11 Steps to Prescribing and Using ADHD Medication Effectively

works. Yet, 93% of psychiatry residencies don’t mention ADHD in four years of training, and a full 50% of pediatric residencies don’t mention ADHD, despite its prevalence in the U.S. So how is a physician supposed to understand and adjust treatment plans without a rich background in ADHD? That’s where the following guidelines come in.Medication is the primary treatment of choice for. It is not the treatment of last resort when a person has tried literally everything else they can think of.

In my practice, I give a trial of both medications to make sure we have the best possible result. At the end, I have patients rate which medication they feel is best on a scale of one to ten. One is a nasty experience with no benefits and lots of side effects. Ten is the best result the patient can imagine. Anything six or below is a treatment failure, and physicians should keep looking for a better medication. Seven is acceptable, but the goal is between eight and ten.

Genetic testing to measure alleles that metabolize a medication cannot predict the dose a person will need. Many pediatricians are trained to give a certain number of milligrams per kilogram of a patient’s body mass, but there is no evidence that dose is affected by size, age, gender, scale scores, or severity of impairment.How efficiently that molecule crosses the blood-brain barrier .

Physicians can sit down with patients and say, “Let’s make a list of the things about ADHD that you want to get rid of, that you don’t like.” There are lots ADHD characteristics that people do like — the cleverness, the problem-solving, the creativity, the wacky, zany sense of humor — and the nice thing is, all of those things stay when medication gets rid of the things that a person doesn’t like.

. Most times, insurance will only cover one extended-release dose per day, so to have evening coverage many people use an immediate-release format for the second dose.Write everything down for your patient. There is too much information to remember accurately and most people aren’t really listening. Even people without ADHD have trouble remembering all the information needed to maintain a treatment plan. Remember that the parent accompanying a child could have ADHD, too.

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