When the stimulants were first developed as medicine to treat ADD/ADHD, they were very short acting. People had to take a pill every 4 hours. For people to get through a whole day, they would have to take a pill at 8 am, a pill at noon, and a pill at 4 pm as well. This would provide 12 hours of symptom control for the individual.
The problem with short acting medicine was that this would cause ups and downs in the blood concentration for the medicine for the person taking the pills. This would mean that the side effects could be worse, and there could be inconsistent symptom control throughout the day.
In the early 2000’s, pharmaceutical companies came out with a new generation of ADD/ADHD medication. This related to taking the old medicines, and putting them into high tech pills, which could be taken once per day in the morning, and then they would deliver consistent levels of medication throughout the day.
These new pills achieved two main things: the pills could be taken once per day in the morning, so that a second or third pill wouldn’t have to be taken, and they created more steady blood levels of medication, which provided better symptom control throughout the day.
Ultimately, the newer generation of medication has almost replaced the old generation. The biggest drawback is the increase in cost with the newer generation of long acting medicine. It becomes quite important for people to have insurance to pay for the medicine, as the newer medicines can be quite costly.
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