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Stimulants and Attention-Deficit/Hyperactivity DisorderStimulants and Attention-Deficit/Hyperactivity Disorder

JAMA. 2004;292(18):2214-2214. doi:10.1001/jama.292.18.2214-a
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AUTHOR INFORMATION

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

STIMULANTS AND ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

To the Editor: The Contempo Update on attention-deficit/hyperactivity disorder (ADHD) by Dr Wilens and colleagues1 presented pharmacologic treatment options. However, in discussing the use of stimulant medications, the authors did not address risks of addiction, tolerance, or habituation. I would like to know if the authors think that these risks are significant enough to warrant having patients sign a treatment contract acknowledging the risks and the conditions of ongoing care. I would also be interested in whether they think patients receiving stimulant treatment should be evaluated monthly in the office prior to refills and, if not, what other refill mechanisms they would recommend.

References
Wilens TE, Faraone SV, Biederman J. Attention-deficit/hyperactivity disorder in adults.  JAMA. 2004;292619-623
PubMed

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Wilens TE, Faraone SV, Biederman J. Attention-deficit/hyperactivity disorder in adults.  JAMA. 2004;292619-623
PubMed
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