Adderall in Children

Adderall is an amphetamine used to treat attention-deficit/hyperactivity disorder (ADHD) and narcolepsy (uncontrollable sleep). It acts on the central nervous system to help children increase attention and decrease impulsiveness. Clinical studies conducted by Shire, Inc. in 2004 show its effectiveness in these areas. However, since this medication is a stimulant and a federally controlled substance, it should be used with care.

Warning

• Adderall has led to sudden death in children with heart problems and heart defects. Call your pediatrician immediately if your child experiences chest pain, shortness of breath or faints.

Other Serious Side Effects

• Children have experienced psychotic symptoms such as hearing voices or bouts of paranoia while taking Adderall. Some patients become manic; others become aggressive or hostile. This medicine could lead to seizures, especially in children who have had seizures in the past. Changes in eyesight and blurred vision have also been reported. Like other stimulants, Adderall may also affect growth.

Considerations

• Children with heart problems, high blood pressure or an overactive thyroid should not take Aderrall. This medication should not be taken by children with glaucoma or by children who are extremely tense or anxious or who have had negative reactions to other stimulant medications. It is not recommended for children under 3 years old and has not been tested in children less than 6 years old. Adderall can increase pre-existing tics and twitches and aggravate psychotic symptoms. This medication could lead to abuse and dependence.

Common Side Effects

• Some children have headaches or upset stomachs while taking Adderall. Some experience dizziness, decreased appetite and weight loss. Other side effects include mood swings, nervousness, dry mouth and a faster than normal heart rate. This medication may impact your child's ability to drive or perform other activities.

Dosage

• In most cases, the doctor will prescribe a daily dose of 2.5 mg for 3- to 5 year-olds and 5 mg for children 6 years and older. The dose is increased every week until the desired response is achieved. Children rarely need more than 40 mg per day. Tablets are taken two or three times daily unless the doctor prescribes Adderall XR. This capsule is taken only once in the morning then releases medicine throughout the day. The usual starting dose for Adderall XR is 10 mg. If your child can't swallow the capsule, sprinkle the capsule's contents over a spoonful of applesauce. Your child should swallow the applesauce without chewing.

Overdose

• If your child convulses or slips into a coma, seek immediate help. These are warning signs of a large overdose and it can be fatal. Symptoms of moderate overdose include stomach cramps, diarrhea, vomiting, high fever, hallucinations, confusion, panic, tremors, restlessness, rapid breathing and irregular heartbeat. Get emergency treatment immediately if you suspect an overdose.