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Can medication holidays be beneficial for children with hyperactive-impulsive ADHD? 

If your child takes medication for impulsive ADHD, you might wonder whether a short break, or “medication holiday” could help. The idea is simple: pausing treatment for a weekend, summer, or school holiday to reduce side effects or reassess needs. But is it a good idea? 

In some cases, yes. For children whose hyperactive-impulsive ADHD symptoms are mostly tied to academic settings, taking time off medication during school breaks may reduce side effects like appetite suppression or sleep issues, without compromising progress. 

What to consider before pausing medication 

Taking a break from treatment isn’t right for everyone. Here’s what parents should think about first: 

  • Child’s symptom pattern 
    If impulsivity, emotional outbursts, or hyperactivity are severe even outside school, stopping medication might disrupt home life and social interactions. 
  • Timing and duration 
    Holidays are often chosen to minimise the impact on learning. But breaks should still be supervised and planned with a healthcare provider. 
  • Use of non-pharmacological support 
    During medication holidays, lean into behaviour strategies, mindfulness, and parent training to help manage symptoms. These tools keep routines structured and reinforce self-regulation skills. 
  • Monitoring effects 
    Keep a close eye on your child’s mood, behaviour, and focus during the holidays. This helps assess whether the break was helpful or signals a need to adjust treatment. 

Always consult your healthcare provider before making changes. Thoughtful planning and ongoing support are essential. Visit professionals like ADHD Certify for guidance on personalised care plans and safe medication management. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Hyperactive‑Impulsive ADHD

Lucia Alvarez, MSc, author for my patient advice - mypatientadvice.co.uk

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.