Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: ADHD with anxiety
Forum: The Neurology and Neurosurgery Forum

Topic Area: Attention Deficit

Posted by mom who doesn't know the best course of action on July 21, 1999 at 09:14:38

What is the medication most often prescribed for ADHD and anxiety in a ten year old 75lb. girl?
I've tried ritalin which has just made her depressed. We then switched to Dexadrine which seemed to work well twice a day but when we switched to a time released capsule, there seemed to be an inconsistent release of the medicine into her system. We upped the dosage to 35mg. per day and she went through a paranoid pschotic state with possible hallucinations at night. Should we have lowered the dosage instead of upping it? Thank you.


Posted by CCF Neuro[P] MD, RPS on July 21, 1999 at 12:08:31

Dear "Mom who doesn't know the best course of action"

What was the dose of Dexedrine that you used, as a twice a day dosage? Yes, it might have been better to have lower the dose. I think that I would make sure that the twice a day dose worked, gave no side effects, and then retry the extended release. Sometimes there is not the same dose:effect relatiionship between the extended release form and the regular form. When you are sure that things are back to normal, then try the extended release form again, I would suggest that you do this over a weekend day. This way you will be around to see how well and how long the medication works. In addition, you will be around if side effects happen as before.

Sincerely,

CCF Neuro MD





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