Journal of the American Academy of Child & Adolescent Psychiatry
Volume 45, Issue 1 , Pages 115-118, January 2006

Pharmacological Management of Preschool ADHD

Dr. Kratochvil is with the Department of Psychiatry, University of Nebraska Medical Center, Omaha; Dr. Egger is with the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC; Dr. Greenhill is with the Department of Psychiatry, New York State Psychiatric Institute, New York; and Dr. McGough is with the Seml Institute for Neuroscience and Human Behavior at UCLA.

Accepted 26 August 2005.

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 This is a case vignette created to exemplify a complex clinical problem and does not refer to any specific patient.This column aims to discuss practical approaches to everyday issues in pediatric pharmacotherapy. The cases and discussions specifically target aspects of clinical care related to psychopharmacology for which we do not have adequate applicable controlled trials. Given the need to address symptoms in youths with complex, severe, and comorbid disorders, recommendations are likely to be “off label” from the perspective of the U.S. Food and Drug Administration (FDA). We fully appreciate that for virtually all disorders medication is only one aspect of comprehensive care. This column focuses primarily on psychopharmacological management. The responses from the expert clinicians are not meant to be practice guidelines but rather examples of thought processes that may go into pharmacotherapy decision making.Disclosure: Dr. Kratochvil has received grant support from, is a consultant to, and/or member of the speaker's bureau of Eli Lilly, GlaxoSmithKline, Forest, Shire, Cephalon, Novartis, McNeil, Organon, AstraZeneca, Pfizer. Dr. Egger has grant support from Pfizer. Dr. Greenhill has received grant support from, is a consultant to, and/or a member of the speaker's bureau of Wyeth Ayerst, Glaxo Wellcome, Eli Lilly, Alza, Shire, Medeva, Cephalon, Noven, Somerset, McNeil, Celltech, Novartis, Solvay, Sanofi Aventis, Otsuka. Dr. McGough has received support from Eli Lilly (grant/research support, consulting fees, speaker's bureau), McNeil (grant/research support, consulting fees, speaker's bureau), Novartis (grant/research support, consulting fees, speaker's bureau), Shire (grant/research support, consulting fees, speaker's bureau), Pfizer (grant/research support, consulting fees), and New River Pharmaceuticals (grant/research support).

PII: S0890-8567(09)62268-1

doi:10.1097/01.chi.0000186451.49579.0a

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 45, Issue 1 , Pages 115-118, January 2006

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