Most Kids With ADHD Take Medication

More than 80% of children who are diagnosed with attention deficit hyperactivity disorder take prescription medications at some point to treat their symptoms, according to a new nationwide survey of parents by Consumer Reports Health.

Among the survey's major findings:

• 67% of parents identify drug therapy as being beneficial, while 45% feel that switching their kids to schools better suited to help ADHD kids helps considerably.


• More than half of the children whose parents were questioned had tried two or more medications in the past three years.


• 37% of parents say having a learning specialist or tutor work with the child helps "a lot."


• 35% of parents say providing structure by maintaining a schedule of activities helps "a lot."

The high percentage of parents who reported that their kids had taken medications doesn't mean that's what helps children the most or makes parents happiest, because 44% said they wished there were another way to help their children.

Medication Side Effects

Consumer Reports' experts write that although medications can help children concentrate, feel calmer, and think before acting, side effects can be a problem. Side affects reported most often were decreased appetite, sleep problems, weight loss , upset stomach, and irritability.

The survey finds that 35% of parents believe that drugs help most when it comes to improving academic performance and behavior at school. It finds that 26% think medications helped their kids with social relationships and 18% say it improved their self-esteem.

Other findings from the survey of parents:

• 65% say their children see a pediatrician for treatment of ADHD.


• 22% say their children are treated by psychiatrists.


• Nonmedical treatment providers including psychologists and learning-disability specialists. were involved in treatment of many of the children.

• Stimulant medications, such as dextroamphetamine -based drugs, including Adderall, Vyvanese, and methylphenidate-based medications, including, Concerta, Daytrana and Ritalin. Generic medications are also available.


• Non-stimulant medication, such as the anti-depressant bupropion (Wellbutrin and generic) or atomoxetine (Strattera ).

"We asked parents to rate how helpful each medication was in the following areas: academic performance, behavior at school, behavior at home, self-esteem, and social relationships," the authors write. "Both amphetamines and methylphenidates were equally likely to be helpful in all areas with the exception of behavior at school, where amphetamines were rated as slightly more helpful."

Tips for Parents

Consumer Reports Health offers these tips for monitoring medications.

• Keep a log of your child's progress and "down" times to make sure dosing is correct and side effects are manageable.


• Help your family manage stress by being patient and understanding during new experiences and around unfamliar people.


• If side effects seem overwhelming, talk with your doctor about switching drugs or dosing.


• Talk with your physician about having time off - for example, a drug holiday -perhaps during vacations.


• Keep good records to create a baseline for your child. Document not just test results and dates but also notes about practitioners, dosages, and frequencies.

Consumer Reports' medical advisor, Orly Avitzur, MD, says students and professionals sometimes are seeking out drugs to help them improve work or test performance.

By Bill Hendrick
Reviewed by Laura Martin
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