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Kids also benefit from behavioral therapy to learn and practice skills like staying
organized or waiting their turn without interrupting. Medicine isn't a shortcut — kids still
need to work on mastering these skills. The benefit of medicine is it helps kids stay
focused as they learn them.
The medicines target two brain chemicals, dopamine and norepinephrine. These
chemicals affect a person's attention and concentration.
Kids and teens usually take ADHD medicines once or twice a day, depending on the
medicine.
Stimulants work as soon as a child takes them. How long they last depends on the
medicine:
Non-stimulants
These medicines include atomoxetine (Strattera), clonidine (Kapvay), and guanfacine
(Intuniv). Non-stimulants can take up to a few weeks to start working. They work for 24
hours.
Before prescribing medicine, the health care team will ask if your child is taking any
other medicines. That includes over-the-counter medicines and supplements (like
vitamins or herbal medicines). The care team will also want to know about your family's
medical history, especially if any family members have (or had) heart disease.
Doctors usually
start by prescribing
a low dose of a
stimulant medicine.
If your child is
taking a new
ADHD medicine or
dose, the doctor
will want you to
watch and see if
the medicine
helps. The doctor
will change the dose and how often your child takes the medicine based on how much it
helps and if your child is having side effects.
Kids respond differently to medicines. If the first medicine doesn't seem to work, even at
the highest dose, then a doctor may try a different medicine. Some kids need to take
more than one ADHD medicine to get the best result.
You may need to go for several visits with the doctor. It might take weeks or months to
find the right medicine and dose for your child. After that, the care team will want to see
your child every 3 to 6 months.
Take your child to all of the follow-up visits. It's important that the care team checks
your child's height, weight, and blood pressure. The care team will also look for side
effects. They may adjust the medicine dose, especially as your child grows.
To help your child and prevent problems, always do these things when giving your child
ADHD medicine:
Keep all medicines in a safe place where others can't get to them.
Medicine is one part of treatment for ADHD. Treatment also includes therapy, parent
training, and school support. Medicine works best when parents, teachers, and
therapists help kids learn any social, emotional, and behavioral skills that are lagging
because of ADHD.
The most common side effects are loss of appetite and trouble sleeping. Other ADHD
medicine side effects include jitteriness, irritability, moodiness, headaches,
stomachaches, fast heart rate, and high blood pressure.
Side effects usually happen in the first few days of starting a new medicine or taking a
higher dose. They often go away on their own after a few days or weeks as the body
adjusts to the medicine.
If a side effect doesn't go away, a doctor may decide to lower the dose or stop that
medicine and try another. ADHD medicines only stay in the body for a few hours, so the
side effects wear off as the medicine leaves the body.
Your child's health care team will give you more information about possible side effects
for the specific medicine they prescribe. If you notice anything that worries you, talk to
your child's doctor right away.
Some parents don't like the idea of giving their child medicine for ADHD. But the right
medicine can make a big difference for most kids. Talk to your child's doctor about your
concerns. Ask questions. Your child's health care team can help you decide if trying a
medicine is right for your child.
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