ADHD Experts Podcast 508- Combination Therapy: Medication Strategies for Hard-to-Treat Complex ADHD
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Jun 25, 2024 Dr. Timothy Wilens discusses new ADHD medications and strategies for complex cases, including combination therapy. Topics include managing coexisting conditions, medication options, challenges in children, medication shortages impact, anxiety management, heart rate concerns, and OCD treatment strategies.
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Stimulant Dosage
- Consider increasing stimulant dosage for persistent ADHD symptoms, as higher doses often lead to better responses.
- Be cautious and increase dosages gradually to avoid potential worsening of symptoms.
Methylphenidate Preparations
- Explore different methylphenidate preparations (short, intermediate, long-acting) based on individual needs and symptom presentation.
- Consider short-acting stimulants for children or those with mood dysregulation alongside extended-release.
Stimulant Switching
- Switch between methylphenidate and amphetamine classes if the initial stimulant is ineffective or causes side effects.
- Adults typically start with amphetamines, while children often begin with methylphenidate.