Studies suggest that medications for treatment of ADHD may increase risk of sudden cardiac death in children. Various medical associations recommend that children be screened for heart problems before starting these types of drugs. In fact it has been reported to us by a family we tutor that her son had to go off Ritalin immediately due to his heart racing for no apparent reason.
ADHD Focus & Exercise
It is suspected that students with ADHD are able to focus better for one to three hours after exercise. This is due to the fact that studies show that exercise increases levels of two key brain chemicals that help people focus (dopamine and norepinephrine).
Bisphenol A & ADHD
Bisphenol A otherwise known as BPA is a chemical that has been linked to the potential development of cardiovascular disease, diabetes, and ADHD. There are certain precautions that can be taken to protect children from the potential hazards of BPA. Avoid microwaving polycarbonate plastic food containers. Over time they may break down at high temperatures and release the chemical into your child’s food. The containers with bisphenol A usually have a #7 on the bottom. Always use baby bottles that are BPA free. Also use glass or ceramic containers for hot foods and liquids whenever possible.
ADHD Drug Shortage: Ritalin & Adderall
If you are planning on bringing your child to the doctor’s office for a Ritalin (methylphenidate) or Adderall (amphetamine) prescription refill, call your pharmacy before the doctor’s appointment (even if in the doctor’s waiting room) to find out whether the store has your child’s drug and strength in stock. If they have the medication in stock, ask the pharmacy to set aside some pills for a prescription that is about to be filled. A phone call to the pharmacy ahead of time can help students receive the ADHD medication they need even when stock is running low. This is especially important considering there is a nationwide shortage for these drugs.
ADHD Drug Shortage
In some pharmacies there tends to be a shortage of certain popular drugs to treat ADHD including brand name and generic Ritalin (methylphenidate) and Adderall (amphetamine). Some of these drugs appear on the US Food and Drug Administration List of drug shortages. If at the doctor’s office and receiving a new prescription of these particular drugs for a recently diagnosed child, be aware of a possible shortage and ask the doctor to call your local pharmacy to see what’s in stock before you walk out the door with the prescription.
ADD, ADHD & Dyslexia Without Drugs
Your child may be diagnosed with ADD, ADHD, dyslexia, or just be very active and have trouble concentrating. You were told perhaps that medication and patience are the only ways to handle the situation, right?
WRONG!
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College ADHD Accommodations
By law, all colleges and universities receiving federal funding must provide “reasonable accommodations” for students with ADHD. When looking at these schools, shop around for the ones with the best support services as some provide more than others.
Assisted Technology: ADHD and Executive Function
ADHD and executive function students often find assisted technology helpful in dealing with daily challenges. Some of the beneficial ones include voice-activated software, personal organizers, books on tape, and outlining computer programs.
New ADHD Guidelines for Diagnosing and Treating Kids
ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Summary of key action statements found in PEDIATRICS Official Journal of the American Academy of Pediatrics (October 16, 2011):
1. The primary care clinician should initiate an evaluation for ADHD for any child 4 through 18 years of age who presents with academic or behavioral problems and symptoms of inattention, hyperactivity, or impulsivity (quality of evidence B/strong recommendation).
2. To make a diagnosis of ADHD, the primary care clinician should determine that Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria have been met (including documentation of impairment in more than 1 major setting); information should be obtained primarily from reports from parents or guardians, teachers, and other school and mental health clinicians involved in the child’s care. The primary care clinician should also rule out any alternative cause (quality of evidence B/strong recommendation).
3. In the evaluation of a child for ADHD, the primary care clinician should include assessment for other conditions that might coexist with ADHD, including emotional or behavioral (eg, anxiety, depressive, oppositional defiant, and conduct disorders), developmental (eg, learning and language disorders or other neurodevelopment disorders), and physical (eg, tics, sleep apnea) conditions (quality of evidence B/strong recommendation).
4. The primary care clinician should recognize ADHD as a chronic condition and, therefore, consider children and adolescents with ADHD as children and youth with special health care needs. Management of children and youth with special health care needs should follow the principles of the chronic care model and the medical home (quality of evidence B/strong recommendation).
5. Recommendations for treatment of children and youth with ADHD vary depending on the patient’s age:
a. For preschool-aged children (4–5 years of age), the primary care clinician should prescribe evidence-based parent- and/or teacher-administered behavior therapy as the first line of treatment (quality of evidence A/strong recommendation) and may prescribe methylphenidate if the behavior interventions do not provide significant improvement and there is moderate-to severe continuing disturbance in the child’s function. In areas where evidence-based behavioral treatments are not available, the clinician needs to weigh the risks of starting medication at an early age against the harm of delaying diagnosis and treatment (quality of evidence B/recommendation).
b. For elementary school–aged children (6–11 years of age), the primary care clinician should prescribe US Food and Drug Administration–approved medications for ADHD (quality of evidence A/strong recommendation) and/or evidence-based parent and/ or teacher-administered behavior therapy as treatment for ADHD, preferably both (quality of evidence B/strong recommendation). The evidence is particularly strong for stimulant medications and sufficient but less strong for atomoxetine, extended-release guanfacine, and extended-release clonidine (in that order) (quality of evidence A/strong recommendation). The school environment, program, or placement is a part of any treatment plan.
c. For adolescents (12–18 years of age), the primary care clinician should prescribe Food and Drug Administration–approved medications for ADHD with the assent of the adolescent (quality of evidence A/strong recommendation) and may prescribe behavior therapy as treatment for ADHD (quality of evidence C/recommendation), preferably both.
6. The primary care clinician should titrate doses of medication for ADHD to achieve maximum benefit with minimum adverse effects (quality of evidence B/strong recommendation).
Possible Cause of ADHD: Bisphenol-A
Kids toys and bottles containing bisphenol-A may be linked to health problems. According to some studies, bisphenol-A exposure even at low doses may be connected with ADHD, brain damage, altered immune system, obesity, breast cancer and prostate cancer. Bisphenol-A in children’s items is enough of a concern that legislation has been filed in Massachusetts to ban the manufacture or sale childcare articles with this chemical.
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