Medications for ADD ADHD — ADD Tip o the Day 466

Here is Dr Pomery on the ADD ADHD meds:

David Pomeroy MD

Private Practice in Diagnosis and Treatment of ADHD

The AMA actually does not take positions on clinical treatments, but the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry do. They have looked at studies of non-medication treatments, advocate behavioral methodologies for young children prior to meds, but overall the preponderance of studies shows that while other things may help, the biggest difference is made by taking medication. There are thus far no natural supplements or diets that make as much of a difference consistently. They may for some individuals, but in terms of valid Randomized Controlled Double-Blind studies, the gold standard, there are none which support complementary/alternative approaches. one resource that summarizes those is “The Black Book of ADHD” by David Goodman; a concise booklet meant as a pocket reference.
Lifestyle factors play a huge role, and those taking meds need also to get good sleep, exercise regularly, and avoid junk food and artificial stuff; without those factors the meds would not work so well. Mindfulness practice can also help, as can coaching. Those are “behavioral” for adults. Meds are still the foundation; one cannot teach dopamine how to cross the synapse, nor slow down the dopamine transport system which is going too fast in those with ADHD, by any other means.

the meds:

A list of stimulant drugs to treat ADHD includes:

  • Adderall and Adderall XR
  • Concerta
  • Dexedrine
  • Focalin and Focalin XR
  • Metadate CD and Metadate ER
  • Methylin and Methylin ER
  • Ritalin, Ritalin SR, Ritalin LA
  • Vyvanse
  • Daytrana
  • Quillivant XR

non stimulants:

Strattera, Intuniv,Kapvay

Elavil, Norpramin, Pamelor,Tofranil or other tricyclic antidepressants

Catapres, Duraclon,  Nexiclon, Tenex, Wellbutrin

follow up from Momma 

more on ritalin, adderall, and all meds

another great post from oren on using meds 

As always, it can sometimes require a lot of trial and error to find the right medication, right dose, and right timing for any individual person.  We are each unique.  And for some people, the meds just aren’t for them.  And the meds alone are usually not enough; as Dr. Goodwin says, the purpose of the medications is to help us focus enough to be able to learn and use strategies.

doug

add,adhd,adult add,adult adhd,rtialin,adderall,vyanase,cancerta,attention,deficit,drugs,medicine

Think about the little people.

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About doug with ADHD

I am a psychiatric physician. I learned I have ADHD at age 64, and then wrote two ADHD books for adults, focusing on strategies for making your life better. Your Life Can Be Better; strategies for adults with ADD/ADHD available at amazon.com, or smashwords.com (for e books) Living Daily With Adult ADD or ADHD: 365 Tips O the Day ( e-book). This is one tip at a time, one page at a time, at your own pace. It's meant to last a year. As a child, I was a bully. Then there was a transformation. Now I am committed to helping people instead abusing them. The Bully was published in January, 2016. It's in print or e book, on Amazon.
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5 Responses to Medications for ADD ADHD — ADD Tip o the Day 466

  1. homemakersdaily says:

    My husband and I have talked a lot about whether lifestyle changes make a difference. I’ve read repeatedly that they don’t (exercise, sleep, eating right), but even if they don’t, a person living a healthy lifestyle handles everything better (generally). I do not and never have taken meds. I’ve been tempted but I don’t have an official diagnosis so I would have to get that first. I live a semi-healthy lifestyle (not with eating, though) and employ a lot of strategies to function. My personal opinion, at least for me, is that the strategies are the best defense. I know that’s not true of everyone but that’s worked best for me.

    My son went to a psychiatrist recently to be diagnosed. He does have ADD but not bad so the doctor didn’t prescribe medication. That’s what my son wanted. He also didn’t talk to him about any options for solving the problems my son faces. I was really ticked off. First of all, I didn’t think his analysis was right. My son doesn’t say much and I don’t think he gave good answers. I can’t believe he’s the only person who’s ever done that so you would think the psychiatrist could have figured it out or probed deeper. His wife should have gone with him and answered the questions. Anyway, after that, they just sent him on his way with nothing. No meds, no help, no direction. Really disappointing.

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    • homey – sorry about the bad experience for your son. maybe he could try another doc or could benefit from an ADD coach?
      as you know, i am a fan of the meds, but not for people who dont need them. they can make it easier to use strategies, but for some people, the strategies work well enough that they don’t needs meds. The one thing I am absolutely sure of (well, actually, one of the things) is that everyone is different.
      i so appreciate your comments
      doug

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    • homey – ps: i really do believe that the lifestyle makes a big difference, sleep, exercise, and somewhat diet, in our functioning with ADD ADHD, and as you note, with our life in general. with ADD they may not make enough difference, but they matter.
      thanks again
      doug

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  2. betsy-
    yes, that’s a sad comment. i fear that it’s not just with ADD, but the practice of medicine has been deteriorating in all kinds of ways. i’d like to think that the more us adders who come out, there may be less stigma and more understanding of the problems.
    thank you for your comments, always appreciated.
    doug

    Like

  3. betsydavenport says:

    As a clinician who knows how to help people with strategies and structures, it is frustrating to me how infrequently prescribing physicians even suggest to patients that medications alone are only a first step in coping with AD/HD. Sometimes when I notice AD/HD in someone who has come to me for something else, we discuss it, I refer to a physician, and the doctor rarely cooperates, in a sense claiming the patient now has a medical-only problem to solve. People could do so much better and function more effectively, but they don’t.

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