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"My son began taking Adderall (2 1/2 mg daily), but within days, he started blinking and squinting. What do you recommend for someone who cannot tolerate medication?"
If Adderall causes tics at such a low dose, the other stimulant medications may do the same. You need to see a physician who knows how to treat ADD with medications other than the stimulants. For example, imipramine (Tofranil) might work very well.
Editor's Note: In this edition of ADDitude's Ask the Doctor, Dr. Silver addresses non-stimulant alternatives for treating ADHD and associated symptoms. Imipramine is an example of one such medication. It is in a class of pharmaceuticals known as tricyclic antidepressants. Other non-stimulant alternatives for treatment are antidepressant Wellbutrin, SSRI Paxil, and several medications commonly used for treatment of other disorders, but which may have a beneficial effect on selective ADHD cases.
Larry Silver, M.D., is clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C. and director of training in child and adolescent psychiatry at Georgetown University School of Medicine. He is a former acting director and deputy director of the National Institute of Mental Health, as well as the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities.