title: The relationship between stimulant medication and tics.
abstract: Clinical evidence supports the observation that stimulant drugs increase the severity of tics in 25% to 50% of patients with TS, and occasionally can precipitate TS in a patient who did not previously manifest symptoms of this disorder. As ADD is frequently associated with TS, the clinician is often faced with a dilemma. A conservative approach to the use of stimulant medication, stringent criteria for its use, adequate counseling of the child and parents, and a thorough cost-benefit analysis before initiating treatment are required. Behavior management and environmental manipulation can be useful techniques with the child with ADD, and should be tried before medication is considered.
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000188:drug therapy*; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D002648:Child; D003913:Dextroamphetamine / Q000009:adverse effects; D004200:Diseases in Twins / Q000139:chemically induced; D006801:Humans; D008774:Methylphenidate / Q000009:adverse effects; D010389:Pemoline / Q000009:adverse effects; D005879:Tourette Syndrome / Q000139:chemically induced* / Q000150:complications / Q000235:genetics
chemical_list: D000697:Central Nervous System Stimulants; D008774:Methylphenidate; D010389:Pemoline; D003913:Dextroamphetamine