Which of the following would require careful monitoring for a child with attention deficit hyperactivity disorder (ADHD) taking methylphenidate?
Explanation
• Carefully monitor growth because methylphenidate may decrease appetite, causing weight loss and delayed growth in childhood.
• Studies have shown that there are no associated changes in adult height for those treated with stimulants in childhood.
• Suggest small, frequent meals and finger food snacks to help compensate for anorexia induced by methylphenidate.
• Methylphenidate has side effects that are dose-dependent and include nervousness, increased heart rate and blood pressure, dizziness, headache, loss of appetite, and dry mouth.
• Incorrect: Dental care is a concern for patients taking tricyclic antidepressants as they increase the risk of dental caries (cavities).