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ADHD Medications and Treatments

ADHD affects an estimated 3% to 5% of children and adults in the U.S. Dr. Richard Sogn shares information and advice about attention deficit hyperactivity disorder, including its causes, diagnosis, and promising ADHD treatments

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WebMD Health News

Monday, December 17, 2007

ADHD and Other Disorders
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ADHD commonly co-occurs with other disorders, such as depression, bipolar disorder, anxiety, learning disabilities, tics, and substance abuse.

These disorders tend to run in families, tend to be inherited or have a genetic component, whether occurring separately or together. While it’s suspected that there might be a genetic link between ADHD and other comorbid disorders, it’s not yet scientifically proven.

Because of familial transmission and co-occurrence of ADHD and the above disorders, evaluation of ADHD should always include a detailed family history. Over 50% of children, adolescents, and adults with ADHD have a co-occurring disorder which also needs to be treated if treatment is to be successful.

Evaluation and treatment of ADHD should always be comprehensive. Simple rating scales and medication alone are not adequate for most people with ADHD.

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Posted by: Richard Sogn, MD at 8:19 PM

ADHD Medication Prescription Process Streamlined
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The Drug Enforcement Administration (FDA) is now allowing doctors to write up to three one-month prescriptions for ADHD medications during one office visit. Previously, doctors were allowed to write only one prescription per visit. The prescriptions still have to be filled on different dates, but this will streamline the process of obtaining prescriptions.

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Posted by: Richard Sogn, MD at 1:24 PM

Thursday, December 13, 2007

Boys and Girls Respond Differently to Ritalin
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Previous studies have not found a difference in response to methylphenidate (Ritalin, Concerta, Metadate CD) based on sex. However, a new study of 136 boys and 48 girls aged 6 to 12 did find different responses. Girls are more likely to have inattentive type of ADHD, compared to boys, and are more likely to have co-existing anxiety.

The children were randomized to receive Concerta (a 12-hour preparation), Metadate CD (an 8-hour preparation), or placebo. Girls responded significantly better to both Metadate CD and Concerta than the boys 1 ½ hours after dosing, but their response declined more rapidly than the boys from 6 to 12 hours after dosing. By 12 hours after dosing, boys had a much better response to both drugs.

Because of the steeper decline in response to medications toward the end of the day, girls being treated for ADHD might need special attention at the end of the day, e.g. more structure, supervision, or additional medication.

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Posted by: Richard Sogn, MD at 8:19 AM

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