Questions About ADHD Medication Breaks: Exploring the Drug Holiday

A drug holiday, or a deliberate and temporary cessation of a prescription medication, is a topic that yields strong opinions on both sides. For parents of children with attention deficit hyperactivity disorder (ADHD or ADD), questions about drug holidays are especially common during the summer when homework and school schedules are not as pressing. The decision whether to continue ADHD medication during summer vacation largely depends on the child's behaviors, as ADHD affects people in various situations, not just school or work. While some parents may feel equipped to manage their child's behavior without medication, others may believe the negative impact of ADHD symptoms outweighs any potential benefits of a drug holiday.

The most common stimulants prescribed for children with ADHD are methylphenidate and amphetamine, which have no cumulative effects. Therefore, if a child takes one on a Monday, it works only on that day, meaning there's not enough left in their blood to function the following day. A medication vacation is generally safe for most children, but caregivers should speak with their pediatrician about helping their child adjust to medication after a lapse. It may also be beneficial to consider alternative medications with fewer side effects.

A drug holiday may not be appropriate for all children, particularly those with severe ADHD, as they may engage in risky behaviors such as substance use or risky sex without medication. For teens with ADHD, a medication vacation can be dangerous if they are impulsive, hyperactive, or have difficulty concentrating and driving. Ultimately, the decision to give a child a drug holiday is a family decision that prioritizes the benefits of taking medication versus the side effects. Caregivers should consult with their child's doctor before making any medication-related decisions.

SUPPORT ADDITUDE Thank you for reading ADDitude. To support our mission of providing ADHD education and support, please consider subscribing. Your readership and support help make our content and outreach possible. Thank you.