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Hi Mark. You have provided an informative post on the pros of prescribing Amphetamine for Malcolm, who is a 9-year-old male in the 4th grade at the public elementary school and has recently been diagnosed with ADHD, combined presentation. Both stimulant and non-stimulant medications can be effective in treating ADHD; non-stimulant medications may be a better choice for Malcolm due to their fewer side effects, longer duration of effect, lower risk of abuse, and potential to treat comorbid conditions. However, the choice of medication should always be made in consultation with a healthcare provider, taking into account the individual’s symptoms, overall health, and personal preferences. I would support the use of Amphetamine in this patient because amphetamine-based stimulants are appropriate for individuals like Malcolm, diagnosed with ADHD, combined presentation, due to their ability to target core symptoms of hyperactivity, impulsivity, and inattention effectively (Cutler et al., 2023) In case of the side effects such as decreased appetite, insomnia, and mood changes (Mattingly et al., 2020). Alternative medication options may be considered for individuals who do not tolerate or respond adequately to stimulant medications. However, they may have limitations in addressing core ADHD symptoms.

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