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Hi Again!
Here is your weekly ADHD Newsletter!
You can also read all of the articles ONLINE, get
BREAKING NEWS
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| ADHD Prescription Drug Use Up in Teens |
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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%.
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| ADHD Treatment with Caffeine |
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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.
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| Methylphenidate, Ritalin, and "Working Memory Functions" in ADHD |
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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.
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