Variety and other forms of ADHD medication

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.

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