What are your concerns regarding long term stimulant use in geriatric patients with ADHD?  

I agree with @Saeed Hashem; however, I had a patient in their mid-70s with small vessel disease (Parkinsonism) who had a gait disturbance, cognitive, and organizational problems. He was a lawyer who was trying to close his practice, and I gave him 10-20 mg of dextroamphetamine ER. It helped him cogn...

That's a good question - there are several concerns, but these are the top (on my list). Cardiovascular risk [most concerning]: HTN, tachycardia, CAD, and tachyarrhythmias of all kinds (SVT, Aflutter, AFib, VTach, Vfib...) Drug interactions: risk of hypertensive crisis with MAOIs, risk of seroto...

I have found that minimal doses of methylphenidate can be helpful in elderly patients, especially after a stroke, balance problems, and cognitive decline. Most of the time, mood, motor, and cognitive function improve significantly, and so far, at 2.5 mg to 5 mg doses, I have not observed any side e...