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Psychopharmacologic Interventions: Clinical Practice in Preschool Children with ADHD 

Psychopharmacologic Interventions: Clinical Practice in Preschool Children with ADHD
Chapter:
Psychopharmacologic Interventions: Clinical Practice in Preschool Children with ADHD
Author(s):

Jaswinder K. Ghuman

and Harinder S. Ghuman

DOI:
10.1093/med/9780199948925.003.0008
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date: 16 July 2018

This chapter provides a comprehensive review of clinical practice for prescribing medications in preschool children with ADHD. A discussion of what needs to be done prior to starting medication in a preschooler is presented, including baseline psychiatric assessment of the preschooler and assessment of the family’s ability to safely administer and store medication, cardiac history, physical examination, and medical workup; the need for an electrocardiogram is also reviewed. A detailed discussion on psychoeducation of parents to promote compliance by encouraging a shared decision-making process based on their personal values is included, and the process for informed consent and proper administration and use of medication are described. ADHD medications, including stimulants, atomoxetine, and alpha-2 adrenergic agonists, are reviewed with regard to the available preparations that are appropriate for use in preschoolers with ADHD, medication titration, monitoring and management of treatment-emergent adverse events, pros and cons of drug holidays, and clinical strategies for dealing with comorbid disorders.

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