Stimulant Drug Interactions

Q:

"My 78-year-old father was just diagnosed with AD/HD. He’s been treated for high cholesterol and high blood pressure — is it safe for him to take a stimulant?"

Dr. Larry Silver specializes in treating children with attention deficit disorder (ADHD).
A:

It is very unusual for someone to be diagnosed with AD/HD at age 78. I would question the diagnosis.

AD/HD is a lifelong condition, so I wonder why no one noticed your father’s symptoms until now. If his hyperactivity, inattention, or impulsivity is a recent development, the behavior probably isn’t caused by AD/HD; it’s important that his physician figure out what is causing it.

If you’re confident in the diagnosis, I share your concern about the medication. Because your father has high blood pressure, I would not be comfortable prescribing either a stimulant or a nonstimulant.

Larry Silver, M.D., is 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. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
 
 
Copyright © 1998 - 2013 New Hope Media LLC. All rights reserved. Your use of this site is governed by our Terms of Service and Privacy Policy.
ADDitude does not provide medical advice, diagnosis, or treatment. The material on this web site is provided for educational purposes only. See additional information.
New Hope Media, 39 W. 37th Street, 15th Floor, New York, NY 10018