ADHD medications — both stimulants and non-stimulants — may be used to treat patients with comorbid substance use disorder. In fact, addressing ADHD symptoms typically improves outcomes for patients with both conditions.
have lower abuse liability because they only activate once they are metabolized in the body. Many key opinion leaders in the field believe that stimulants may be considered as a first-line treatment if a patient has been off substances from one to three months. Other leaders believe that you can start stimulants safely during active substance use., do not disregard these medications outright. Many SUD-ADHD patients take this type of stimulant and do well.
Commit to ongoing education about SUDs, ADHD, and the medical, psychological, addictive, and legal issues tied to prescription drug misuse and diversion. Educate patients, especially adolescents and young adults, on these topics. Some patients may be unaware that the act of selling or giving away stimulants is a felony offense.
Finally, enjoy working with your patients. There is a real sense of satisfaction in helping a patient gain control of their and of their substance use, resulting in remissions of both their SUD and ADHD. Patients and their families will be highly appreciative of your efforts.
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