By vgreene, 22 May, 2015 Start stimulant at low dose and titrate q3-7days to max effect/min side effects [B/S]
By vgreene, 22 May, 2015 Evidence strongest for stimulants,<sup>20,21</sup> followed by atomoxetine,<sup>22</sup> guanfacine ER,<sup>23</sup> and clonidine ER<sup>23</sup> [A/S]
By vgreene, 22 May, 2015 Address urgent conditions (eg, acts/behaviors w/ potential to injure the child or others, such as severe temper outbursts or child abuse) immediately w/ services capable of handling crisis situations
By vgreene, 22 May, 2015 If sx do not improve: Re-eval to confirm dx, assess for coexisting condition, and provide education to improve adherence; reconsider tx plan: Change med/dose or add med approved for adjuvant tx, and/or change behavioral tx
By vgreene, 22 May, 2015 Monitor improvement in core sx6/target goals in objective way whenever possible w/ 1 of the DSM-5-based ADHD rating scales
By vgreene, 22 May, 2015 Subsequent visits depend on response but should occur at least 2 times/yr until clear that target goals are progressing and sx stabilized, then periodically, as determined by family and treating clinician
By vgreene, 22 May, 2015 F/U monthly until consistent, optimal response observed, and q3mo thereafter during 1st yr of tx
