Abstract
Health Canada released a statement advising against stimulants in ADHD patients with cardiac disease in May 2006, after isolated reports of sudden death The impact of this advisory on 1) physicians’ cardiovascular assessment of all children with ADHD before starting stimulant medications, and 2) on the treatment of children with potential or real cardiac disease was assessed by questionnaires mailed to noncardiologists and pediatric cardiologists in Canada from the Department of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia.
Highlights
(0.2% to 15.1%) and cardiologists (54.8% to 68.6%) after the advisory
If we start stmulant treatment, will it increase the risk of drug abuse in my child with ADHD at a later age? This is a common concern and question of parents faced with the prospect of long-term therapy with stimulants for ADHD in a child of school age
The above group of investigators previously demonstrated a reduced risk for SUDs in adolescent boys who previously received stimulant therapy for ADHD (Biederman J, Wilens TE, et al Pediatrics 1999;104:e20)
Summary
(0.2% to 15.1%) and cardiologists (54.8% to 68.6%) after the advisory. The change in the use of a modified screen was 7.4% to 34.5% for noncardiologists and no increase for cardiologists (7.8% to 5.9%). If we start stmulant treatment, will it increase the risk of drug abuse in my child with ADHD at a later age? Studies have demonstrated that ADHD is a risk for SUDs (Wilens TE et al J Nerv Ment Dis 1997;185:475-482).
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