FOR RELEASE: 1:30 p.m. CT, Wednesday,
November 11, 1998
Psychotropic drugs statement now onlineAmerican Heart Association Response to Inquiries:
American Heart Association Clarification of Guidelines on Cardiovascular Monitoring of Children and Adolescents Receiving Psychotropic Drugs:
Should Children on Ritalin Receive Cardiovascular Monitoring?The American Heart Association would like to provide clarification on the new AHA guidelines that reference Ritalin. According to AHA recommendations from a new statement on Cardiovascular Monitoring of Children and Adolescents Receiving Psychotropic Drugs, no specific cardiovascular monitoring is necessary for most children on Ritalin.
At the American Heart Association’s 71st Scientific Sessions on Monday, scientists reported on research relating to the cardiovascular effects of psychotropic drugs. While cardiovascular monitoring was recommended for patients on some psychotropic drugs, Ritalin was not among them.
The AHA recommends that physicians gather specific information on each child before prescribing any psychotropic drug. This information includes taking a family history to see if any family member has experienced an abnormal heart rhythm called long-QT syndrome or has experienced unexplained sudden death. The physician should also determine whether the child has ever fainted or had episodes of palpitations. If any of these conditions are present, then a pediatric cardiologist should evaluate the child before prescribing any psychotropic drug. The cardiologist will determine whether ongoing monitoring is needed.
As with any medication, the AHA recommends that physicians determine what other prescription and over-the-counter medications the patient is taking.
For children without these very specific symptoms and history, Ritalin can be prescribed without any cardiovascular monitoring. If parents have any specific questions or concerns about their child’s use of Ritalin, they should talk to their family physician or pediatrician.
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The information contained in this American Heart Association (AHA) Web site is not a substitute for medical advice or treatment, and the AHA recommends consultation with your doctor or health care professional.