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ADHD Medication: Who Should Avoid It & Treatment Options

by Olivia Martinez
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Who Should Avoid ADHD Medication?

Experts emphasize that medication isn’t necessary for everyone diagnosed with ADHD. Understanding the nuances of treatment is crucial for individuals and families navigating this condition, as a personalized approach often yields the best outcomes.

“If someone is high-functioning and experiences only minor difficulties in daily life, I personally question whether medication is needed. I would first want to try alternatives to medication,” says Peik Gustafsson, a specialist in child and adolescent psychiatry.

Individuals with a family history of heart problems or pre-existing psychiatric conditions, such as psychosis, require particular caution. Although rare, central nervous system stimulants can potentially trigger psychotic episodes, especially when not administered correctly.

Child and Parent Education

Medication is generally restricted for children under six years old. For older children, medication is often used, but it’s frequently combined with parent education and support programs designed to teach strategies for both school and home environments.

“You’ll see programs available for parents of children with ADHD. These involve group sessions where they learn different approaches to managing their child’s behavior,” Gustafsson explains.

Historically, boys have been medicated more often, but this disparity is decreasing. Girls often present with different symptoms, such as nail-biting, hair-twisting, or excessive talking, which can sometimes be overlooked.

Mats Persson, licensed physician and investigator at the Swedish Medical Products Agency. (Photo: Swedish Medical Products Agency)

Correct Order and Follow-Up

Mats Persson, a physician at the Swedish Medical Products Agency, emphasizes that medications should be tried in a recommended sequence: first methylphenidate, then amphetamine variants, and finally guanfacine. This stepwise approach allows clinicians to assess individual responses and minimize potential side effects.

“To receive medication, a diagnosis is required, and other interventions should be attempted first. Then, the effect is evaluated over time,” he says.

It’s important not to continue treatment routinely if it’s ineffective and to always tailor treatment to individual needs. Careful monitoring and adjustments are essential for optimizing outcomes.

ADHD medications can be highly effective, but they are not a universal solution. Accurate diagnosis, the appropriate medication, and diligent follow-up are critical for both safety and benefit.

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