[Sharilee]

Hi everyone,

I'm concerned because my son had an ekg and it wasn't normal.
He will be seeing a cardiologist next month but I'm trying to find out as much as possible. The results were Sinus Rhythm with Sinus arrythmia and borderline prolonged QT interval. I was reading about this and apparently from what I read normal is 450.. his was 469. Prolonged is considered
470. I know that the sinus arrythmia can have to do with his breathing while the EKG was going on and it is common in children. I also know that a prolonged QT means that the heart contracts on the Q and then relaxs with the T. So it takes longer than normal for his heart to go from contraction to relaxation. But, I still don't know what this means for my nine year old son.
How this could effect him. Is this the beginning of heart problems.
He has also had BP higher (but within normal limits) than average for a child
His age.

I'm really concerned because my son has been on stimulant meds for adhd since he was 4 years old. There was never a baseline EKG done on him before he started taken meds. I was told that this could be because of meds or it could just be something that was there before meds.

I'm really confused about this.

I don't understand what this could mean for my child.

Anyone that has had experience with EKG... Cardiology... or Medical knowledge... or simply has a child on Stimulant meds that has had similar problems... Anyone with information period, I would apprecaite all the advice, information I can get my hands on.

Thank you so much for reading...

[Stormy69]

I don't know if you have seen this page, but it has some useful information

AboutOurKids.org | Guide to Psychiatric Medications for Children and Adolescents

[fredg]

Hi,
At 64 yrs old, I have had EKG's, and I have a slight heart murmur, which has been there for the past 20 years. I am not familiar with all you speak of. My main reason for posting this is to be very careful at jumping to any conclusions, before your appointment. The Doctor will be your best source of information, and I do wish you the best. Please look at the site given in the previous answer, as it is a good one. I do wish you the best, and I am not a Doctor, nor a Professional in this area.

[Sharilee]

I don't know if you have seen this page, but it has some useful information

AboutOurKids.org | Guide to Psychiatric Medications for Children and Adolescents

Thank you for your response.
I did look at the website and the information there is interesting to say the least. Thank you..

[Sharilee]

Hi,
At 64 yrs old, I have had EKG's, and I have a slight heart murmur, which has been there for the past 20 years. I am not familar with all you speak of. My main reason for posting this is to be very careful at jumping to any conclusions, before your appointment. The Doctor will be your best source of information, and I do wish you the best. Please look at the site given in the previous answer, as it is a good one. I do wish you the best, and I am not a Doctor, nor a Professional in this area.

The whole point of your post is to tell me something I already know.
That's OK and I thank you for your response.

If you look at my post it pretty much explains what everything means. I do have training in EKG's as well as interpreting them. However, I'm not a doctor either and I don't know what it means for a child of 9 years old on stimulant meds. I've read lots and lots of articles talking about children having heart problems because of stimulant meds and some are even dying. Of course the Doctor is my best source of information, that's why I am taking him to a pediatric cardiologist. But as a parent I need to be well informed myself, that's just the way I am.
My son also has a higher than average BP for his age. The higher his dose the higher his BP and sometimes his pulse can be high also, this worries me.
The other thing that worries me is Doctors tend to back up other Doctors.
The Doctor that prescribes for him may have a different opinion than his Pediatrician, the Cardiologist may also have a different opinion than the other two Doctors... so like I said as a parent I need to be well informed when I talk to these Doctors. I need to know what test to push for, I'm thinking an Echocardiogram.

I posted here because I know that there are people professional as well as parents that may be familiar with how stimulants effect themselves and/or children. Some may have a similar problem getting the information that they need. This post may also be helpful to other people looking for information.

Thank you for your response

[jep1982]

First off, Im not a professional or Doctor.. However, Ive had heart problems my whole life, and still go to the Cardiologist yearly. My regular doctor found I had a heart murmer when I was 4, which led to yearly Echo's until I was 12 when they found something serious. It had to do with my Aorta, which was blocked to put it in lamens terms. I completely agree with you that you should get your son an Echo, and it does surprise me that the Cardiologist didn't suggest that on the spot. However, that could be a good thing that he/she didn't see the need at that time. So you know, Im 23 years old now and have led a productive life since my heart surgery in 1994. Kids heal wonderfully in any aspect, so even if your son should need surgery, he'll pull through and be fine.

