetamine sulfate, dexmethylphenidate hydrochloride/serdexmethylphenidate chloride, mixed amphetamine salts and atomoxetine (Strattera). Atomoxetine was the first drug approved for adults with ADHD as a nonstimulant. It is a selective norepinephrine receptor inhibitor, which means it increases the amount of norepinephrine found in the brain. Other drugs in this class include Guanfacine (Tenex, Intuniv), and clonidine (Catapres). Antidepressants are also prescribed by medical professionals to increase the levels of dopamine within the brain. Bupropion is most commonly prescribed as an antidepressant to treat adult ADHD. It is typically prescribed “off-label” to treat ADHD if it appears alongside depression or substance use disorders, including cannabis and nicotine addiction. Some experts believe there is a link between mood and ADHD, so antidepressants can be helpful in treating ADHD symptoms and improving your mood. The NHS recommends that you consult your GP prior to taking these drugs. If your GP decides that medication is the best choice for you, he'll prescribe a small dosage which he will gradually increase over a time of a few weeks. Your GP will monitor you regularly to make sure that the treatment is working and check for any side effects. They might recommend you to an expert like psychologist or counselor for additional support.