1049 A community study on improving the monitoring of ADHD patients on stimulant medication at a Northamptonshire GP practice

Abstract

Two (02) had ADHD, Eleven (11) had Autism Spectrum Disorder (ASD). Hypothyroidism was identified in Twelve ( 12) patients. Other medical conditions on record include, Type 1 diabetes,coeliac disease,Hirschprungs, obesity and scoliosis. All ADHD and ASD children on the data base have Intellectual disability. One child with ADHD (Diagnosed at six years of age and started on 10mg Extended release MethylPhenidate preparation is currently(13.5 yrs) on 60mg O.D. he has Circadin 6 mg for sleep on set insomnia. The young person diagnosed at the Age of 14.5yrs did not tolerate ADHD medication but tolerates Crushed Circadin Conclusion The Data base exploration in January 2022 revealed 1.6% had ADHD and 17. 2% ASD in children and young people with Down's syndrome aged 5-25 Yrs. The prevalence of ADHD and ASD in the Southend on Sea Down Syndrome data base at the Light House Child Development Center in comparison to a population based study in Sweden with 60 Down's syndrome children and young people (Ulrika Wester Oxelgren et al in Developmental Medicine & Child Neurology 2017)(ADHD 14%, ASD 47%) is very low.Limitations of the study-Number of children with ADHD is too small to comment on the variability of the type of presentation and the treatment response.A UK wide Down's Syndrome Data base review may help to ascertain the true prevalence of ADHD in Down Syndrome.