How do you balance the risks and benefits of stimulant treatment in patients with poorly controlled hypertension?

The short answer is that there are no clear cutoffs to clearly guide management, and often decisions are guided by shared decision making with patients and relevant specialties (psychiatry, primary care, cardiology).

Clinical factors which may prompt you to stop or reduce stimulants:

1. Elevated BP that...

The question of how to balance stimulant therapy with uncontrolled hypertension remains one of the more challenging clinical crossroads in contemporary psychiatric practice. While stimulants are among the most effective treatments for ADHD, they also carry well-documented cardiovascular risks. When ...