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ADD Drug Linked To Weight Loss

Posting Date: 09/05/2005

Q. My 10-year-old granddaughter has ADHD. She has been prescribed Concerta and Ritalin and takes both pills every morning.

At a birthday party for her cousin recently, my wife and I noticed that our granddaughter?s pants looked three sizes too large. She was constantly pulling them up.

I asked my daughter about this and she said the medicines have affected the girl?s appetite and are also causing sleeping problems. She just nibbles and picks at her food, so her mother gives her vitamins.

She is short for her age and extremely thin. I am concerned about her health. Is there any other treatment for this condition?

A. Concerta is a long-acting form of Ritalin. Both drugs contain the ingredient methylphenidate. Combining them might increase the risk of side effects.

Parents often report that their children have less appetite and may lose weight while they are taking Ritalin. Youngsters may also complain of stomachaches, insomnia, irritability and jitters. Some children develop tics while on the drug.

Edward Hallowell, MD, discusses nutrition-based treatment of ADD/ADHD in his new book, Delivered from Distraction (Ballantine Books). He suggests that up to 2.5 grams of omega-3 fatty acids found in fish oil may be helpful for this condition.

Q. What advice can you offer for chronic constipation? I am 55 and in excellent health, but the calcium supplements and Fosamax I take for bone strength are causing severe constipation.

I had a colonoscopy last fall and the doctor said that I could take milk of magnesia as often as needed. I hate to rely on it all the time, though. I usually need two or three doses to get relief.

I have read about bran muffins in your column. Could you please give me more information? I would like to use natural interventions if possible.

A. A surprising number of medications can contribute to constipation. Calcium, Fosamax, Detrol, Effexor, Lipitor and Zyprexa are just a few of the medicines that can affect the digestive tract.