Novice Drivers with Attention-Deficit Hyperactivity Disorder

In this commentary article, the author comments on a recent editorial in the Canadian Medical Association Journal (CMAJ) that focused on the high rate of injuries and deaths among youthful drivers. The editorial emphasized the need to address potentially modifiable human factors in what was characterized as an important public health epidemic. In this article, the author discusses the safety of drivers with attention-deficit hyperactivity disorder (ADHD). In the 2006 edition of the Canadian Medical Association's driver guide, physicians are advised to consider treating novice drivers with ADHD with long-acting stimulants, on the basis of a recent meta-analysis examining the effects of a variety of medications used to treat ADHD. Young drivers with ADHD have been shown to demonstrate a normalization of dysfunctional driving behaviors on a driving simulator and during on-the-road driving when they receive treatment with long-acting methylphenidate compared with treatment with other stimulants and nonstimulants. The author concludes by applauding the CMA's decision to incorporate evidence-based findings in their new handbook, noting that recommendations in previous editions were based on the consensus opinion of an expert panel.


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  • Accession Number: 01150359
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Feb 9 2010 11:12AM