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Can Vyvanse Suppress Growth In Children With ADHD?
Question: What is familial short stature? During my sons annual visit, the doctor endicated that his growth has slowed to the 40% range. His weight is fine. We had a bone age test completed, which corelated with his age, of nine years old. The doctor sugessted the we see an endocronologist. His pediatrician communicated no worry concerning his vital organs. What is familiar short status?
My son has been taking vyvamse for last 3 years for AD issues, due to seizures.
My son has been taking vyvamse for last 3 years for AD issues, due to seizures.
Brief Answer:
About familial short stature;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The information you provided is limited (exact details like the age of the child, actual height, parents height, the speed of growth during his life etc. are needed to evaluate further)...
Anyway, the fact that bone age is normal is a good news, that means, the probability to be caused by a pathology is low.
Children with familial short stature tend to have short parents. These normal children display normal growth velocity (speed of growth over time).
They enter puberty at a normal time and typically complete growth with a height consistent with that of their parents.
So, if both of the parents are short, the physician didn't find chronic pathologies, it is very probable familial short stature. Of course, a wider history and a more detailed clinical examination performed by an endocrinologist will be needed to confirm it.
Let me know if I can assist you further.
Best wishes,
Dr.Mirjeta
About familial short stature;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The information you provided is limited (exact details like the age of the child, actual height, parents height, the speed of growth during his life etc. are needed to evaluate further)...
Anyway, the fact that bone age is normal is a good news, that means, the probability to be caused by a pathology is low.
Children with familial short stature tend to have short parents. These normal children display normal growth velocity (speed of growth over time).
They enter puberty at a normal time and typically complete growth with a height consistent with that of their parents.
So, if both of the parents are short, the physician didn't find chronic pathologies, it is very probable familial short stature. Of course, a wider history and a more detailed clinical examination performed by an endocrinologist will be needed to confirm it.
Let me know if I can assist you further.
Best wishes,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
He's 9yrs old, and 70lbs. He's 4ft 5 inches tall.
He's growing, but his growrh rate has slowed.
2015 hes was in the 75% range
2016 he was in the 50% range
2017 he in the 40% range
1'm 6ft 1inch
Mother 5ft 8inches
Pediatrician communicated no issues with vital organs function.
His growth rate has slowed aince he starting vyvanse in the fall of 2015
.
He's growing, but his growrh rate has slowed.
2015 hes was in the 75% range
2016 he was in the 50% range
2017 he in the 40% range
1'm 6ft 1inch
Mother 5ft 8inches
Pediatrician communicated no issues with vital organs function.
His growth rate has slowed aince he starting vyvanse in the fall of 2015
.
Brief Answer:
About lowered growth velocity;
Detailed Answer:
Welcome back,
First of all he can not be considered short, because he is at the 55 percentile. It should be under the third percentile to be caused short and to do further examinations.
His expected height is 5 feet and 11 inch.
There are studies showing a long term suppression growth in children treated with amphetamines at the ages 7-10 years, but you need to discuss with your physician and do a balance, rather this slight decrease in growth velocity is more important than the good effects of Vyvanse.
Wish him good health.
Kind regards,
Dr.Mirjeta
About lowered growth velocity;
Detailed Answer:
Welcome back,
First of all he can not be considered short, because he is at the 55 percentile. It should be under the third percentile to be caused short and to do further examinations.
His expected height is 5 feet and 11 inch.
There are studies showing a long term suppression growth in children treated with amphetamines at the ages 7-10 years, but you need to discuss with your physician and do a balance, rather this slight decrease in growth velocity is more important than the good effects of Vyvanse.
Wish him good health.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks for the information. He's in the 40% range. Is that in the third percentile? His nuerologist communicated that the vynanse can stunt or slow growth. I've also read information supporting that. However, w the pediatrian said, there is no such findings. Im not sure if Im aligned with him. Ecspecially when his growth velocity started ti slow since he started taking the vyvanse
Brief Answer:
About Vyvanse side effects:
Detailed Answer:
Hi again,
From the data, you provided he is at the 55th percentile, not 40th. Should be under the third percentile to be problematic.
No one can say for sure that Vyvanse has caused this slight decrease ( from 75th percentile to 55th) of growth velocity ( may be even physiological), but some studies have noticed this decrease in children using it.
If he has benefited from the treatment during these 2 years, he should continue it because it is only a slight decrease.
Best wishes,
Dr.Mirjeta
About Vyvanse side effects:
Detailed Answer:
Hi again,
From the data, you provided he is at the 55th percentile, not 40th. Should be under the third percentile to be problematic.
No one can say for sure that Vyvanse has caused this slight decrease ( from 75th percentile to 55th) of growth velocity ( may be even physiological), but some studies have noticed this decrease in children using it.
If he has benefited from the treatment during these 2 years, he should continue it because it is only a slight decrease.
Best wishes,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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