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- W3093131524 abstract "What prescription for psychostimulants in children? The Attention Deficit and Hyperactivity Disorder (ADHD) is a frequent disorder in children and adolescents. The diagnosis is clinical with the input of several informants (child, family, teachers…). ADHD is a risk factor for academic difficulties, school dropout, social isolation, injury, oppositional behaviour. In school-age children and adolescents having moderate to high or persistent impairment despite psycho-educational support and environmental modification, the first-line treatment is methylphenidate. Group or individual cognitive behavioural therapy for parents and/or children and adolescents is recommended for co-occurring disorders and persistent impairment. In France, the initiation of methylphenidate requires an annual hospital prescription by a paediatrician or psychiatrist, and a regular medical supervision (weight, heart rate, blood pressure…). At least once a year, the indication of methyphenidate needs to be re-evaluated and confirmed at the hospital. In case of lack of efficiency and/or poor tolerance, therapeutic alternatives including non-psychostimulants should be considered.Quelle prescription des psychostimulants chez l’enfant ? Le trouble du déficit de l’attention avec ou sans hyperactivité (TDAH) est l’un des troubles mentaux les plus fréquemment observés chez les enfants et adolescents. Le diagnostic est clinique, fondé sur l’entretien et l’observation, en tenant compte de plusieurs sources (patient, famille, école...). Les conséquences de ce trouble peuvent être l’échec scolaire, l’isolement social, des dommages corporels, des comportements oppositionnels/agressifs... Lorsque le retentissement est modéré à sévère, ou persistant malgré les aménagements environnementaux, le traitement pharmacologique à envisager en première intention est le méthylphénidate. Ce traitement impose une prescription annuelle hospitalière et une surveillance clinique régulière (poids, fréquence cardiaque, pression artérielle...). En cas de mauvaise tolérance et/ou d’efficacité insuffisante, d’autres traitements médicamenteux peuvent être prescrits. Il est nécessaire de réévaluer au moins une fois par an l’indication du traitement médicamenteux." @default.
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- W3093131524 date "2020-05-01" @default.
- W3093131524 modified "2023-09-23" @default.
- W3093131524 title "[What prescription for psychostimulants in children?]" @default.
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