New approaches to studying medication treatment for children with ADHD ...
How do I know what medicine to choose?? New approaches to studying medication treatment for children with ADHD and autism
Lynn L. Cole, DNP, RN, PPCNP-BC
Speaker Disclosures
? I have no financial disclosures, and no associations with pharmaceutical companies
? Psychotropic medications, both FDA approved and off-label will be discussed
So what do we know about ADHD in kids with autism??
? Lots of kids struggle with symptoms ? Hyperactivity & impulsivity safety problems ? Hyperactivity & inattention learning challenges ? Behavioral treatments often not enough ? ADHD medicines work well in kids without ASD
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ASD + ADHD + Medications
Methylphenidate (Ritalin)
Mixed amphetamine salts
(Adderall)
Atomoxetine (Strattera)
hyperactivity ? inattention
hyperactivity inattention
4 Studies, each 1-2 weeks long Evidence: low to very low quality
4 Studies, each 6-10 weeks long Evidence: low to very low quality
Guanfacine
Atypical antipsychotics
hyperactivity
hyperactivity
1 study, 8 weeks long Evidence: very low quality
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5 studies (risperidone, aripiprazole) Evidence: low to very low quality
So what is a clinician to do??
? What medicine? ? What dose? ? When to try a different medicine? ? How to advise families?
This Photo by Unknown Author is licensed under CC BY-ND
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