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Medications for ADHD: Predictable Solutions Count
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December 26, 2010Medications for ADHD ADD Need More Predictable Solutions – Complimentary White Paper Improved!
- ADHD Medications Need More Predictable Solutions
ADHD Medications, as you well know from these CorePsych Blog pages, have been used capriciously, almost unconsciously, for way too long – and it's time to make some big changes in the way we think about ADHD meds, ADHD diagnosis, and improved ADHD biomedical treatment strategies.
The science is there, why not use it?
We, here in the US, are considered international thought leaders with ADHD treatment, but I can tell you from years of experience on the road, too many are using ADHD medications without thinking!
Indeed thousands are treated for cognitive, ADHD – Thinking problems…. without thinking about thinking!
The functional thinking process, the functional/how-it-works activity of the prefrontal cortex, agreed upon by all as the brain center for executive function, is almost never reviewed during regular medication reviews!
Take a look at this New 23 page Complimentary White Paper
Hit this Predictable Solutions Download Link, drop your email there and you will have access to:
1. Predictable Solutions for ADHD Medications
2. An easy checklist which outlines the 10 Biggest Problems with ADHD Meds
3. And an easy-to-listen to short audio outlining the 10 Biggest Problems with ADHD Meds
Why not make it easy? It shouldn't be so difficult!
ADHD Medication Rules
I've also written a detailed book for patients about these issues – more than 170 pages to track down and codify the thinking details, and the way meds should be used for ADHD treatment – ADHD Medication Rules – Paying Attention To The Meds For Paying Attention It's also available right at this link or click on the cover right over here>>
Complimentary White Paper, book, checklist, audio… take a look, listen and see if you agree or disagree – then leave a message here –
An easy review over Holiday Break,
Look forward to hearing from you,
Be well,
cp
14 Comments
I have a question about the duration of effectiveness in regards to Vyvanse. I only recently began taking vyvanse, and thanks to the article on water titration, I am doing well titrating on the medication. When I do get the right dose with the right duration of effectiveness, which is supposed to anywhere from 12-14, but for most people it is more between 8-12, what do I do if I need a longer duration? I am busy from 9:am till sometimes as late as 11pm.
Alex,
Then chase it with Amphetamine Salts, adderall IR, and dose carefully on that end of the day as IR after 6 PM can kick you into 1-2AM. You are very close to 14 hr. You also might simply try going up 10 mg more from your current dose, – but be forewarned, you might go out the top of the window even then.
Said another way: if you add a dose in the PM shooting for a better run up to 11PM, I do suggest only a small dose somewhere in the 5PM range even though it overlaps a bit
with the end of your DOE, as that slight addition might very well take you to your 11PM target. We do this with college kids on regular meds quite often because of the intense study responsibilities in the PM.
cp
We are not sure where you stand having your details, but great topic. I actually needs to invest some time finding out much more or understanding considerably more. Many thanks great details I was trying to find this info for my mission.
Thanks, hope it works!
cp
[…] CorePsych is an excellent source for cutting edge psych info. […]
Many thanks iPlanet Health News!
cp
Dr. Parker,
I came across your while researching other medications for my daughter. What a wonderful resource this appears to be. My daughter is 10 ( will be 11 next month). She was officially diagnosed in late 08 with Adhd. Because of her giftedness she feel through the cracks till that point. We had great success with Strattera until this year. She started to have major mood disturbances. So much to the point my husband and I nearly had to committed her for her own safety. I assume that her entering the beginning stages of puberty might be at the core of the sudden issues. We’ve started a regiment of Vyvance. At home it seems to work very well. But I am also ADD and the home environment is tailored to our needs. I just recently spoke to my daughters teacher and she informed me that Jayde is still very inattentive and unable to focus even if the most minor distraction comes up. I’ve been adjusting her dose and nothing seems to be right. the only thing I haven’t done is give her the whole 50 mg dose. In fact the higher the dose the worse she seems to get. I don’t want to keep on tossing meds at her blindly. The doctor we currently have isn’t very good and pretty much just tosses new meds at her. Since we are military we’re at the whim of where Tri care sends us.
Do you have any suggestions as to what to try, for a child that has in the past done very well on non stimulant meds.
Sincerely
Jill
Jill,
Onset of puberty can present as a problem with meds, but often the hormone changes come associated with specific metabolic challenges as well that create unpredictable stimulant results. If she is worse, either the dosage or the Vyvanse itself has become a problem. Careful titration will only be accomplished if you know the metabolic and bowel issues briefly described in this CinchCast.
Some docs don’t appreciate the complexity, if your doc doesn’t get it, find someone who does. TriCare does a good job with meds and supporting military families for second opinions, and usually is supportive of changing docs. You don’t have to see only the military docs as they very frequently do not get ADHD – their mission is much different.
cp
Dr Parker,
I should of been more clear on the Tri Care comment. Its more the location we are stationed at has no good options. The Psychiatrist ( which am not happy about) solution was to give me 50mg Pills and suspend them in orange juice till we found the right dose. I’d been moving up by 5 with no real improvement at school. We were up to 45 when I stopped. At that point she honestly seemed worse. So currently she’s on 30mg.
What exactly should I ask her PCM for in testing for the Bowel and Metabolic issues? Since I am sure the testing will have to be done through the PCM and not the Psychiatrist.
Jill,
IgG is the deal, both Qualitative and Quantitative. Set up a time with me if they don’t get it.
cp
Hi my name is Angela And I have a 6yr old son with Autism We just started guafacine 2 days ago and hoping for good results. He has alot of anxiety so it interferes with his learning at school. We tried the Daystrana patch and the side effects were terrible!!!! Did not eat for 2 days and when the patch wo.re off he had terrible meltdowns…. We can not go backwards at this point so I am praying this med works for him. How long does it take to see full effects of guafacine. Thanks Angela
Angela,
Often you can see results in 1-2 weeks with Intuniv – best to not anticipate significant change until he settles with the med over that time. ASD kids often do very well with Intuniv, it’s just, as you know, better to go slow with increases with ASD. I usually wait 2 weeks instead of just one for increases with Autism [ASD] kids.
cp
hello,
my addition to your list of potential symptoms that cause adhd would include a lack of oxygen and poor blood pressure getting to the brain. the medical term is orthostatic hypotension. all my life I’ve dealt with getting light headed while standing up after being dehydrated. I can’t help but believe that this condition may contribute to my inattentive ness.
Kris,
Outstanding point,
171. Orthostatic hypotension
and reminds me of the importance, so often overlooked of
147. Sleep apnea as well
cp