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ADHD Medication Rules: Paying Attention To Details
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September 7, 2010ADHD Rules: Always Target Context
September 18, 2010__________________________________________________
An Overview of *ADHD Medication Rules*
Start with the Medication basics… yes, in this overview video I do once again mention briefly the ubiquitous Number 2 😉 . See what you think! Metabolism matters with medication adjustment strategies – and metabolism can move your medication targets!
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Rules matter. Science matters. Evidence matters.
cp
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12 Comments
Thanks doctor for your interest in this particular subject
When i was diagnosed by ADHD because of the tough USMLE preparation im in now, i started vyvanse on 40mg and it was magic. i could remeber a lonq MCQs by reading it only once. that lasted only 3 days. since that time until now (100mg) i coudnt get to that perfectness ,although im still very good so far.
i miss the perfectness i got in the 1st days, why cant have that ?
– is it because of the very disturbed eating pattern ? maybe i can fast for a day until i notice i didnt eat anything.
– or because the dose isnt enough yet? i see people take up to 210mg ( equal 60mg Adderal XR)
– or that means it is not the right drug for me ?
Mishari,
Could be a variety of things, most likely a relative deficiency of neurotransmitter/chickens. The medication/chicken catcher rounded up the few remaining chickens, and then the efficacy waned because of too few chickens. Suggest strong emphasis on protein breakfast, supplementation with specific dopamine precursors, a review of other mitigating circumstances like sleep patterns. Search *chickens* in the blog search engine… best of luck with the USMLE!
cp
With proper treatment, most people have periods where they have no symptoms. However some people may continue to have milder “breakthrough” symptoms. Patients can effectively manage Bipolar Disorder by learning his symptoms and getting treatment at the first sign of an episode.
Source: Bipolar disorder treatment
Bipolar people are very unpredictable since they can change at any time. Its very hard to cope with this people
and take them into control. Stress has been the most common reason for the cause for it. Meditation can help a lot to take them into control. People should be taken special care of and they should be treated with utter dignity
and respect. We should never underestimate or bully on this people.
Ranjeet,
Your comments and the link are helpful, thanks,
cp
i have been on vivance 40 mg in the morning, been on them for about 2 weeks but i am wondering when the side effects are supposed to go away; i feel groggy and super flushed, also my left arm keeps going numb and i have not appetite. please help. I do take hydrocodone at night for fibromyalsgia and pamelor for depression, trileptal at night for bipolar. i dont like feeling high, aderral never did this to me; please help.
Maria,
Hydrocodone and Pamelor as well as Vyvanse all run through 2D6 likely causing a competitive inhibition and accumulation. My best guess for this problem as you describe it: Hydrocodone and Pamelor are accumulating.
cp
Go to you tube: type in “Behaviorally Fragile Autistics” on you tube. This is a most interesting case of autism, self injurious behavior and seizures. Very complex, but not without hope. There are some very important points seen in videos that would help professionals and anyone working with this unique population. This case has had numerous MRIs. cat scans, genetic work ups, cbcs, etc..all to no avai. Other tests done: are mercury, lead, all negative. Seems like a case that is rooted in things yet to be DISCOVERED. According to mom, and evidence she presents in some videos, the child has had extensive medical and behavioral work ups, yet continues to stump the “experts.” It’s seems a case like this truly stumps us, because the fact is this type of autism requires round the clock care, analysis and daily acute and PRN medications to mitigate the self abuse that has plagued this autistic child for severeal years. A most interesting case.
Autism Research,
Thanks for the link… evocative info – would love to get the NTs tested!
cp
If ADHD is a brain disorder then why not start with interventions involving the brain? I’ve been reading what Brain Balance – http://www.brainbalancecenters.com – has to say about ADHD: that all neurobehavioral disorders have in common an underlying condition called functional disconnection syndrome. Through diet, behavior modification, brain exercises and educational techniques that help make connections, Brain Balance asserts one can reduce or eliminate symptoms. It is worth a read, particularly the “truth” section. I think it gets to the heart of what you can DO once your loved one is affected. They are brain based, not drug based… it’s a much more natural approach to improving brain function if you aren’t ready to try medication. Taking pills doesn’t teach life skills.
Jennifer –
As you can see from my perspective: I completely agree, if brain balance works… if it doesn’t then more specific and different interventions become necessary.
cp
Hello,
My son has had tics for 2 1/2 years now. They cycle on and off for months or weeks at a time and of course are never the same. We thought they would go away but this last month became extremely severe and started to bother him socially and affect his activities. He does have some mild ADHD at times. The neurologist gave him .1 mg of clonidine and ironically the tics were worse. We increased to .2 mg and no improvement at all. Now he started him on intuniv 1 mg during the day and the clonidine .1mg at night. Is it safe to take both these medications at the same time? Is this combination been proven helpful to reduce the tic/tourette disorder? Has anyone had any luck?
Sally,
Using the two alpha-2 agnoists together is not a good plan because of the significantly increased possibility of hypotension and other side effects. Since both have essentially the same actions one would simply be increasing the same pharmacologic activity. When pharma doesn’t work, it’s time for more careful measurements and more precise intervention strategies – period. No disrespect on this quote that comes to mind – got it whilst serving as Exec Med Dir of a large psych hospital with my own addiction/recovery program: “The true definition of insanity is repeating the same thing, expecting different results!” Purportedly a Ben Franklin remark.
Change is in order – informed change is better than change for the sake of change.
I’ve seen and heard only negatives about this kind of combo, and have seen significant improvement with tic disorder using the testing.
cp