When do you decide to switch stimulants vs. continuing to maximize dosage in ADHD treatment?
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In patients with comorbid ADHD and Bipolar Disorder which stimulants do you prefer to use in conjuction with a mood stabilizer?
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2 Answers
Mednet MemberInvited Expert
Psychiatry · La Mente Behavioral Health
Answered on
I definitely agree with Dr. @Dr. First Last about the core concept that this question appears to be asking - "When do you know if a stimulant is just not working for your patients symptoms, and/or when do you decide to change to a different stimulant?" Before answering the second part of this core q...
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Mednet MemberInvited Expert
Psychiatry · Center for Collaborative Parenting
Answered on
The question suggests that the problem for which an answer is being sought is the ineffectiveness of the stimulant (otherwise, why "maximize dose"?). In my practice, when a stimulant is ineffective, my first tendency is to return to the diagnostic question to make certain that ADHD is what I’m seein...
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