NICE evidence summary on the unlicensed and off-label use of melatonin for sleep disorders in children with ADHD

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NICE have recently started publishing a series of evidence summaries looking at unlicensed and off-label medicines. The second summary in the series looks at the use of prolonged-release melatonin tablets as a treatment for sleep disorders in children and young people with attention deficit hyperactivity disorder (ADHD). Future mental health summaries include ‘Quetiapine for generalised [read the full story…]

Many children taking ADHD drugs say that it helps them control their behaviour and make better decisions, according to new survey

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The ADHD Voices (Voices On Identity, Childhood, Ethics and Stimulants) report was published yesterday and received a significant amount of press coverage. The outcomes of this work are a 46-page report and 18-minute video, that aim to inspire a fresh public conversation about the ethics of Attention Deficit/Hyperactivity Disorder (ADHD) diagnosis and stimulant drug treatments [read the full story…]

Can ADHD symptoms help predict early-onset substance use?

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The relationship between attention-deficit hyperactivity disorder (ADHD) and substance use in children is hotly debated. ADHD symptoms include inattention, hyperactivity/impulsivity and conduct disorders, and there’s considerable interest in finding out which of these predicts early substance use. If we have reliable evidence that answers this question we can make informed decisions about treating ADHD and [read the full story…]

Scotland sees increase in prescribing rates for mental health drugs

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The Scottish Government have published their annual summary of prescribing statistics for mental health drugs. The report shows increases in the prescribing rates for all groups of drugs over the last 12 months. The prescribing costs of some groups of drugs have also risen (ADHD, dementia, depression) although other groups have seen a decline (insomnia [read the full story…]

More research needed before polyunsaturated fatty acids can be recommended for ADHD in children and adolescents

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Drug treatments are commonly used to treat children and young people with attention deficit hyperactivity disorder (ADHD). Methylphenidate and amphetamine are two of the most popular, but these are not effective for all patients and sometimes cause problematic side effects. Children and adolescents with ADHD have been shown to have significantly lower plasma and blood [read the full story…]

More evidence to suggest that central nervous stimulants are safe in the short-term for children and young people with ADHD

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Back in February, I blogged about a cohort study published in the New England Journal of Medicine, which concluded that ADHD drugs are not linked with an increased risk of serious cardiovascular events. The last few years has seen heated debate about the use of central nervous stimulants in children and young people. The lack [read the full story…]

Childhood attention problems a risk factor for socio-economic disadvantage

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Children with serious attention problems are three times more likely to experience socio-economic disadvantage in adulthood, according to a French study. The study, published today by the British Journal of Psychiatry, finds they are more likely to be employed in a lower grade job, and are less likely to be educated to university level. The [read the full story…]

Telephone-based treatments can help children with disruptive behaviour and anxiety

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Many children suffer from disruptive behaviour or anxiety disorders, but access to care for this group is notoriously poor because there are so many barriers to receiving help.  Psychotherapy takes time and there remains a lack of funding and a dearth of trained professionals to deliver quality care.  Added to this is the stigma experienced [read the full story…]

Small study finds high rates of clinically significant psychiatric problems in children with ASD

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Previous studies trying to reach an understanding of the rate of co-morbid psychiatric problems in children with autism spectrum disorders have reported significantly varying findings. The authors of this matched control study wanted to look at patterns of co-morbid psychiatric problems in such and their parents compared a group of controls matched for IQ, and [read the full story…]

ADHD drugs do not increase the risk of serious cardiovascular events, but long-term effects remain unknown

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A number of concerns have arisen over recent years about the safety of the various drugs used to treat ADHD (Attention Deficit Hyperactivity Disorder) in children and young adults. These central nervous system stimulants include methylphenidate, dexmethylphenidate, dextroamphetamines, amphetamine salts, atomoxetine and pemoline. Case reports have highlighted that sudden cardiac death can be brought on [read the full story…]