When deciding on a stimulant or nonstimulant, the doctor must assess and compare the profiles of different side effects. Table 12 compares the side effects of stimulants and nonstimulants. Another consideration is the onset of action; stimulants work more quickly than nonstimulants.

There has long been the hypothesis that children with ADHD are delayed in maturation. Swanson et al.(2007) studied the Multimodal Treatment Study of ADHD (MTA) at 3 years' follow-up. When the team compared a nonmedicated subgroup with a sample of patients who took stimulants, they found unexpected results. This study found the opposite; their data showed that children who took drugs experienced an accelerated growth rate in preadolescence and adolescence that than a maturation delay. . .

Bibliography:

Swanson et al. 2007. Effects of stimulant medication on growth rates across 3 years in the MTA follow-up. Journal of American Academy of Child and Adolescent Psychiatry 46:1014-26

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