Should not expect improvement in reading scores, social skills, academic achievement, and antisocial behavior 4. Focus on behavioral improvement. May evaluate effects of the medications by giving rating scales to the teachers to serve as a baseline. Response to medications does not confirm the diagnosis because many normal individuals will respond to stimulants. The basis of treatment is titration of the effects of the medications.
Tics are reversible when the medication is terminated.
Begin with a low dosage in the morning and may adjust if the child needs more in the afternoon or after school to complete homework. May use sustained release preparations instead of dose at school. Must decide whether to treat on weekends, vacations, and during the summer months when the child is out of school. Imipramine and Desimpramine a. Useful if there are comorbid conditions such as depression, anxiety, and tic disorders. Antihypertensives - Clonidine 12.