On the medication for his ADHD, I tried looking it up on WebMd.com, however I didn't know the exact meds your son is on, so there was no information that I could look at. If you need my help to look at certain things, you can give me the info, and I'll respond back as soon as I can. I hope everything is okay with your son, and good luck.

[Sharilee]

First off, Im not a professional or Doctor.. However, Ive had heart problems my whole life, and still go to the Cardiologist yearly. My regular doctor found I had a heart murmer when I was 4, which led to yearly Echo's until I was 12 when they found something serious. It had to do with my Aorta, which was blocked to put it in lamens terms. I completely agree with you that you should get your son an Echo, and it does suprise me that the Cardiologist didn't suggest that on the spot. However, that could be a good thing that he/she didn't see the need at that time. So you know, Im 23 years old now and have led a productive life since my heart surgery in 1994. Kids heal wonderfully in any aspect, so even if your son should need surgery, he'll pull through and be fine.

On the medication for his ADHD, I tried looking it up on WebMd.com, however I didn't know the exact meds your son is on, so there was no information that I could look at. If you need my help to look at certain things, you can give me the info, and I'll respond back as soon as I can. I hope everything is okay with your son, and good luck.

My son has been on just about every stimulant available for ADHD, including Strattera. Also he takes the highest amount of clonidine for sleep.
I'm worried there is no help for him one way or another, no medication has been good enough for his teachers. When on meds, he's better (but not as good as they would like) at home he is worse. Vise versa when off meds.
It's confusing and I am concerned about future health problems.
He is seening a pediatric cardiologist the 19th. From my experience with doctors I don't see that it will be very helpful or reassuring to me or my family. Thank you for your input, I really appreciate it.

[JoeCanada76]

May I ask you a question. Why was your child put on these medications at such a young age?

[jep1982]

Okay, I have a ton of information on the 2 meds for your son, so its going to be lengthy. If you could just bare with me, I'd appreciate it. I need to put this info into 2 different sections, I have too much and it won't accept it! So sorry about that!

Strattera:


Warnings:

Studies have shown that a small number of people (especially children/teenagers) who take atomoxetine for attention-deficit hyperactivity disorder (ADHD) may experience worsening of their condition, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of this medication (especially for children/teenagers).
Tell the doctor immediately if you notice worsening of your condition/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when you first start this medication or when the dose is changed.

Uses and How to Use:

Atomoxetine is used to treat attention-deficit hyperactivity disorder (ADHD). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). It may help to increase the ability to pay attention, concentrate, stay focused, and stop fidgeting.
Read the Medication Guide provided by your pharmacist before you start using atomoxetine and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist.
This medication may be taken with or without food. Take this medication as prescribed, usually either as a single daily dose in the morning or divided into two doses in the morning and late afternoon/early evening; or as directed by your doctor.
Your dosage is based on your medical condition and response to therapy. Do not increase your dose or take it more frequently than prescribed.
Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time(s) each day.
Inform your doctor if your symptoms persist or worsen.

Side Effects:

Stomach upset, nausea, vomiting, constipation, fatigue, loss of appetite, dry mouth, dizziness, trouble sleeping, menstrual cycle changes, or mood changes may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these serious side effects occur: decreased interest in sex, difficulty urinating.
Tell your doctor immediately if any of these unlikely but serious side effects occur: weight loss, decrease in sexual ability (e.g. impotence, ejaculation problems), unusually fast heartbeat, severe headache, blurred vision.
Atomoxetine has very rarely caused very serious liver problems. If you notice any of the following highly unlikely but very serious side effects, seek immediate medical attention: yellowing of skin or eyes, dark urine, severe stomach pain, "flu-like symptoms (e.g. fever, chills, unexplained fatigue). If you experience any of these symptoms ask your doctor about whether you should ever take atomoxetine again.
A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.
If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions:

Before taking atomoxetine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: glaucoma (narrow angle).
Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, heart disease (e.g. high blood pressure, fast heartbeat, coronary artery disease), low blood pressure, strokes, bladder or prostate problems, mental/mood disorders (e.g. bipolar disorder, depression, history/family history of suicide).
This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages.
To minimize dizziness or fainting, get up slowly from a lying or seated position (especially when you first start using this drug or if your doctor changes your dose).
Caution is advised when using this drug in children because they may be more sensitive to its side effects, especially loss of appetite and weight loss. It is important to monitor weight and growth in children who are taking this drug.

