ADHD medication, allergy treatment, exercise motivation
SOUTH BEND, Ind. (WNDU) – Dr. Bob Cassady of the South Bend Clinic joins us weekly on 16 News Now at noon to answer your medical questions.
Question #1 (from Lindsay): “Would you consider Guanfacine a good drug for children with ADHD?”
DR. BOB: For most children, therapy with a counselor should be part of the treatment plan. For young children, therapy alone can be an effective treatment.
In school-age children, it is usually recommended to use medication with therapy. For children over the age of 6, stimulant medications such as Ritalin are generally considered the best option as they appear to be most effective.
Non-stimulant medications such as Guanfacine are an option for children with ADHD. However, they are usually reserved for children who do not respond or have side effects to stimulants.
In my experience, there are a lot of strong feelings and opinions in families about ADHD and the treatment of children. It’s understandable. Therefore, the actual treatment program must take place as a collaboration between the parents, the child and the doctor to develop an individual plan.
Question #2 (from Sam): “My allergies continue to bother me with all the weather changes, but my allergy meds don’t seem to be helping me. What should I do?”
DR. BOB: The first thing I would look at is to make sure you are using your medications correctly.
The general approach to starting allergies includes a non-sedating antihistamine such as Claritin or Allegra. These drugs should be taken every day to ensure the best effect.
In addition to this, we generally recommend a nasal spray containing steroids such as Flonase. It is important to make sure that you spray the medicine correctly. The head should be tilted slightly downward, the opposite nostril squeezed, and the medicinal spray away from the septum of the nose while inhaling.
If these treatments don’t work, you can ask your GP if montelukast is an option for you. After that, it would probably be good to see an allergist to discuss testing.
Question #3 (from Bill): “I can’t get myself to exercise, even though I know I need it for my heart. Do you have any advice?”
DR. BOB: If I had a perfect answer to that question, many of our country’s biggest medical problems would be solved. So many medical issues are lifestyle related, but making changes seems to be so difficult for so many people.
But I have a few thoughts.
The first is that once you start a new exercise program, you will feel better. Time and time again, my patients who start exercising come back to tell me how good they feel and how much energy they have.
Exercise can be fun. Try to find something you like. Try, swimming, biking, weightlifting, walking, rowing. Try to find something you enjoy that will make the idea of getting started less daunting.
Finally, consider finding a buddy to help you exercise and hold you accountable. Humans are social animals, and having a friend around can help.
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