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Tics and Tourette’s syndrome in children and adolescents

Detection and treatment of comorbidity

Education and behavioural treatments

Pharmacological treatments 614 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Tics and Tourette’s syndrome in children and adolescents Transient tics occur in ­5–­20% of children. Tourette’s syndrome (TS) occurs in about 0.7% of children and adol...

Adrenergic 2 agonists

Antipsychotics Prescribing in children and adolescents CHAPTER 5 these more helpful compared with medication.7 Robust research about the use of complementary or alternative therapies, their efficacy and potential adverse effects is lacking8 and certainty of ev...

Other drugs 616 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 placebo group. Surprisingly, a higher proportion of children in the low-dose group (18.2%) compared with the high-­dose group (9.3%) and placebo group (9.1%) gained clinically signifi...

References 618 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 References Murphy TK, et al. Practice parameter for the assessment and treatment of children and adolescents with tic disorders. J Am Acad Child Adolesc Psychiatry 2013; 52:­1341–­135...

Melatonin in the treatment of insomnia in children and adolescents

Efficacy 620 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Melatonin in the treatment of insomnia in children and adolescents Insomnia is a common symptom in childhood. Underlying causes may be behavioural (inappropriate sleep associations or be...

Adverse effects

Dose Prescribing in children and adolescents CHAPTER 5 Adverse effects Many of the children who have received melatonin in RCTs and published case series had developmental problems and/or sensory deficits. The scope for detecting subtle adverse effects in this...

References 622 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 References Gringras P. When to use drugs to help sleep. Arch Dis Child 2008; 93:­976–­981. Macchi MM, et al. Human pineal physiology and functional significance of melatonin. Front Ne...

Rapid tranquillisation (RT) in children and adolescents Prescribing in children and adolescents CHAPTER 5 Rapid tranquillisation (RT) in children and adolescents As in adults, a comprehensive assessment and effective treatment plan undertaken by staff skilled ...

References Prescribing in children and adolescents CHAPTER 5 References Kendrick JG, et al. Pharmacologic management of agitation and aggression in a pediatric emergency department – a retrospective cohort study. J Pediatric Pharmacol Therapeutics 2018; 23:­4...

Doses of commonly used psychotropic drugs in children and adolescents

References 626 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Doses of commonly used psychotropic drugs in children and adolescents Commonly used psychotropic drugs are presented in Table 5.12. References Paediatric Formulary Committee. BNF for ...

General principles in prescribing in older adults