I'm proudly ADD. We have a unique set of skills that the world needs. We are the best emergency personnel around, making excellent ER doctors, paramedics, and firefighters. Our different way of thinking and perceiving the world makes us awesome inventors and innovators. ADD is not a defect, it's a powerful and vital part of human neurological diversity. The world needs us.
We are also a complete pain to parent, and tend to do badly in the conventional school system. Is medication appropriate? Sometimes, but not always.
We ADD folks need to learn to manage and ride the energy and power of ADD. This is hard and it takes a long time. Excessive and inappropriate medication just delays the learning process until adulthood. People tend to be much more forgiving of the learning process in children than in adults. For this reason, I really prefer to avoid medicating children.
On the other hand, if your child is so impulsive they are a danger to themselves or others, this is something to consider. A child shouldn't have to live with the regret of having accidentally causing a death or serious injury. In these cases, I think medication is pretty appropriate.
Likewise, if your child is trapped in an environment (like school), that is constantly telling them they are worthless unless they think and behave like everyone else, medication can be helpful. I'd prefer to change the environment, but that isn't possible for all families. In this situation, make sure the child knows the medication is a tool to help them deal with an unreasonable situation until they can get into a situation that better appreciates their strengths. The *environment* is the problem, not the child. There is nothing wrong with the child.
Good luck. Contact me privately if you'd like to talk in more detail about skills and tricks that are helpful for ADD/ADHD kids to learn.