height weight chart children australia
2010
ADHD: Do you know that ADHD drugs can stunt the growth of your children?
While most are aware that stimulant drugs prescribed to treat ADHD can cause side effects such as decreased appetite, weight loss, dry mouth, constipation, insomnia and nervousness. Many do not are aware that there is some evidence to suggest that they can trick your child's growth. As a doctor treating children with ADHD, I always deal with children with these drugs and feel parents should be informed. Let's look at the information from Drugs.com.
Concerta Side effects:
Get emergency medical help if you have any of these signs of an allergic reaction: hives, difficulty breathing; of your face, lips, tongue or throat.
Stop taking Concerta and call your doctor if you have any of these serious side effects:
· Quick and strong, or irregular heartbeat;
· Feeling like you might pass out;
Sore throat, fever, and headache, blistering, peeling, redness and rash;
· Aggression, agitation, hallucinations, unusual behavior, or motor tics (muscle twitches);
· Bruising, purple spots on the skin easily, or
· Press dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
Less serious side effects from Concerta may include:
· Stomach pain, nausea, vomiting, loss of appetite;
Vision · Problems;
sweating · mild skin rash;
· Dizziness;
· Nervous feeling, sleep problems (insomnia), or
· Loss weight.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual side effects or bothersome.
In addition, most people are not aware that the American Heart Association recommends a control of the heart before placing the child in the methylphenidate and there were some reports of sudden death and heart problems in Canada. Most are not aware of some research suggesting that these drugs can prevent the growth of your child. Granted more studies are needed and this is not conclusive, but studies are there out and parents should be aware.
Slowing of growth in height and weight on stimulants: a characteristic pattern.
Poulton A, Cowell CT.
Department of Paediatrics, Nepean Hospital, Penrith, New South Wales, Australia. tbraj@bigpond.net.au
OBJECTIVE: The aim of this study were to describe the growth pattern of children starting stimulant medication and analyze changes over time in height, weight and growth rate in a cohort of patients treated. METHODS: Retrospective review of growth data from the files of all patients newly treated with attention deficit disorder in a pediatric practice. Forty-four boys and seven girls were treated for 6-42 months with dexamethasone-methamphetamine (n = 32) or methylphenidate (n = 19). RESULTS: During the first six months of stimulant medication 44 children (86%) had a growth rate below the age corrected mean and there was no weight loss in 39 (76%). The height and weight standard deviation score (DE) showed a progressive decrease, which was statistically significant after 6 and 18 months (P <0.001, t test). The growth rate slowed down considerably during the first 30 months (P <0.01) than during the first 6 months. The mean height deficit during the first two years was about 1 cm / year. The change in the SDS weight was 2.4 times the change in height SDS after 30 months of treatment with a significant correlation (Pearson correlation coefficient r = 0.88, P <0.001). CONCLUSIONS: stimulant medications is associated with decreased height and weight SDS during the first 6-30 months with a characteristic pattern in the growth chart.
Growth on stimulant medication, clarify the confusion: a review.
Poulton A.
Western Clinical School, Nepean Campus, University of Sydney, Australia. sally_poulton@iinet.net.au
OBJECTIVES: For an overview of studies of growth in height in children with attention deficit hyperactivity disorder (ADHD) treated with stimulant medications to establish consistency and to try to resolve the discrepancies. METHODS: Twenty nine studies were reviewed following a Medline search: 22 related to children, six late adolescents or adults and one for children and adults. RESULTS: Children: Eleven studies gave results consistent with height attenuation on medication encouraging: eight were longitudinal, one was cross-sectional, and two showed growth rebound on ceasing medication. Studies with negative results were a inadequately powered (n = 3), lacked controls or statistical analysis (n = 3), measures the growth rate without reference to the duration treatment (n = 2) or misuse parameters of growth (n = 1), controls (N = 1) or the normative data (n = 1). and late adolescents adults treated with stimulants in childhood: Two studies of childhood gastrointestinal side effects associated with height attenuated late adolescent or adult; six cross-sectional studies had negative results. The methodologies vary widely, but there was some consistency in the degree of attenuation shown in studies with positive results. The most sensitive methods to analyze changes in the z-scores (standard deviation scores) or deficit is calculated from height measurements paired before and after an initial period of treatment with stimulant medications. The height deficit amounted to about 1 cm / year during the first 1-3 years of treatment. CONCLUSIONS: Further research is needed on the causal mechanisms, the rate of physical maturation, and long-term implications for height final.
We use a motor and sensory hemispheric approach that is free of drugs and strive to make improvements to your child so your pediatrician can reduce this medication when appropriate. These items were hard for me to find, but they are there and I thought parents should be informed.
Dr. Mane offers one to one consultations and group seminars for parents and children suffering from Autism Spectrum Disorders. If you are interested in scheduling a consultation or to attend a seminar, please call 813-935-4744.
For more information about Dr. Nelson Mane, DC and treatment approach to go the ASD http://www.manecenter.com/ADHD.htm .
About the Author
GREAT DEPRESSION vs NOW – Timewave zero, email of the week, BHP loss – 14th August 2009
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