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Long Acting ADD/ADHD Medication

By admin
Wednesday, May 12th, 2010

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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Adult ADD ADHD and Medication

By admin
Wednesday, May 12th, 2010

Many of the research trials which have been done on ADD/ADHD medication have been done on children and teens. However, in recent years, there is a growing recognition that adults with ADD/ADHD need good treatments as well.

There have been many trials done in the past 5-10 years which evaluate the different ADD/ADHD medications on how they work for adults with this condition. Overall, it is safe to say that the medicines which work for kids and teens also work for adults.

There are data now that: Concerta works for adults with ADD/ADHD, Adderall XR works for adults with ADD/ADHD, Vyvanse works with adults with ADD and ADHD, Strattera works for adults as well. There are other preparations which have also been found to help adults.

One of the biggest issues with adults with ADD/ADHD is how long the day can be for an adult. By this, I mean that the responsibilities of adults start early in the day – often with helping kids get up and out the door. Then, an adult has to go to work and function productively for many hours. After the work day, there are many home responsibilities, which can include – making meals, shopping, helping with homework, housework/cleaning, bath time, getting kids to bed, etc. Then, an adult may actually have some paper work or bills to pay at the end of the day.

This is why it is so important for adults with ADD/ADHD to have long acting medication. If an ADD/ADHD medication wears off after 8 hours, this is often just not helpful enough for an adult with ADD/ADHD. So, in general, it is better for an adult with this condition to ask his/her doctor for a longer acting medicine.



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Medications Which Are Available for ADD ADHD

By admin
Wednesday, May 12th, 2010

There are many different types of medication which are available for ADD/ADHD. When it comes down to the availability of medicines, the United States has the most number of medications available.

Even though there are so many different preparations of medications for ADD/ADHD, there really are only 3 different medicines.

The three categories of medication for ADD/ADHD are:

  1. Methylphenidate
  2. Therapeutic Amphetamines
  3. Non-Stimulants

When it comes to the Methylphenidate medicines – there are many preparations. These preparations last for different durations, and have differences in their dosing as well.

Some of the most common forms of methylphenidate are: Concerta, Metadate CD, Ritalin LA and the Daytrana (skin patch).

When it comes to the therapeutic amphetamines, again, we have several preparations. Some of the most common forms of the amphetamines are: Adderall, Adderall XR, Vyvanse, Dextroamphetamine, Dexedrine.

It’s important to realize that these medicines are ‘therapeutic amphetamines’ and do have differences than the amphetamines which are abused on the street.

When it comes to the non-stimulants, the two main medicines approved for ADD/ADHD are: Strattera and Intuniv. While these medicines work well, some people feel that the stimulants are more effective, and many doctors will start with them first.

Many people read online about ADD/ADHD, and they may be from a country where there aren’t as many options for ADD/ADHD medications are there are in the United States. This is where it is extra important to find the right information to help you to make an informed choice about the right ADD/ADHD medication.

Because ultimately, no matter where you are in the world, you’d like to be able to take a medicine for ADD or ADHD, and know that it can work well, and not cause side effects or other safety issues.



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Treatment for ADD ADHD

By admin
Wednesday, May 12th, 2010

ADD/ADHD is a neurodevelopmental disorder, which begins in childhood, and carries through adolescence, and continues into adulthood about 60-70% of the time.

ADD/ADHD can cause significant impairment in people if they don’t get the right treatment. There are long term risks of not treating ADHD, like:

  • Poor academic performance
  • Poor job functioning
  • More accidents and injuries
  • Higher risks of drug and alcohol problems
  • Teen pregnancies
  • Trouble with the law
  • etc.

Let’s be clear, not everyone with ADD/ADHD will get all of these problems coming into their life. That said, newer research is showing that if people receive good treatment, and the core ADD/ADHD symptoms improve, then the risks of these problems are greatly reduced.

What constitutes good treatment for ADD/ADHD?

There have been studies done which examine the nature of what constitutes good treatment for ADD and ADHD. The ultimate conclusion is that the best treatment for ADD/ADHD is ‘multimodal treatment’. This refers to treatment that includes medication, as well as therapy. The therapy involved often includes parenting strategies, as well as behavioral therapy for the child/teen. Interestingly, the researchers found that if medication wasn’t part of the treatment program, then the response rates to the treatment was much lower.

Despite this research, many people struggle with the idea of taking medication for ADD or ADHD.

They wonder if ADD/ADHD is actually real.
They wonder if people should just try harder to get better.
They feel that if they take medication, then they are failing themselves, or their kids, or someone else.

The most unfortunate part of ADD/ADHD is the stigma and shame that can go along with it. ADD/ADHD is a real medical condition, yet it is not treated as such in the general community. People don’t feel guilty and upset about taking medication for breast cancer or diabetes – yet they do for ADD/ADHD.

