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Is Concerta Or Adderall Better For ADD In A 12 Year Old?

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Posted on Sat, 26 Nov 2016
Question: Which should we try next - Concerta or Adderall for 12 yr boy with ADD ? After 6 months of Vyvanse parents are weary of irritability issues. Local pediatricians do not express a preference.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Concerta is more preferred

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

Considering the irritability issues with vyvanse I feel the concert is much better option in compare to adderall.

In my own practice I often prefer artomoxetine in similar situations although I am not sure whether it is available in your home country.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)
...something went wrong on my computer... so I'm repeating my 1st follow-up -
I am very interested in more info about atomoxetine.
Why do you prefer it over Concerta ?
Is it more easily tolerated by children ?
Is it more effective than Concerta ?
Is the "Risk of Suicide" using atomoxetine quite low in the general population ?
Thank you
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (13 minutes later)
Brief Answer:
risk of suicide is more

Detailed Answer:
Hello,
Thanks for reverting back to me.

Although the choice of medication is governed by availability, cost and many other factors following are answers to your follow up questions.

I prefer to use atomoxetine as people concerts causes growth retardation and it is never acceptable to any parent. This becomes more important in a country where average height is slightly low.

In my view it is more easily tolerated although the individual child response and tolerability varies as in other drugs.

Regarding efficacy I see more patients hyperactive subtype of ADHD and where it scores higher over concerta. In case your child have inattention type of ADHD I think atomoxetine is not a good choice for him.

Risk of suicide is the most important area which makes atomoxetine less preferable as per the literature. I have used this medication in around 1000 children and lucky to have only nil children by this day with suicidal competition and only six children with suicide ideation which eventually went away on discontinuation.

hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Is Concerta Or Adderall Better For ADD In A 12 Year Old?

Brief Answer: Concerta is more preferred Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns. Considering the irritability issues with vyvanse I feel the concert is much better option in compare to adderall. In my own practice I often prefer artomoxetine in similar situations although I am not sure whether it is available in your home country. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.