| Diagnostic assessment is complete and confirms diagnosis of ADHD |
| Child is age 6 years or older* |
| Caregivers accept medication as a contribution to management |
| School will cooperate in administration and monitoring¶ |
| No previous sensitivity to the chosen medication |
| Child has normal heart rate and blood pressure |
| Child is seizure freeΔ |
| Child does not have Tourette syndromeΔ |
| Child does not have pervasive developmental delayΔ |
| Child does not have significant anxiety |
| Substance abuse among household members is not a concern (for children who will be treated with immediate-release stimulants)◊ |
ADHD: attention deficit hyperactivity disorder.
* Children younger than 6 years should be managed by or in consultation with a specialist since the effects of stimulants on preschool children are unpredictable.
¶ It is not safe to permit the child or adolescent to take their own medication to school.
Δ Children with these conditions should be managed by, or in consultation with, a specialist.
◊ Atomoxetine, osmotic release methylphenidate, or the methylphenidate patch are alternatives to immediate-release stimulant preparations for children who live in households where substance abuse is a concern.