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December 1979, Vol 133, No. 12 >
Article | December 1979

Hyperactivity and Medication-Reply FREE

JAMES R. VARGA, MD
Am J Dis Child. 1979;133(12):1288. doi:10.1001/archpedi.1979.02130120079020.
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In Reply.—I share many of Dr Smith's concerns regarding the use of stimulant medication in children with attentional difficulties. I do believe that he overstates the potential for harm with regard to the long-term cardiovascular effects. The overwhelming majority of follow-up studies do not indicate that this is a major problem area. The work by Sprague and Slater1 suggests that our end points for titrating medication effect may need to differentiate between learning and behavioral phenomena. This is a development that I strongly encourage and have emphasized in the article.

It is not my intention or desire to suggest that medication should be the mainstay of therapy. It is helpful for carefully selected children as part of a more comprehensive program that uses educational and behavioral intervention strategies. Rather than reserving its use for situations where "all else fails" as recommended by Dr Smith, I would suggest a

REFERENCES

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Sprague R, Slater E:  Methylphenidate in hyperkinetic children: Differences in dose effects on learning and social behavior . Science 198:1274, 1977;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

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Sprague R, Slater E:  Methylphenidate in hyperkinetic children: Differences in dose effects on learning and social behavior . Science 198:1274, 1977;.

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