The most effective methods for treating autism are not
pharmaceutical treatments. Language and speech therapy, approaches to education
such as structured teaching, and other behavioral approaches are the most
important and effective methods for working with autistic individuals. However,
in some cases, medication for autism may be prescribed to remediate
self-injurious or repetitive behavior, or to control irritability and reduce
the frequency of “temper tantrums”.
The most common types of medication for autism include:
·
Selective Seratonin Reuptake Inhibitors (SSRIs)
·
Antipsychotics, either first-generation or
second-generation
·
Anticonvulsants
·
Stimulants
SSRI Medication for Autism
SSRIs are a type of medication that increase the available
amount of serotonin, an important neurotransmitter molecule, in the brain. They
are sometimes prescribed to autistic persons in order to control some of the
restricted, repetitive behaviors common in autism spectrum disorders.
Some common SSRI medications include:
·
Zoloft
·
Prozac
·
Paxil
SSRIs are most commonly used to treat anxiety and
depression. In autistic persons, they are applied to individuals demonstrating
anxiety, obsessive-compulsive, or repetitive behavior patterns.
Although these medications are sometimes used to treat
autistic behaviors, recent analysis of available research data have suggested
that, in the past, the benefits of SSRIs for treating autism behaviors may have
been decidedly overstated.
Anti-Psychotic Medication for Autism
When behavioral approaches such as applied behavior analysis
are not effective on their own, aggressive or self-injurious behavior in autism
is sometimes treated with anti-psychotic medications,
There are two main classes of anti-psychotics. The older
class of antipsychotics includes:
-
Haloperidol
-
Chlorpromazine
-
Thorazine
-
Fluphenazine
These may produce side effects, including sedation, muscle
stiffness, and abnormal movements.
The newer class of antipsychotics includes such drugs as:
-
Zyprexa
-
Risperdal
-
Geodon
-
Seroquel
Side effects of the newer class of antipsychotics include
increased appetite and weight gain.
Anti-psychotic medications function as dopamine receptor
antagonists, meaning they prevent excessive uptake of dopamine by brain cells.
Anticonvulsant Medication for Autism
Anticonvulsants are a type of medication most commonly used
to treat seizure disorders. Among people with autism, approximately 25% also
experience seizures, so it is not uncommon for autistic individuals to be on an
anticonvulsant.
Common anticonvulsants include:
-
Topiramate (Topomax)
-
Lamotrigine (Lamictal)
-
Valproic acid (Depakote)
Stimulant Medication for Autism
Stimulants are sometimes used to treat inattention and
hyperactivity in the context of autism. Commonly used stimulants include:
-
Ritalin
-
Concerta
-
Dexedrine
-
Adderall
Stimulants, anticonvulsants, antipsychotics, and SSRIs are
all sometimes used as medication for autism. These drugs help treat behavioral
abnormalities, such as restrictive and repetitive behaviors or hyperactivity.
However, none of them are effective by themselves to treat autism. The best
approach to autism is a behavioral approach. Methods such as Applied Behavior
Analysis and Structured Teaching, along with speech and language therapy, work
with autistic children to improve language abilities and social skills. Medication
for autism remains somewhat controversial, with some recent studies indicating
that they may not be as effective in treating the disorder as was previously
believed.
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