- Timing: ask the family when attention and medication effects best support a visit.
- Medication schedule: Confirm usual dosing and any prescriber-directed medication breaks; neither the diagnosis nor a medication holiday automatically rules out treatment
- Communication: Tell-show-do, ask-tell-ask, positive reinforcement, distraction
- Local anesthesia: stimulants raise heart rate and blood pressure. Aspirate, inject slowly, keep epinephrine within its dose limit, and remain within the weight-based local anesthetic maximum.
- Sedation: Check for interactions and airway issues before oral sedation; stimulants can interact with sedatives
- Prevention: supported brushing routines, fluoride toothpaste, and recall and varnish based on caries risk. Consider sugar-free saliva stimulation when developmentally appropriate and mouthguards for sport
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Guanfacine prescribing information.