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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.

Answered by Dr. Suresh Kumar G D

Education:

MBBS

Professional Bio:

Dr. Suresh Kumar G D is a highly skilled specialist in Child Health, Pediatrics, and Psychiatry, with extensive experience in managing developmental, behavioral, and emotional disorders in children and adolescents. His expertise includes early childhood development, ADHD, autism spectrum disorders, and mental health counseling. Dr. Suresh is known for his compassionate, child-centered approach and commitment to promoting holistic well-being in young patients.

This doctor is not available for online consultations on the platform anymore.

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 by Dr. Divya Banu M
Published At August 4, 2019
Reviewed At August 23, 2024

Education:

MBBS

Professional Bio:

Dr. Suresh Kumar G D is a highly skilled specialist in Child Health, Pediatrics, and Psychiatry, with extensive experience in managing developmental, behavioral, and emotional disorders in children and adolescents. His expertise includes early childhood development, ADHD, autism spectrum disorders, and mental health counseling. Dr. Suresh is known for his compassionate, child-centered approach and commitment to promoting holistic well-being in young patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Suresh Kumar G D is a highly skilled specialist in Child Health, Pediatrics, and Psychiatry, with extensive experience in managing developmental, behavioral, and emotional disorders in children and adolescents. His expertise includes early childhood development, ADHD, autism spectrum disorders, and mental health counseling. Dr. Suresh is known for his compassionate, child-centered approach and commitment to promoting holistic well-being in young patients.

This doctor is not available for online consultations on the platform anymore.

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