What alternative ADHD medications would you consider in a child with a complex cardiac history unresponsive to guanfacine?

Choosing another medication to treat ADHD in a child with a complex cardiac history who has already failed guanfacine is not a straightforward task. To make this decision, one would need to understand which symptoms of ADHD are causing the most functional impairment (inattention, hyperactivity, both...

I definitely agree with Dr. @Donovan, but wanted to add a different perspective to this question. In cases where our patients have a severe cardiac condition and severe ADHD, our most important ally is a pediatric cardiologist. I also find it helpful to understand the nature of the complex cardiac c...