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Can stimulant medication be prescribed after an episode of psychosis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Is it ever appropriate to prescribe stimulant medication after an episode of psychosis? I am a patient that has done well on them in the past and is struggling to mange my ADHD without them. The psychosis happened last year during a period of social isolation.

Hello,

Welcome to icliniq.com.

You have raised a very pertinent question. Stimulant medication can raise the risk of relapse in psychotic symptoms. If psychotic symptoms were clearly treatment-emergent, generally it is not advisable to try stimulants again. If ADHD symptoms are problematic, you can discuss with your doctor about trying non-stimulant options like Intuniv (Guanfacine XR). Also, try to follow behavioral strategies to manage ADHD symptoms.

Medically reviewed byDr. Divya Banu M

Published At August 4, 2019
Reviewed AtAugust 23, 2024

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