MedicinePossible Side EffectsWarnings
STIMULANTS
Mixed amphetamine salts
 (Adderall®, Adderall XR®)

Methylphenidate
 (Concerta®, Focalin®, Focalin XR®, Metadate CD®, Metadate ER®, Methylin®, Methylin ER®, Ritalin®, Ritalin LA®, Ritalin SR®)
  • Stomach ache
  • Decreased appetite
  • Weight loss
  • Trouble falling asleep
  • Headache
  • Nausea and vomiting
  • Increased heart rate
  • Nervousness
  • Worsened tic (uncontrollable movement)
  • Blurred vision and other vision problems
  • Stimulants may cause serious side effects that affect the heart. These medicines may not be safe in children or teens with a history of severe heart problems. Children or teens who have heart problems and take a stimulant should be monitored closely by their doctor.
  • Stimulants can be habit forming. Your child or teen should never take more of the medicine than your doctor has prescribed.
  • Stimulants may cause growth problems in children. The height and weight of children taking a stimulant should be monitored by their doctor.
NONSTIMULANT ADHD MEDICINES
Atomoxetine (Strattera®)
  • Nausea and vomiting
  • Decreased appetite
  • Feeling tired or sleepy
  • Stomach ache
  • Atomoxetine may increase the risk of suicidal thoughts and behaviors in children and teens.
  • Atomoxetine may cause growth problems in children. The height and weight of children taking this medicine should be monitored by their doctor.
  • Guanfacine ER should not be stopped suddenly, because this can increase blood pressure.
  • Atomoxetine and guanfacine ER may cause serious side effects that affect the heart. These medicines may not be safe in children or teens with a history of severe heart problems. Children or teens who have heart problems and take atomoxetine or guanfacine ER should be monitored closely by their doctor.
Guanfacine ER (Intuniv®)
  • Low blood pressure
  • Slow heart rate
  • Feeling tired or sleepy
  • Nausea and vomiting
  • Stomach ache
  • Trouble falling asleep
  • Irritability
  • Dizziness
  • Dry mouth
ANTICONVULSANT MEDICINE
Divalproex
  (Depakene®, Depakote®, Depakote ER®)
  • Nausea
  • Feeling sleepy
  • Dizziness
  • Vomiting
  • Feeling weak
  • Stomach ache
  • Upset stomach
  • Rash
  • Divalproex may increase the risk of suicidal thoughts or behaviors.
  • Divalproex can cause life-threatening liver and pancreas problems. Children under the age of 2 years are at higher risk for these problems.
ANTIPSYCHOTICS
Aripiprazole
  (Abilify®)

Risperidone
  (Risperdal®)

Ziprasidone
  (Geodon®)
  • Uncontrollable movements, such as tics and tremors
  • Feeling tired or sleepy
  • Nausea and vomiting
  • Blurred vision or other vision problems
  • Changes in appetite (increase or decrease)
  • Weight gain
  • Extra saliva or drooling
  • Cold symptoms (stuffy nose and sore throat)
  • Aripiprazole may increase the risk of suicidal thoughts in children and teens taking antidepressant medicines.
  • Antipsychotics can cause a possibly life-threatening reaction called “neuroleptic malignant syndrome,” although this is rare. Symptoms include a high fever, sweating, changes in blood pressure, and muscle stiffness.

From: Treating Disruptive Behavior Disorders in Children and Teens

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