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In a message dated 97-11-26 00:15:09 EST, you write:
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> A 3 year 8 month old child was referred by the educational psychologist
> who thought he was suffering from 'hyperactivity' and required drug
> therapy. Objectively child fulfilled criteria for diagnosis of ADDH. He
> had been adopted at age 2 years 6 months from an orphanage in Eastern
> Europe. Has shown tremendous progress since adoption. Developmental age
> around three years.
>
> Is drug treatment indicated and what would be the drug of choice?
> Thank you.
>
> Tancred Agius MD MRCP(UK) >>
The choice of stimulant medication is probably the standard ones: Ritalin,
Dexedrine or Adderall. Unlikely Cylert due to the need to monitor blood
levels periodically and the rare hepatotoxicity. Beyond medication is the
need to insure the absence of a lead burden and no anemia, which also could
have behavioral effects. Parent education and support with respect to
behavior modification principals is a given. Good luck.
Marc Tanenbaum, MD