PDF Expert 2.5.16 2021

A final important treatment consideration is safety and tolerability. Both stimulant and non-stimulant medications have possible side effects, which must be taken into account. Common side effects of stimulants include headache, appetite suppression, nausea, dry mouth, mood fluctuations, difficulty sleeping, jitteriness, increased heart rate, and increased blood pressure [116]. Generally the severity and risk of these side effects is considered minimal. However, due to the possibility of serious cardiac adverse events, it is recommended that patients be screened for both family and personal histories of cardiac conditions prior to prescription of stimulant medications [107]. Side effects vary depending on the type of non-stimulant employed, but common side effects of atomoxetine include appetite suppression, dry mouth, insomnia, constipation, vomiting, dizziness, fatigue, nausea, dyspepsia and mood swings [109]. However, most experts agree that minimal lab investigations are needed prior to the initiation of ADHD medications in adults, particularly the psychostimulants. For instance, routine bloodwork is not necessary in most individuals, and only at-risk individuals may require monitoring of blood pressure, heart rate, and electrocardiogram prior to starting psychostimulants.

PDF Expert 2.5.16

041b061a72