Ritalin puts some at risk, group says
Ritalin puts some at risk, group says
By The Associated Press
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Published: April 22, 2008
NEW YORK — Children should be screened for heart problems with an electrocardiogram before getting drugs like Ritalin to treat hyperactivity and attention-deficit disorder, the American Heart Association recommended Monday.
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Stimulant drugs can increase blood pressure and heart rate. In children with heart conditions, it could make them more vulnerable to sudden cardiac arrest and other heart problems.
The heart group now recommends a thorough exam, including a family history and an EKG, before children are put on the drugs to make sure that they don't have any undiagnosed heart issues.
"We don't want to keep children who have this from being treated. We want to do it as safely as possible,” said
Dr. Victoria Vetter, a pediatric cardiologist at the
University of Pennsylvania School of Medicine and head of the committee making the recommendation.
But
Dr. Steven Pliszka, a child psychiatrist at the
University of Texas in
San Antonio, said he was baffled by the EKG recommendation. He said there's no evidence sudden death is a bigger problem for children on stimulants than for children not taking the drugs.
What are the drugs?
About 2.5 million American children and 1.5 million adults take medication for attention-deficit hyperactivity disorder, or ADHD, according to government estimates. Stimulant drugs like Ritalin,
Adderall and
Concerta, help patients children with ADHD to stay focused.
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