The pharmacotherapy of attention-deficit hyperactivity disorder has evolved
parallel to the understanding of the disorder. Over the decades, treatment
concerns have expanded from a primarily behavioral focus to include prosoc
ial interactions and cognitive and executive functions. Although the bulk o
f the vast literature documents the short-term efficacy of stimulants, rece
nt studies have begun to examine long-term effects. In addition to the stim
ulants, there is a considerable amount of literature indicating an importan
t role for other catecholaminergic agents and promising new findings in cho
linergic agents.