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ADHD medication rebound, sometimes called the “rebound effect,” is a flare of ADHD symptoms at the time a stimulant medication wears off. It is the brain’s reaction to the ADHD stimulant medication leaving the body, and it can result in an intense reaction or behavior change for roughly 60 minutes at the end of a dose.
- Overview
- When to use epinephrine
- How to administer epinephrine
- While you wait for emergency responders
- Risk of rebound anaphylaxis after emergency epinephrine
- Anaphylaxis aftercare
- Preventing future anaphylactic reactions
There are few things more frightening than having or witnessing an anaphylactic reaction. The symptoms can go from bad to worse very quickly, and may include:
•trouble breathing
•hives
•swelling of the face
•vomiting
•fast heartbeat
Epinephrine usually relieves the most dangerous symptoms of anaphylaxis quickly — including throat swelling, trouble breathing, and low blood pressure.
It’s the treatment of choice for anyone experiencing anaphylaxis. But you need to administer epinephrine in the first few minutes after the allergic reaction starts for it to be most effective.
Keep in mind that you should only give epinephrine to a person who’s been prescribed the medication. You should also follow the instructions carefully. Dosages vary, and individual medical conditions can affect how a person reacts to it.
For example, epinephrine could cause a heart attack in someone with heart disease. This is because it speeds up the heart rate and raises blood pressure.
Give an epinephrine injection if someone has been exposed to an allergic trigger and:
•has trouble breathing
Before using the auto-injector, read the instructions. Each device is a little bit different.
Important
When you receive your epinephrine auto-injector prescription from the pharmacy, BEFORE you need it, examine it for any deformity. Specifically, look at the carrying case and be sure it is not warped and the auto-injector will slide out easily. Also, examine the safety cap (usually blue) and be sure it is not raised. It should be flush with the sides of the auto-injector. If any of your auto-injectors do not slide out of the case easily or have a safety cap that is slightly raised, take it back to the pharmacy for a replacement. These deformities can cause a delay in administering the medication, and any delay in an anaphylactic reaction can be life threatening. So again, BEFORE you need it, please examine the auto-injector and make sure there are no deformities.
In general, to give an epinephrine injection, follow the steps below:
1.Slide the auto-injector out of the carrying case.
2.Prior to use, the safety top (usually blue) must be removed. To do this properly, hold the body of the auto-injector in your dominant hand and with your other hand pull off the safety cap straight up with your other hand. DO NOT try to hold the pen in one hand and flip the cap off with the thumb of the same hand.
While you wait for medical help to arrive, take these steps to keep yourself or the person who’s having the reaction safe:
•Remove the source of the allergy. For example, if a bee sting caused the reaction, remove the stinger using a credit card or tweezers.
•If the person feels like they’re about to faint or they’re fainting, lay the person flat on their back and raise their legs so that blood can get to their brain. You can cover them with a blanket to keep them warm.
•If they’re throwing up or having trouble breathing, especially if they are pregnant, sit them up and even a little forward if possible, or lay them on their side.
•If the person becomes unconscious, lay them down with their head tilted back so that their airway isn’t closed off and check for pulse. If there is no pulse and the person is not breathing, give two quick breaths and start CPR chest compressions.
•Give other medications, such as an antihistamine or an inhaler, if they’re wheezing.
An injection of emergency epinephrine could save a person’s life after an anaphylactic reaction. However, the injection is only one part of the treatment.
Everyone who’s had an anaphylactic reaction needs to be examined and monitored in an emergency room. This is because anaphylaxis isn’t always a single reaction. The symptoms can rebound, returning hours or even days after you get an epinephrine injection.
Most cases of anaphylaxis happen quickly and fully resolve after they’re treated. However, sometimes the symptoms get better and then start again a few hours later. Sometimes they don’t improve hours or days later.
Anaphylactic reactions happen in three different patterns:
•Uniphasic reaction. This type of reaction is the most common. Symptoms peak within 30 minutes to an hour after you’re exposed to the allergen. Symptoms get better within an hour, with or without treatment, and they don’t return.
•Biphasic reaction. Biphasic reactions occur when symptoms go away for an hour or more, but then return without your being reexposed to the allergen.
The risk of a rebound anaphylactic reaction makes proper medical evaluation and aftercare crucial, even for people who feel fine after treatment with epinephrine.
When you go to the emergency department to be treated for anaphylaxis, the doctor will do a full examination. The medical staff will check your breathing and give you oxygen if needed.
If you continue to wheeze and have trouble breathing, you may be given other medications by mouth, intravenously, or with an inhaler to help you breathe more easily.
These medications can include:
•bronchodilators
•steroids
Once you’ve been successfully treated for an anaphylactic reaction, your goal should be to avoid another one. The best way to do that is to stay away from your allergy trigger.
If you’re not sure what caused your reaction, see an allergist for a skin prick or blood test to identify your trigger.
If you’re allergic to a certain food, read product labels to make sure you don’t eat anything containing it. When you eat out, let the server know about your allergies.
If you’re allergic to insects, wear an insect repellant whenever you go outdoors in the summer and stay well covered with long sleeves and long pants. Consider lightweight clothing options for the outdoors that keep you covered but cool.
Never swat at bees, wasps, or hornets. This may cause them to sting you. Instead, slowly move away from them.
If you’re allergic to medication, tell every doctor that you visit about your allergy, so they don’t prescribe that drug for you. Also let your pharmacist know. Consider wearing a medical alert bracelet to let emergency responders know that you have a drug allergy.
Aug 30, 2023 · The good news is that for some people, this reaction usually lasts for only about an hour. Sometimes an adjustment in medication can help reduce rebound. Why rebound occurs. Rebound is directly linked to how fast a person’s body processes a medicine. The rate at which the medication wears off isn’t the same for everyone.
May 15, 2023 · If your child is going through a rebound and you want to help ease their symptoms, there are some techniques you can use. Break activities down into smaller tasks, give them directions slowly to ...
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How do you know if a relationship is a rebound?
- Exploration of New Options. You'll also see this called the pre-rebound stage. It covers the period when you realize that the end of a relationship means that you are free to start a new relationship.
- The Partnering “Honeymoon” You've found someone, and you're having a good time. You place the relationship at the center of your life. You want to spend as much time with the new person as possible.
- Visibility of Flaws and Red Flags. The party of the honeymoon stage inevitably comes to an end, and problems become impossible to ignore. Your emotional and physical desires begin to give way to a rational assessment of the relationship.
- Complaints and Conflicts. As flaws or red flags enter your perception, you'll eventually voice your concerns. This starts as complaints. You might call the person out for bad behavior that you previously ignored.
Sep 2, 2013 · Posted Sep 02, 2013. A person might be considered on the rebound if he or she becomes involved in a relationship that shortly follows the ending of a previous one. Those on the rebound are assumed ...
Feb 10, 2021 · Rebound relationships get a bad reputation because there’s an assumption that the rebounder is using the reboundee, says Lehmiller. “But there’s nothing inherently wrong wanting to rebound ...
![Illustration of direct rebound effect. Data source: [34]. | Download ...](https://images.search.yahoo.com/search/images?p=what+happens+at+the+end+of+the+rebound+reaction&ei=UTF-8&norw=1&_tsrc=apple&age=1w&th=90.7&tw=134.8&imgurl=https%3A%2F%2Fwww.researchgate.net%2Fpublication%2F276406521%2Ffigure%2Ffig2%2FAS%3A503316381278209%401497011384537%2FIllustration-of-direct-rebound-effect-Data-source-34.png&rurl=https%3A%2F%2Fwww.researchgate.net%2Ffigure%2FIllustration-of-direct-rebound-effect-Data-source-34_fig2_276406521&size=67KB&name=Illustration+of+direct+rebound+effect.+Data+source%3A+%5B34%5D.+%7C+Download+...&oid=3&h=573&w=850&turl=https%3A%2F%2Ftse1.mm.bing.net%2Fth%3Fid%3DOIP.BQaKQSQrA9LSVP09vB6S4wHaE_%26pid%3DApi%26rs%3D1%26c%3D1%26qlt%3D95%26w%3D134%26h%3D90&tt=Illustration+of+direct+rebound+effect.+Data+source%3A+%5B34%5D.+%7C+Download+...&sigr=X6YwZqhHuG0z&sigit=O_hANbA0LXXC&sigi=pQRicxvkuKjR&sign=JSWTBxtEO9Xl&sigt=JSWTBxtEO9Xl "Illustration of direct rebound effect. Data source: [34]. | Download ...")
