ADHD medication

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imagesTo save money, many people with ADHD take generic medications. Most have received assurances from  their physicians that “bioequivalence” with the brand-name version is required and assured. Unfortunately, that is not always the case. Increasingly, patients who do notice a significant difference between brand-name and generic are making their voices heard.

The ADHD Roller Coaster covered this topic a few months ago, after I read an outrageous Consumer Reports press release that  even warned consumers away from brand-name medications for ADHD as being too costly and unnecessary.  I countered with this blog post on the potential dangers of generic medications for treating ADHD and co-existing conditions.

With other readers, I left comments at the Consumer Reports blog post (”Parents: Don’t rush Children to Adderall, Concerta, Strattera”).

Today’s New York Times article (”Not All Drugs Are the Same After All”) today backs up my points on generics. Some snippets: Read the rest of this entry »

Only Harry Potter fans have awaited a book as I’ve awaited Dr. Charles Parker’s forthcoming book on ADHD medication treatment strategies. Nothing has frustrated me more in ten years of advocacy than hearing meds-gone-awry stories. A solid getting-the-meds-right guide for patients and clinicians is long overdue.

lg_specialty_drug_faqsWith the full book still in the editing stage, Dr. Parker has made this abbreviated e-book available free: Predictable Solutions for the 10 Most Common Challenges with ADHD Medications. To download the book, visit this page on Dr. Parker’s Corepsychblog webite.

A sampling of challenges addressed in this booklet:

  • Problem #1: Overlooking Targets – Beyond Diagnostic Labels
  • Problem #2: Neglecting the Evidence of Metabolic Rate
  • Problem #3: Multiple Diagnoses, Emotional Baggage, and ADHD
  • Problem #5: Overlooking Bipolar with ADHD
  • Problem #7: Overlooking the Therapeutic Window

Read it and reap!

Since I posted this blog entry on recent research from neuroscientist Nora Volkow and colleagues, more detailed stories interpreting the study’s findings have become available. In particular, this report from MedPage today targets clinicians. That site also includes an audio interview with Dr. Volkow, below (despite a strong Spanish accent, Dr. Volkow does a good job of making complex concepts understandable to the layperson, in my opinion).

Introducing: The ADHD Hall of Shame, a new ADHD Roller Coaster department.

Inaugural inductees: HBO show host Bill Maher and his guests Arianna Huffington, Rep. Jack Kingston (R-GA), and Rep. Darrell Issa (R-CA). Two liberals and two conservatives who could agree on one thing only: It’s okay to bash ADHD.

“Paddling a child is inhumane but drugging a child is the way to go?” began an indignant Kingston (R-GA), implying that there’s nothing about ADHD that a good whupping won’t cure. Read the rest of this entry »

Live a few decades not knowing that you have ADHD, and chances are you’re lugging around not onlyDr.  Charles Parker emotional baggage but also physical baggage — sleep debt, adrenal exhaustion, off-kilter hormones, allergies, and more. Yet, in our specialist-dominated healthcare “system,” finding a physician who can assemble all the puzzle pieces is a challenge.

When’s the last time your personal physician, not to mention ADHD-treating psychiatrist, closely scrutinized lab results for your complete blood panel, adrenal function, or hormones and could properly answer your questions about, say, potential gluten sensitivity? Yet, if you’re suffering from any of these allied health challenges, your brain function could be suffering in ways that will never be sufficiently addressed by psychotropic medications alone.

A few years ago, I scoured the Internet for a “big picture” physician who was sharing information (on a blog or website) not only about ADHD and its commonly co-occurring conditions but also the many other biomarkers that affect brain health. Fortunately, I found CorePsychBlog , written by physician, author, neuroscientist, and psychiatric consultant Dr. Charles Parker (pictured, above right). (Regular readers of this blog have seen Dr. Parker’s comments. For the record, he and I have never met and have no business association.) Pick your media preference: written posts, radio shows, or videos. CorePsychBlog is packed with information. So packed that I’ve picked out a few highlights to get you started (in a follow-up post, I’ll share links to some of Dr. Parker’s highly informative videos): Read the rest of this entry »

Like me, you’ve probably consulted Consumer Reports when it comes to purchasing appliances. But would you trust them for advice on medically treating your ADHD? Given their latest press release, I certainly hope not!

It starts with this (and just gets worse): Read the rest of this entry »

Speaking of ADHD and denial (as we were, with the previous post), Dr. Charles Parker wrote to say that treating physicians often compound the problem. I’ve personally witnessed this more times than I can count: An adult with ADHD is perfectly willing, even eager, to seek medical treatment, only to become so beset with side effects that medication is foresworn forever. This is a preventable tragedy. Dr. Parker explains:

Denial and misrepresentation of ADHD difficulties remains pervasive in spite of remarkable new science. One of the most important reasons, other than some simply not wanting to have a problem or take medications, is the fact that the basic new science is often overlooked. Most importantly, the psychiatric labels have not kept up with functional brain science. The current labels are too superficial, too descriptive, and lack functional biological significance.

The unhappy result of these circumstances: medical targets are imprecise, miss significant symptom objectives, and often are simply used capriciously. If docs don’t have a precise target, it’s almost impossible to hit the mark. Missing the mark directly correlates with encouraging denial. Read the rest of this entry »

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Findings from the Most Comprehensive Survey on ADHD and Relationships