A-DOCTORS-PERSPECTIVE.doc - A PHYSICIANS PERSPECTIVE...

Info icon This preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
A PHYSICIAN’S PERSPECTIVE Theodore Mandelkorn, MD 2010 PART ONE INTRODUCTION WHO SHOULD TAKE MEDICATIONS, AND WHY? WHAT IMPROVEMENT SHOULD BE SEEN? WHO SHOULD PRESCRIBE MEDICATIONS? MEDICAL TRIALS WHAT IS THE CORRECT MEDICATION? WHAT IS THE CORRECT DOSAGE? WHAT ABOUT “NATURAL” THERAPIES? SUMMARY PART TWO: OVERVIEW OF MEDICATIONS NON-STIMULANT MEDICATIONS ATOMOXETINE, 24 HOURS (Strattera) CLONIDINE, TABLETS: 4-5HOURS, PATCH: 5-6 DAYS (Catapres) GUANFACINE LONG ACTING (Intuniv) STIMULANT MEDICATIONS: OVERVIEW, SAFETY PROFILE, SIDE EFFECTS METHYLPHENIDATE TABLETS, 2-4 HOURS (Ritalin) DEXTRO-METHYLPHENIDATE, 4-6 HOURS (Focalin) METHYLPHENIDATE SUSTAINED RELEASE, 6 HOURS (Ritalin SR20) METHYLPHENIDATE LONG ACTING, 8 HOURS (Ritalin LA) METHYLPHENIDATE CONTROLLED DISPENSE, 8 HOURS (Metadate CD) METHYLPHENIDATE EXTENDED RELEASE, 12 HOURS (Concerta) METHYLPHENIDATE TRANSDERMAL SYSTEM, 12 HOURS (Daytrana) DEXTROAMPHETAMINE TABLETS, 4 HOURS (Dexedrine, Dextrostat) DEXTROAMPHETAMINE SPANSULES 6 HOURS (Dexedrine) AMPHETAMINE SALTS TABLETS, 6 HOURS (Adderall tablets) AMPHETAMINE SALTS EXTENDED RELEASE, 12 HOURS (Adderall Xr and generic) LISDEXAMFETAMINE, 12-14 HOURS (VYVANSE) INTRODUCTION Human beings are rarely created in perfect form, so we all arrive in this world with unique differences. Some differences are blessings, others are handicaps. Poor vision, for example, is a common handicapping condition that affects millions of people throughout the world. I consider poor vision a condition of “human-ness.” People can also have other medical conditions such as diabetes, asthma, thyroid conditions, ADHD, etc.—all are well recognized differences that can impair the pursuit of a normal life style if not dealt with in some manner. 1
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
ADHD is characterized by a prolonged history of inattention, impulsiveness and sometimes variable amounts of hyperactivity. It is important to emphasize that all of these symptoms are normal human characteristics. Most of us are forgetful and inattentive at times. We all at times become nervous and fidgety, and we certainly are impulsive to some degree. It is part of our “human-ness.” ADHD, therefore, is not diagnosed by the mere presence of these normal and characteristic human behaviors, but by the DEGREE to which we manifest these symptoms. ADHD individuals have an over-abundance of these normal characteristics. They have less CONTROL of these behaviors and therefore a more variable and frequently poor outcome of their day. WHO SHOULD TAKE MEDICATIONS, AND WHY? If a person meets the clinical criteria for a diagnosis of ADHD and is not succeeding academically and/or socially up to age-appropriate expectations, medication should be a PRIMARY OPTION for therapeutic intervention. ADHD is a medical condition . Recent research out of Harvard University has documented an abnormality in the dopamine transporter system in the central nervous system of ADHD adults. (1) This transporter system is responsible for moving neurotransmitter chemicals from the synaptic space back into the nerve cell.
Image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern