Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Psychiatry


Answer 4
  1. Appetite suppression and sleep disturbance. Treatment of ADHD with medication is effective, and stimulant medications are the first-line treatments for the disorder. Informed consent from the patient (and the guardians) is crucial and includes a review of the most common adverse effects of these medications, including appetite suppression, insomnia, stomachache, headache, and irritability. Most of these effects will dissipate over time. Growth suppression appears to be dose related, if it appears at all. Although lowering of the seizure threshold can be accomplished by toxic doses of stimulants, no evidence exists to prove that stimulants actually produce a significantly lowered seizure threshold at the usual therapeutic ranges. Neurologic or psychiatric consultation is recommended before initiating stimulant treatment for patients with tics or Tourette’s syndrome or if new tics develop during treatment.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj