Manage early morning ADHD symptoms and functional impairment with treatments that are effective from awakening

The early morning routine before school can be a particularly challenging time for children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Morning-dosed stimulants often fail to adequately address ADHD symptoms impaired functioning, due the delay in their onset of effect, which has significant impact on entire family. Clinicians should consider treatments that are effective from awakening, such as methylphenidate delayed release/extended release administered evening, transdermal system applied skin or long-acting non-stimulants atomoxetine guanfacine extended release, improve functioning during morning.