Hopefully good education can help people to stop the stigma of ADD/ADHD and find the right treatments that can make all the difference in their lives.

Because ADD/ADHD medications can work very well for people, and they can be very safe as well.



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Non-Stimulants for ADD/ADHD

By admin
Wednesday, May 12th, 2010

Although the stimulant medicines have been around for decades, and are often thought of as the first medicines to be tried when treating ADD or ADHD, the non-stimulants can be quite effective as well, and are certainly worth consideration.

The non-stimulant which has the most data for ADD/ADHD is Atomoxetine – which is also known as Strattera.

This non-stimulant medicine helps to improve the core symptoms of ADD and ADHD.

One of the biggest differences between the stimulants and Strattera is that Strattera has to be taken every day, and it takes weeks to start working. Strattera has to be taken for at least 4-6 weeks to find out if it is going to work. This is quite different to the stimulants, which are often effective more quickly.

Strattera also has different side effects than the stimulants. Its main side effects are: nausea and sleepiness. These side effects can be worst when the medicine is started, and then often improve with time. Your doctor will likely start the medicine at a lower dose to give your body a chance to get used to it, and this will likely lessen the side effects.

Strattera does have a warning regarding suicidal ideas in kids and teens. The research shows that 0.4% of kids and teens had new suicidal thoughts when they started the medicine. That means that 4 kids per thousand. While this is a very low rate, it is also concerning, and you’ll need to talk to your doctor to make sure that your child or teen can take this medicine safely. Fortunately, the suicidal ideation wasn’t found to be a concern for the adults who have taken Strattera.

There are other non-stimulant medicines – the newest one being Intuniv.

Intuniv is a once per day long acting form of the medicine Guanfacine. It is relatively new to the United States, and is not yet in any other country. It is a medicine which helps with hyperactivity, impulsivity as well as attention problems. Its main side effect is sedation. Many people are trying Intuniv with good results.

Apart from these medicines, some doctors will use antidepressants to help ADD/ADHD. For example, the antidepressant Wellbutrin (buproprion) can  be helpful in ADD/ADHD. Also, the tricyclic antidepressants can be helpful – though these can have a lot more side effects. The tricyclics include medicines like: Imipramine, Desipramine and Nortriptalline.

Whichever medication you decide to take, or to give your son or daughter, be sure that you are aware of the safety of the medication.



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Stimulants for ADD & ADHD

By admin
Wednesday, May 12th, 2010

The stimulant medications have been around for decades for the treatment of ADD and ADHD.

Dr. Bradley in the US was the first to use a stimulant medicine to treat ADD/ADHD. He gave amphetamine medications to boys who were hyperactive. They found that they were able to focus and concentrate. The kids themselves actually called the medicine ‘our arithmetic pills’. This medication is closest to the modern day Adderall, Adderall XR or Vyvanse.

Then, methylphenidate came onto the market. It was initially marketed under the brand name: Ritalin. As a historical note, the name ‘ritalin’ came from the scientist’s wife, who was named: ‘Rita-Lynn’. It was first commercially released in 1958. It’s modern day forms are: Ritalin, Ritalin LA, Metadate CD, Daytrana (the skin patch), Biphentin and others.

The stimulant medications are quite effective at treating ADD and ADHD. Research shows that they work 60-80% of the time. They also work in ADD/ADHD across the lifespan – i.e. in kids with ADD/ADHD, teens with ADD/ADHD, and adults with ADD/ADHD.

One of the biggest benefits of the stimulants medicines is that they work quite quickly. If the doctor were to magically know what the right dose is for a particular medicine, that medicine would be working about 30-60 minutes after it’s taken. It then lasts as long as it’s supposed to, and then it wears off. Since doctors don’t always know the right dose of the medication, they will generally start at a low dose of the medication and then start to increase the dose until a good clinical response is achieved. Of course, the doctor is also monitoring for side effects.

The most common side effects for the stimulant medicines are:

  • Decreased appetite
  • Insomnia
  • Worsening of tics
  • Agitation

If your doctor gives you a stimulant medicine, he or she will certainly explain the side effects, what to watch for, and how to handle them. Additionally, when you go to the pharmacy to get your prescription, your pharmacist will provide you with information about the particular medicine you’ve been prescribed.

Although many people are reluctant about using a stimulant medicine for ADD/ADHD because of articles or news reports, they are still very effective treatments which can help in the treatment of ADD and ADHD.



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Articles on ADD ADHD Medications:

Treatment for ADD and ADHD

Medications Available for ADD and ADHD

Stimulants for ADD/ADHD

Non-Stimulants for ADD/ADHD

Long Acting ADD ADHD Medication

Medication for Adult ADD/ ADHD

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