Q. Can stimulant medication be prescribed after an episode of psychosis?

Answered by
Dr. Suresh Kumar G D
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Aug 03, 2019

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.

Dr. Suresh Kumar G D

Child Health Paediatrics Psychiatry
#

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.


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