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Monarch eTNS: Non-Medication Prescription Device for ADHD

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Monarch eTNS is a non-medication prescription device designed for overnight use in children with ADHD ages 7 to 12. The Monarch eTNS System is the first FDA-cleared device for ADHD with proven efficacy in alleviating ADHD symptoms, according to a small study.1The Monarch eTNS (external Trigeminal Nerve Stimulation) System is an electronic device, about the size of a cell phone, that connects to a disposable patch placed on a child’s forehead at bedtime.

Once turned on, the device sends low stimulating pulses to the trigeminal nerve through the patch overnight. The trigeminal nerve is the brain’s largest cranial nerve responsible for communicating sensations from the face to other parts of the nervous system — including brain areas involved in mood disorders, epilepsy, and attention.Monarch eTNS is for patients ages 7 to 12 who are not currently taking prescription ADHD medication.

The device should not be used by patients with an active implantable pacemaker or implantable neurostimulator, or in those with body-worn devices (e.g., insulin pumps).Two clinical trials compared the Monarch eTNS system’s efficacy in treating ADHD to a placebo device.In 2014, 24 children with ADHD aged 7-14 years participated in an 8-week, open-label pilot feasibility study.

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