For medication commencement, changes and titration we need a BP, Pulse and Weight for an adult (and BP, Pulse, weight and height for a child)
An ECG is not indicated prior to starting or whilst taking any of the ADHD medications unless you have a significant family history suggesting a Potential underlying cardiac condition, this would be:
- history of congenital heart disease or previous cardiac surgery
- history of sudden death in a first-degree relative under 40 years suggesting a
- cardiac disease
- shortness of breath on exertion compared with peers
- fainting on exertion or in response to fright or noise
- palpitations that are rapid, regular and start and stop suddenly (fleeting
- occasional bumps are usually ectopic and do not need investigation)
- chest pain suggesting cardiac origin
- signs of heart failure
- a murmur heard on cardiac examination