Can I participate in physical education classes after using Spironolactone?
Hello Doctor, my daughter is currently in the 4th grade and has previously been diagnosed with ADHD.
She is currently taking Concerta 18mg.
She has been experiencing symptoms such as loss of appetite and headaches.
I would like to ask if it is okay for her to attend physical education classes if she usually takes her medication around 8 AM.
Yu, 40~49 year old female. Ask Date: 2023/11/24
Dr. Wu Enliang reply Psychiatry
Online users can attend classes normally without any impact.
Dr.
Wu En-liang.
Reply Date: 2023/11/24
More Info
When it comes to your child's participation in physical education (PE) classes while on Strattera (atomoxetine), it is generally considered safe for children to engage in physical activities, including PE, while taking this medication. Strattera is a non-stimulant medication commonly prescribed for Attention Deficit Hyperactivity Disorder (ADHD) and works by affecting the neurotransmitter norepinephrine in the brain.
While Strattera can be effective in managing ADHD symptoms, it may have side effects, including decreased appetite, headaches, fatigue, and potential mood changes. However, these side effects do not typically prevent a child from participating in physical activities. In fact, regular physical activity can be beneficial for children with ADHD, as it may help improve focus, reduce impulsivity, and enhance overall well-being.
Here are some considerations to keep in mind regarding your child's participation in PE classes while on Strattera:
1. Timing of Medication: Since your child takes Strattera in the morning around 8 AM, it is important to monitor how the medication affects her throughout the day. Strattera usually takes several weeks to reach its full effect, but some children may experience side effects shortly after taking it. If PE classes occur later in the day, your child may feel the effects of the medication, including any potential side effects.
2. Hydration and Nutrition: Given that Strattera can decrease appetite, it is crucial to ensure that your child stays hydrated and consumes nutritious meals. Encourage her to have a healthy breakfast before school, as this can help provide the energy needed for physical activities. If she is not eating well, consider discussing this with her healthcare provider to explore strategies to manage her appetite.
3. Communication with Teachers: It may be helpful to inform your child's PE teacher about her medication and any side effects she may be experiencing. This way, the teacher can monitor her during class and provide accommodations if necessary. For instance, if she feels fatigued or experiences a headache, the teacher can allow her to take breaks as needed.
4. Monitoring for Side Effects: Keep an eye on how your child feels during and after PE classes. If she experiences significant discomfort, fatigue, or any other concerning symptoms, it may be worth discussing these with her healthcare provider. They can assess whether her current dosage is appropriate or if adjustments are needed.
5. Encouraging Participation: Encourage your child to participate in PE classes to the best of her ability. Physical activity can be a great outlet for children with ADHD, helping them to channel their energy positively. If she enjoys certain activities, it may motivate her to engage more fully in PE.
6. Consulting Healthcare Providers: If you have any concerns about her ability to participate in PE or if she experiences any adverse effects from the medication, do not hesitate to reach out to her prescribing physician. They can provide personalized advice based on her specific situation and health needs.
In conclusion, your child can generally participate in PE classes while on Strattera, but it is essential to monitor her response to the medication and communicate with her teachers and healthcare providers. Regular physical activity can be beneficial for children with ADHD, and with the right support, your child can thrive both academically and physically.
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