Interactions with other drugs:

Certain medications taken with this drug could result in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g. furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline, isocarboxazid, tranylcypromine) within 2 weeks before or after treatment with this medication. Consult your doctor or pharmacist for additional information.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: asthma drugs (e.g. albuterol, metaproterenol), fluoxetine, paroxetine, quinidine.
Check the labels on all your medicines (e.g. cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.

Certain medications taken with this drug could result in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g. furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline, isocarboxazid, tranylcypromine) within 2 weeks before or after treatment with this medication. Consult your doctor or pharmacist for additional information.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: asthma drugs (e.g. albuterol, metaproterenol), fluoxetine, paroxetine, quinidine.
Check the labels on all your medicines (e.g. cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.

[jep1982]

Clonidine:

Warnings:

Check with your physician if you have any of the following:

Conditions:

Depression, Heart Attack, Disease of Inadequate Blood Flow to the Heart Muscle, Atrioventricular Heart Block, Sick Sinus Syndrome, Any Disorder of the Blood Vessels of the Brain, Occasional Numbness, Prickling, or Tingling of Fingers and Toes, Buerger's Disease, Long-Term Kidney Problems, Skin Inflammation
Uses:

This medication is used to treat high blood pressure. It works by stimulating certain brain receptors (alpha adrenergic type) which results in the relaxing of blood vessels in other parts of your body, causing them to widen. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.
OTHER USES: This medication may also be used to ease withdrawal symptoms associated with the long-term use of narcotics, alcohol and nicotine (smoking). In addition, clonidine may also be used for migraine headaches, hot flashes associated with menopause, attention deficit hyperactivity disorder, and other conditions as determined by your doctor.


Do not suddenly stop taking this medication without consulting your doctor because your condition may become worse. A serious rapid increase in your blood pressure (rebound hypertension) may occur when this drug is suddenly stopped or if you miss 2 or more doses in a row, especially if you have been taking it for a long time, at higher doses, or with a beta-blocker medication. Therefore it is important that you do not run out of clonidine. There have been reports of rare, but severe (possibly fatal) results, including stroke, from stopping this drug too quickly. If you must stop taking this drug, your dose should be gradually decreased over several days as directed by your doctor.
When used for an extended period, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well (e.g. your routine blood pressure readings increase).

Side Effects:

Dizziness, lightheadedness, drowsiness, dry mouth, or constipation may occur as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use a saliva substitute.
Tell your doctor immediately if any of these unlikely but serious side effects occur: fast/slow/irregular heartbeat, depression.
Serious allergic reactions to this drug are unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing.
If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions:

Before taking clonidine, tell your doctor or pharmacist if you are allergic to it; or if you developed a rash during treatment with clonidine in the patch form; or if you have any other allergies.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, heart disease (e.g. severe coronary insufficiency, conduction disorders, and recent heart attack), depression, blood circulation disorders (e.g. Raynaud's disease).
Before having surgery, tell your doctor or dentist that you are taking this medication.

To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

Caution is advised when using this drug in children. If they cannot take doses of this medication due to vomiting from stomach/abdominal illnesses, they may be at increased risk for developing rebound hypertension. (See How to Use section.) Consult your doctor immediately about what to do in case your child becomes too ill to take this medication.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: beta-blocker drugs (e.g. metoprolol, propranolol), cyclobenzaprine, other drugs which can slow the heart rate (e.g. digoxin, calcium channel blockers, guanethidine), MAO inhibitors (e.g. furazolidone, linezolid, moclobemide, phenelzine procarbazine, selegiline, isocarboxazid, tranylcypromine), tricyclic antidepressants (e.g. amitriptyline, desipramine).
Check the labels on all your medicines (e.g. cough-and-cold products, diet aids, nonsteroidal anti-inflammatory drugs - NSAIDs for pain/fever reduction) because they may contain ingredients that could increase your blood pressure. Many cough-and-cold products may also contain ingredients that cause drowsiness. Ask your pharmacist about the safe use of those products.

Interactions with other drugs:

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: antihistamines (e.g. diphenhydramine), anti-anxiety drugs (e.g. diazepam), anti-seizure drugs (e.g. carbamazepine, Phenobarbital), medicine for sleep (e.g. sedatives), muscle relaxants, narcotic pain relievers (e.g. codeine), psychiatric medicines (e.g. phenothiazines such as chlorpromazine), and tranquilizers.