"Our family has a history of heart trouble. Does the new stimulant warning mean it's unsafe for my son to take one of these drugs?"
by Larry Silver, M.D.
The warning, which the FDA mandated last August, indicates that children or adults who have heart disease or a structural heart defect should not use stimulant medications. It does not suggest that stimulants can cause heart trouble, and it advises further cardiac evaluation only for children with a family history of sudden death or irregular heartbeat (ventricular arrhythmia).
If your family doesn't have such a history, and the doctor is convinced that your son shows no sign of heart trouble, he can prescribe any of the stimulants. If your son goes on medication, the doctor should check his heart rate and blood pressure and listen to his heart at every check-up.