ADHD Treatment ADHD Adderall Drug Holidays for Children By Vincent Iannelli, MD Vincent Iannelli, MD Facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Updated on May 19, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print UrsaHoogle / E+ / Getty Images Since Adderall doesn't have to build up in your system from day to day, it is possible to give it on an as-needed basis. Some parents choose to skip giving ADHD stimulant medications on weekends, holidays, summers, or other breaks from school in what are called "drug holidays." These scheduled breaks from medication might be used to manage side effects or evaluate how someone does without it. However, the resulting ADHD symptoms can interfere with your child's behavior, relationships with family members, and how they do socially. That makes drug holidays less popular than they used to be. Pros and Cons of ADHD Drug Holidays There are pros and cons to taking a drug holiday. If you're thinking about a drug holiday, make sure that the benefits outweigh the risks, just as you likely did when you first started your child on Adderall. And always consult your child's doctor before making any changes. Pros A drug holiday might be used to: Alleviate side effects. Appetite problems and poor weight gain can be big problems for some children taking stimulants. If their medication is working very well for them otherwise, not taking it on weekends can be a good idea so that they eat better at those times. Evaluate the effect the medication is having. Trying a drug holiday can give a sense of what difference the medication is making, and to see if your child needs to keep taking it. Manage drug tolerance. If a medication isn't as effective as it once was, instead of increasing the dose, a doctor may try a drug holiday. A 2019 study published in the Journal of the American Academy of Child and Adolescent Psychology found that drug holidays were one factor that helped increase weight in a group of children whose BMI had declined after starting stimulants. Cons The main problem with skipping medication during certain periods, such as weekends and summer, is that a child's ADHD symptoms won't be under control during those times. While that may not be a big problem if your child simply has some attentional problems that interfere with schoolwork, not taking medication can become a bigger problem if they are also very impulsive and hyperactive. Also, some children do have more side effects on Mondays after being off their stimulant for the weekend as they get used to it again, so be on the watch for that. Remember that ADHD isn't usually just a school problem. If your child really functions better with medication, then it is probably a good idea to take it every day and not skip doses on weekends or other school holidays. When ADHD Medications Are Not Working for Your Child Managing ADHD Medication Issues If your child is experiencing problems with their medication, speak with their doctor. There may be another option that is better for them, depending on their issue. Side Effects If troublesome side effects are the reason you're considering a drug holiday, talk to your pediatrician about adjusting the dose or trying something else. A different stimulant, like Concerta or Focalin XR, or a non-stimulant medication, like Strattera or Qelbree, might be better alternatives. Although ADHD drug holidays were once popular, there are now so many different medications and dosages of each medication that it is much easier to fine-tune a child's dose and avoid side effects than it used to be. That makes it easier to avoid ADHD drug holidays and allow your child to take their medication every day. Medications to Treat ADHD in Children and Adults Mornings and Evenings You wouldn't want Adderall or any stimulant medication in your system 24/7 or you would have a very hard time sleeping. So it's beneficial for it to be out of your system after 10 to 12 hours. However, this can make early mornings and late evenings difficult for many children with ADHD. One option to manage this is to try a non-stimulant medication like Strattera or Qelbree. Jornay PM, a methylphenidate-based stimulant, is another option that can at least make early mornings easier. It's taken the evening before and is designed to release very slowly until morning, and then the effect carries through until the late afternoon. Discuss any concerns with your child's pediatrician and find the best medicine for your child. Skipping a Dose of ADHD Medication In most cases, if you simply forget to give your child a dose of their ADHD stimulant one day, then you can usually just restart it the next day. You do want to be careful that you don't give an extended-release stimulant, like Adderall XR, Concerta, or Focalin XR too late in the morning or afternoon, or your child will likely have a lot of trouble going to sleep that night. You also don't want to give an extra dose without talking to your pediatrician. A Word From Verywell It's important to speak with your child's doctor before having them take a break from or stop their medication. Be sure to work with the physician and tell them the issues your child is experiencing on Adderall and why you might be considering a drug holiday. This will help them solve the issue at hand in the safest, most effective way. 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ibrahim K, Vogt C, Donyai P. Caught in the eye of the storm: A qualitative study of views and experiences of planned drug holidays from methylphenidate in child and adolescent ADHD treatment. Child and Adolescent Mental Health. 2016;21(4):192-200. doi:10.1111/camh.12156 Ibrahim K, Donyai P. Drug holidays from ADHD medication: International experience over the past four decades. J Atten Disord. 2015;19(7):551-568. doi:10.1177/1087054714548035 Waxmonsky JG, Pelham WE, Campa A, et al. A randomized controlled trial of interventions for growth suppression in children with attention-deficit/hyperactivity disorder treated with central nervous system stimulants. Journal of the American Academy of Child & Adolescent Psychiatry. 2020;59(12):1330-1341. doi:10.1016/j.jaac.2019.08.472 Children and Adults with Attention-Deficit/Hyperactivity Disorder. Time for a medication vacation? Consider possible benefits. June 21, 2018. Additional Reading American Psychological Association Dictionary of Psychology. Drug holiday. Wolraich ML, Hagan JF Jr, Allan C, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 By Vincent Iannelli, MD Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for ADHD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.