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Wednesday July 18, 2007

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Here is your weekly ADHD Newsletter! You can also read all of the articles ONLINE, get BREAKING NEWS on ADHD, and MAKE COMMENTS at ADHDNewsletter.com

this week's issue
  • The Attend Alternative!
  • ADHD Prescription Drug Use Up in Teens
  • ADHD Treatment with Caffeine
  • Methylphenidate, Ritalin, and "Working Memory Functions" in ADHD

  • ADHD Prescription Drug Use Up in Teens

    More teenagers are taking prescriptions medications for ADHD, and for other medical conditions, than ever before, and the sharpest increase is with teenage girls. This is according to a five year study of prescription drug claims by Medco Health Solutions, a company that manages various pharmacy benefits programs.

    The increase in prescription drug use may be seen as either good news or bad news.

    Either it means that teenagers are benefiting from better health care and better diagnostic evaluations for conditions that would have been overlooked in the past, or that teenagers are suffering more physical and psychological problems than ever before.

    For example, the biggest increase in drug claims was for girls taking medication for type 2 diabetes. Type 2 diabetes was once considered "adult" diabetes, but is now more commonly seen in children and teenagers as childhood obesity increases. From 2001 to 2006 the number of girls taking medications for this condition increased by 167%. For boys the increase over the same period was 33%.


    ADHD Treatment with Caffeine

    ADHD and Caffeine: A Treatment Option?

    For many years our ADHD diet has promoted the use of moderate amounts of caffeine in the morning, along with a protein drink supplement and the nutraceutical medicine Attend, as a part of the program. Parents have reported success using the program, both with their ADHD children as well as in their own lives.

    Caffeine is a mild CNS stimulant that can be used with ADHD children, teens, and adults, if used purposefully and in moderation. All stimulants are vaso-dilators, meaning that they allow the blood vessels to increase in size and increase the blood flow in the brain. One of the primary physiological problems causing ADHD seems to be a lack of blood flow to certain regions of the brain, and stimulants help to improve blood flow and reduce symptoms caused by this problem, at least temporarily.

    It is estimated that 100 mg of caffeine is equivalent to 5 mg of , which is the lowest therapeutic dose, and the usual starting dose for children. It is similar to Ritalin in that caffeine is absorbed and begins working in about 45 minutes, and the benefits wear off after about three to four hours. And, of course, caffeine can have the same kinds of side effects as other stimulants.

    There may be times when it would be advantageous to have caffeine available for someone with ADHD who is successfully using stimulant medication, such as to avoid the "rebound" or "trough" effects of the stimulants, or on weekend outings, etc.

    Also, if 5 mg of Ritalin is a successful therapeutic dose, parents and physicians should at least talk about using caffeine instead.

    Caffeine is the most commonly used psychoactive drug in the world, with about 80% of the world's population drinking down caffeine every day. The average daily consumption of caffeine among American adults and teens is about 260 to 300 mg per day, but about one person in four consumes more than 600 mg each day. And yes, caffeine in large amounts, over a long period of time, is addictive.


    Methylphenidate, Ritalin, and "Working Memory Functions" in ADHD

    Do Stimulants Have a "Reverse Effect" on People with ADHD?

    Its one of the classic ADHD myths, that stimulants have a "reverse effect" on those with ADHD than on those without ADHD. How else can you explain that a non-ADHD person takes stimulants and gets "spun up" while a person with ADHD is actually on purpose treated with stimulants to make them "calm down"?

    A recent study with MRI technology looked at how stimulant medications actually impact the brain in both those with ADHD and those without.

    Children, teens, and adults with ADHD have problems with attention, self-control, and restlessness or hyperactivity. They also may show deficits in what is called "working memory functions."

    These "working memory functions" are what maintain and manipulate the information that we take in from the world aroud us. This "working memory" is crucial for every-day functioning. Without it functioning well, we are total "space cadets."

    Methylphenidate (MPH) is the stimulant medication that makes Ritalin, and a few other ADHD medications. It is a potent medication that may improve the performance in several areas of the brain, and in cognitive tasks.

    Recently some researchers, using MRI technology, looked at the impact of MPH on "working memory functions" using a study group of six boys with ADHD, and also six boys without ADHD.


    The Attend Alternative!
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