Medication
Medication is suitable for some people with ADHD– there are two types: Stimulant (e.g., Methylphenidate, Lisdexamfetamine) and Non-Stimulant (e.g., Atomoxetine, Guanfacine). People often report that medication helps to alleviate some of their difficulties such as focus, restlessness, impulsivity and emotion regulation. There are several factors that need to be considered when prescribing ADHD medication to a person with AuDHD: • Autistic people may be particularly sensitive to side effects of medication and subtle physiological changes . For example: noticing changes in heart rate, even at lower doses. Therefore, the medication titration process (i.e., finding the right type of ADHD medication, and finding the optimal dose), often requires a slower and more cautious approach. • Autistic people can struggle with interoception (i.e., sensing internal body signals). This can make it more difficult to notice effects of medication. Some people may describe feeling “odd” or “unpleasant” without being able to elaborate for example. It is helpful, and often encouraged, for the person to seek objective views of others (e.g., friends, family) to gauge any changes. • For people with AuDHD, it can be incredibly hard to separate out symptoms specific to ADHD and therefore this can make accessing treatment hard. To successfully use ADHD medication, it is helpful to know what area of ADHD the person wants help with (e.g. being able to concentrate better or to forget less) and then track that to see if this improves when you are taking medication.
• Flexibility with dosing may also be limited, with some AuDHDers preferring consistent regimes.
• It’s important that the person receives clear, unambiguous medication guidance .
DEVON ADULT AUTISM AND ADHD SERVICE 21
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