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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Fainting While On Medication For ADHD?

My granddaughter has bouts passing out. She has been to several drs and several tests. She was in track and be running and just pass out falling flat on her nose. She is on ADHD meds anxiety meds antidepressant med and maybe even bipolar med . This has been for 3-4 years. She also had a couple bouts of cutting herself when she couldn t have her wa . The latest episode she passed out hit her head. Several days later she had an erratic violent fit with her mom the dad then restrained her literally held her down on the floor. Her eyes fluttetred and rolled back in her head and then she kinda like came back to her senses and wanted to know why her dad was holding her down. Doesn t remember anything that had just happened over the last hour or so. There has to be a medical problem. She s sweet, compassionate, loves her family and friends popular good grades n school just received 10,000 dollars in scholarships. I ve looked up everything from B12 deficiency to Huntington s disease
Mon, 21 Jan 2019
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General & Family Physician 's  Response
Hello,

It is important to know what exact medications your granddaughter is currently taking because it sounds like she is on multiple psychiatric medications for depression and bipolar disorder in addition to ADHD, which may contribute to current symptoms possibly as side effects or interactions.

I am not sure what ADHD medication if she is on, but one of the side-effects that may occur from that ADHD stimulant or other psychiatric medications is the dizziness, which may have been contributed to her episodes of passing out.

Patients who develop symptoms such as unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation to rule out any other underlying conditions.

There is also a warning that extra attention and care should be taken in using stimulants to treat ADHD patients with comorbid bipolar disorder because of concern for possible induction of mixed/manic episode in such patients.

You may want her parents to take her to her doctor to discuss further if her syncopal episodes continue to get worse without improvement and also make sure to have other work up including cardiac evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Katie Lee, General & Family Physician
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What Causes Recurrent Fainting While On Medication For ADHD?

Hello, It is important to know what exact medications your granddaughter is currently taking because it sounds like she is on multiple psychiatric medications for depression and bipolar disorder in addition to ADHD, which may contribute to current symptoms possibly as side effects or interactions. I am not sure what ADHD medication if she is on, but one of the side-effects that may occur from that ADHD stimulant or other psychiatric medications is the dizziness, which may have been contributed to her episodes of passing out. Patients who develop symptoms such as unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation to rule out any other underlying conditions. There is also a warning that extra attention and care should be taken in using stimulants to treat ADHD patients with comorbid bipolar disorder because of concern for possible induction of mixed/manic episode in such patients. You may want her parents to take her to her doctor to discuss further if her syncopal episodes continue to get worse without improvement and also make sure to have other work up including cardiac evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Katie Lee, General & Family Physician