Go to Dispatch.com home page


What kids are taking
Monday, April 25, 2005

The number of children taking mental-health drugs tripled from 1987 to ’99, even though many of the drugs had not been approved for pediatric use. Some of the most common prescriptions (generic name in parentheses), with some pros and cons:

ANTI - ANXIETY DRUGS
Used to treat anxiety, obsessive-compulsive disorder, panic attacks, phobias and posttraumatic stress.

•

Ativan ( lorazepam ) :
Fast-acting, can be taken in small doses and has relatively few side effects. Drowsiness and loss of coordination are most common.

•

BuSpar ( buspirone ) :
Must be taken for at least two weeks to achieve results. Doesn’t have sedative effect.

•

Klonopin ( clonazepam ) :
Longer-acting than some drugs. Sometimes causes depression.

ANTIDEPRESSANTS
Elevate mood, improve self-esteem and ease feelings of hopelessness. The FDA has warned that 10 drugs, including those below, could increase risk of suicide.

•

Paxil ( paroxetine ) :
Improvement may be noticed in a week or two, but full effect may take six weeks. Side effects generally are mild.

•

Prozac ( fluoxetine ) :
Only drug approved to treat kids as young as 8. Can take four weeks to work, but effects often last up to nine months after a three-month regimen.

•

Zoloft ( sertraline ) :
Improvements can occur within days. Study in the Journal of the American Medical Association found it to be ‘‘effective and well-tolerated."

ANTIPSYCHOTICS
Treat disorders such as schizophrenia and reduce symptoms such as delusions and hallucinations. The FDA has warned that new antipsychotics may cause diabetes and increased cholesterol.

•

Haldol ( haloperidol ) :
Frequently used for short-term treatment of behavior problems, including combativeness and hyperactivity. Side effects can include difficult breathing, fast heartbeat, involuntary muscle contractions and seizures.

•

Risperdal ( risperidone ) :
Also used to treat autism and conduct disorders. Side effects can range from dry mouth, fatigue and weight gain to diabetes, stroke and other potentially fatal illnesses.

•

Zyprexa ( olanzapine ) :
Also used to treat mania and bipolar disorder. Some people note more motivation and less social isolation. Can cause dizziness, increased appetite, restlessness, sleepiness and weight gain.

MOOD STABILIZERS
Reduce mood swings associated with bipolar disorder.

•

Depakote ( valproic acid ) :
Available in three tablet strengths. Can cause serious or even fatal liver damage, especially during first six months of treatment. Children younger than 2 are most vulnerable.

•

Lithonate ( lithium carbonate ) :
Once mania subsides, it often can be given in lower doses to prevent future episodes. Frequent blood tests needed to prevent lithium poisoning.

•

Tegretol ( carbamazepine ) :
Also used to control seizures. Children require higher doses than adults because they absorb the drug quicker. Might cause blood levels to fluctuate wildly.

STIMULANTS
Treat attention-deficit hyperactivity disorder.

•

Adderall ( amphetamine ) :
Effects begin after a few doses and it causes fewer peaks and valleys than other drugs. Canada has taken it off-market, citing 20 deaths.

•

Concerta ( methylphenidate ) :
Pills last 12 hours but can be difficult to digest. Isn’t recommended for kids under age 6. Can cause headaches, loss of appetite, moodiness, psychosis, stomachache and upper respiratory infection.

•

Ritalin ( methylphenidate ) :
Available in short- and long-acting forms. Common side effects are abdominal pain, dizziness, insomnia, irregular heartbeat, nervousness and weight gain. Long-term use has been linked to abnormal brain development. Sources: National Alliance for the Mentally Ill, National Institutes of Health, National Mental Health Association and U.S. Food and Drug Administration



Copyright © 2005, The Columbus Dispatch