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Duration, discontinuation and continuity of ADHD treatment

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  • medication review and consideration of discontinuation drug treatment
    • a healthcare professional with training and expertise in managing ADHD should review ADHD medication at least once a year and discuss with the person with ADHD (and their families and carers as appropriate) whether medication should be continued. The review should include a comprehensive assessment of the:
      • preference of the child, young person or adult with ADHD (and their family or carers as appropriate)
      • benefits, including how well the current treatment is working throughout the day
      • adverse effects
      • clinical need and whether medication has been optimised
      • impact on education and employment
      • effects of missed doses, planned dose reductions and periods of no treatment
      • effect of medication on existing or new mental health, physical health or neurodevelopmental conditions
      • need for support and type of support (for example, psychological, educational, social) if medication has been optimised but ADHD symptoms continue to cause a significant impairment

  • consider trial periods of stopping medication or reducing the dose when assessment of the overall balance of benefits and harms suggests this may be appropriate
    • if the decision is made to continue medication, the reasons for this should be documented

For detailed guidance the consult the full guideline (1).

Reference:


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