Basics of ADHD
My action is taking imipramine for ADHD, and I have never heard of anyone taking this medication for ADHD before. My 16-year-old son has ADD. O se Adderall XR. I have been dealing with ADD for many years and I was wondering if my stepon has the right medication because his mom says it is also for bed rest. Is that so?
Although imipramine is not considered a first-line treatment or first-line treatment by treating a child with ADHD, it can still be used.
According to ADHD Guidelines from the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry, the first prescription drugs that can be used to treat children with ADHD include stimulants, such as Ritalin and Adderall, and over-the-counter medications. a new impetus.
Types of Ritalin for ADHD
There are currently various forms of methylphenidate or Ritalin, including short-term (twice a day) and long-term preparations (once daily). Other available options include:
Anxiety (methylphenidate ER) – long-acting
Daytrana (methylphenidate patch) – long active
Focalin (dexmethylphenidate) le Focalin XR
Metadate CD (methylphenidate) – long-acting
Metadate ER (methylphenidate) – long-acting
Methylin (methylphenidate water) – is short-lived
Methylin ER (intermediate)
Ritalin (methylphenidate) – short
Ritalin LA (methylphenidate) – long-acting
Ritalin-SR (methylphenidate) – intermediate-active
Quillichew ER (chehyable methylphenidate) – long-acting
Quillivant XR (methylphenidate water) – long-acting
With the exception of the most recent drugs, Daytrana, Quillichew ER, and Quillivant XR, most of them are available in standard versions.
Amphetamine Types for ADHD
Amphetamine stimulants are also available in a variety of forms, including short-acting (twice a day) and long-term (once daily) regimens, including:
Adderall (a mixture of amphetamine salts) – which is short-lived
Adderall XR (mixed amphetamine compounds) – long-acting active
Adzenys XR ODT (amphetamine) – long-acting
Dexedrine (dextroamphetamine) – short
ProCentra (dextroamphetamine liquid) – short
Vyvanse (scars) – long active
In addition to the most innovative drugs, Adzenys XR ODT and Vyvanse, most are available in standard versions.
Non-stimulants for ADHD
In addition to over-the-counter medications, there are other non-invasive options for treating ADHD at present, including:
Caution – release of expanded Guanfacine
Kapvay – Clonidine is a long-term release
Strattera is still not found to be generic.
Second ADHD Medications
Second-line medications or other forms of stimulants with Strattera are common to include anti-depressants, such as bupropion (Welbutrin), imipramine (Tofranil), and Nortriptyline (Pamelor), and alpha-2-adrenergic agonists. , such as clonidine (Catapres) and guanfacine (Tenex).
Generally, doctors usually prescribe second-line drugs when a child fails or does not tolerate the first two or more doses.
With the FDA approval of Kapvay and Intuniv for the treatment of children with ADHD, the latest American Academy of Pediatrics guidelines do not deal with second-line ADDD medications, but state that:
“for elementary school children (ages 6-11), the primary care physician should provide FDA-approved medication for ADHD and / or parent-child behavioral interventions. / or self-care as a treatment for ADHD, especially for both “
and that “evidence is particularly strong for antidepressants and adequate but not limited to for atomoxetine, prepared guanfacine – and long-term release of clonidine”
Recent recommendations from the American Academy of Child and Adolescent Psychiatry, since 2007, still state that “if none of the above agents provide satisfactory treatment for a patient with ADHD , a physician should carefully examine his or her diagnosis and consider a behavioral therapy and / or use of non-FDA-approved medications for the treatment of ADHD. ” and Imipramine, and so on.
Is that the case with your stepon the right medication for ADHD?
That depends on how well you do. If her symptoms of ADHD are under proper control and have no side effects, then she has the right medication, even if it is not a standard or “original” treatment for ADHD. If it does not work well, then you may want to talk to your pediatrician about changing the dose or considering different medications.
And yes, imipramine is also used to treat children with iron deficiency, in addition to treating depression and other conditions.
The last thing to consider is that if her ‘ADHD symptoms’ improved with imipramine and did not work well with stimulants, then she was probably pre-depressed and did not have ADHD. . It is impossible to make such a definite decision without much information and consistent analysis, but it is something to be considered.