Taking Medicines, ADD ADHD or Any — ADD Tip O the Day 591

About taking any kind of medicine, not just ADD ADHD

I wanted to write about the non-stimulant ADHD ADHD medications, but thought this should come first.

Generics

Always ask about the generic. They should always be much cheaper (should).  Not all the generics are as good as the brand name but most are. Also, the generic brands are not always equivalent to each other, but most are.

Expense

If the medicine comes in a pill and it’s not timed or delayed release, you usually can cut the expense by getting the biggest dose they make and cutting the pills. (Pill cutters are inexpensive.)

Dose

I recommend starting with a very low dose and gradually increasing it.  This minimizes the chance of getting side effects. Increase until either you do get side effects or you have no symptoms (unlikely) or the increase doesn’t add any benefit. Then either stay at that dose or drop back one dose.

Possible Side Effects

If you do get side effects  they usually go away in about a week if you stay on that dose. I usually suggest not reading the list of possible side effects  – doing so seems to increase the frequency of getting them. Just pay attention to anything  that you think might be a side effect and ask your doctor.

That list was written by the company’s lawyers to protect them and includes any symptom that anybody anywhere at any dose ever had that might possibly have had anything to do with the medicine. The list can be useful when it gives the percentages of people who actually got that side effect, but those are hard to find.

Almost all side effects are reversible if you just stop the medicine. It is very rare that anyone should need to put up with any significant side effects.

Very Important Bonus Tip

Always check for interactions with other medicines or other substances you are taking. Your doctors should do this but I can’t promise they will.

Check medication interactions

Coming very very soon:

Non-stimulant ADD ADHD medicines!

doug                                     

ADD ADHD,add,adhd,adult add,adult adhd,attention deficit,medicine,medication,medications,drugs,side effects,side effects,

Just being normal active boys misdiagnosed as ADD ADHD

More on side effects

More on medicines

Buproprion (Wellbutrin) etc.

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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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4 Responses to Taking Medicines, ADD ADHD or Any — ADD Tip O the Day 591

  1. Dr Andrew Kinsella says:

    Hi Doug,
    I fully agree with you re the danger of suggestion creating expectation of side effects. This effect has just got bigger and bigger since i qualified as a doctor in 1985.
    However with free access to the Internet and to user forums there is plenty of unqualified advice out there so if we do not broach the subject the patient is likely to pick up some half baked nonsense from a support group website AND be angry at us for not telling them.

    I prefer to have a frank discusssion with the patients and to emphasise that the risk of unmanageable side effects is very low and that the patent should come back for review if having a problem.

    Ritalin and dexamphetamine are really special cases though because their short half life makes it exceptionally easy to withdraw medications if side effects are an issue then re-challenge with a slower dose increase. (The bottom line is these things clear our bodies very fast so they are soon flushed out if problematic.

    Like

    • Dr Kinsella- my practice has been to tell the patients that I would prefer not to tell them about side effects or have them read about them, but if they want me to, I will be happy to. Some do and some don’t. I explain why. I say, please call me if you notice anything unusual.
      thank you for providing expert commentary and I hope you will continue especially as I go through this medication series
      best wishes
      Doug

      Like

  2. rammkatze says:

    Hi, Doug
    I’m allways very surprised at the differences in medication between the States and Europe. You mention that a list of side-effects with a percentage is very rare, while in Europe, I don’t recall seeing a list of side-effects without a percentage. Side-effects are allways listed by probability of occurence, from the most probably to the less likely. Although it is true that reading the lists sometimes worsens side-effects or simply just puts some people in a state of unnecessary panic. I do like to read about what I’m taking, though. Looking forward for more!

    Liked by 1 person

    • RAM –
      thanks for the information. It’s getting harder and harder for me to find the percentages, and I think that is critical information.
      I’m torn between the dangers of suggesting symptoms to people versus my belief that knowledge is power. It’s a dilemma.
      As always, thank you for commenting.
      Doug

      Liked by 1 person

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