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Re: Concerta use with children with ADHD – growth inhibitor?

Re: Concerta use with children with ADHD – growth inhibitor?2010-10-07T05:31:45+00:00

The Forums Forums Medication Concerta Concerta use with children with ADHD – growth inhibitor? Re: Concerta use with children with ADHD – growth inhibitor?

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Anonymous
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The current CADDRA Guidelines coming out in November will state that Drug Holiday’s are reasonable to allow a child to grow better as their appetite resurfaces on the weekends. Might be hell on the parents on the weekends unless they make the day very structured and low stress for the kid.

i also suggest a bone age just before the kid hits puberty to check out how much growth is left and if there is a problem, seeing an endocrinologist to see if growth hormone may be an option.

The evidence is really fuzzy about growth. Some studies show a mild risk, some show a significant risk and others suggest that it is negligable. I think the prudent thing to say is that if the parents are short (less than 5’7″), then monitoring of height should be more often and with greater vigilence. There is a huge difference JayBird in kids self esteem between 5’7″ and 5’10”. But, if it were between 6’1 and 5’11”, OK, I might agree with you and not worry about the issue. This is not a macho thing. This is one of the most common issues that cause depression in adolescent boys is being short. Let’s not forget there are some cultural issues as well to consider. Had a Portugese boy come to me and said, “I’m never going to be 6′ on these medications.” His parents were 5’2″ and 5’3″. I said, “Are you kidding me? Even without the meds, we might get you to 5’4″ but we are going to have to invent in a rack.”

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