A Psychiatrist’s Guide to Medication Vacations 

Medication can be a vital asset for many children and young adults diagnosed with ADHD, assisting in emotional regulation, impulse control, academic experience, social interaction, etc. However, some patients may benefit from taking breaks, or so-called medication vacations, especially during the summer, when school is not in session. Is this practice safe and beneficial? It can be for some! Let’s talk about the specifics. 

Who Can Take a Medication Vacation? 

While taking a medication vacation is generally safe, there are some factors to consider when making the decision for and with your child. 

Type of Medication 

Stimulants (Ritalin, Adderall, Vyvanse, etc.) do not build up in the system, so patients don’t need to take them consistently. These are the medicines that are perfect for medication vacations, and no harm will come from taking a break from them. They will simply resume working once the child gets back to taking them in the fall.  

However, non-stimulants (Guanfacine, Clonidine, Strattera, etc.) depend on ongoing maintenance of the substance within the body. These medicines build in the system, so a break would not necessarily be safe because it may cause systemic changes in the body.  

Function of Medication 

Another factor to consider is the primary effect or function of the medicine. Some children take stimulants to combat inattention but are otherwise calm, not impulsive or hyper; these are the kids for whom a medication vacation would be appropriate.  

Other kids need ADHD medicine to help with impulse control, social interactions, and hyperactivity. These kids may benefit from continuing to take medication even when not engaged in academics to avoid problematic situations, getting in trouble, or engaging in conflict.  

Summer Activities 

If you’re deciding whether to offer your child a medication vacation, think about the summer activities you have planned. Will they need to be focused? Will they need to be calm for prolonged periods? Are they attending camp or summer school?  

It is also perfectly acceptable to offer medicine specifically on days when you know they will need it. For example: 

• if you’re going on a road trip and would like to help them stay calm in the car 

• if you want to make sure they enjoy their time at a theme park without getting in trouble 

Managing the Transition 

Always consult a medical professional before deciding on a medication vacation for your child. This is the best way to ensure the decision is right for your kiddo, and that the transition in and out will be smooth and healthy.  

For many kids, stopping the medicine will feel like a natural change coinciding with the end of school. At the end of the summer, it’s a good idea to resume the medication a week or two before the start of school to mitigate any new side effects and have time to adjust in the comfort of home.    

Who Decides? 

At the end of the day, a medication vacation is both an individual and a family decision. Talk to your child about their experience with their ADHD medicine and ask them if they would like a break from its effects. The older they are, the more they can self-assess and choose what is best for their bodies.  

There’s a subset of kids who may feel more comfortable continually taking their medication to prevent feeling out of control. There are also kids who may benefit significantly from the break, especially if they need to catch up on nutrition or simply get time to un-focus. Open communication and educated decision-making are key here! 

If you or a family member needs behavioral and/or mental health treatment, but aren’t sure where to start, read more here or call 888-764-4161. Also, check out our parent coaching services for support and resources. We’re here to support!   

About the Expert 

Dr. Nicole Mavrides is the Medical Director of Child and Adolescent Psychiatry for PM Pediatric Care. She is quadruple board certified in pediatrics, adult and child psychiatry, and consultation liaison psychiatry. Her specialties include working with medically complicated patients as well as children, adolescents, and young adults who suffer from ADHD, anxiety, depression and mood disorders.