Reference of this article: Txakartegi Etxebarria X, Fernández Pérez M. Treatment of Attention-Deficit/Hyperactivity Disorder in Primary Care: pharmacologic treatment with methylphenidate and non pharmacologic options. Rev Pediatr Aten Primaria. 2006; 8 Supl 4:S39-55.
Published in Internet: 31-12-2006 - Visits: 7874
The attention deficit disorder with or without hyperactivity (ADHD) offers a great clinical
variability. Therefore, after a correct diagnosis and evaluation many different therapeutic
options can be considered, and reconsidered along its evolution, including precise
information to families, up to complex intervention in multidisciplinary surroundings.
Pharmacologic treatment is a very valid choice, alone or combined with other procedures,
and it must be well known by the Primary Care paediatrician that prescribes or carries
For the moment, in our country the only authorised pharmacologic treatment for
ADHD is stimulants, basically methylphenidate, whose properties, mechanism of action,
indications and pharmacologic presentations are commented. Also, the side effects and
contraindications are detailed since they must be considered when prescribing and monitoring.
Finally, some criterion is exposed to facilitate a choice among a pharmacologic treatment,
behaviour and cognitive therapy, or combined treatment in Primary Care. In a specific
section alternatives depending on the age groups are provided.
Keywords● Drug therapy ● Methylphenidate ● Therapeutic options