The Shortage Of Adderall . . . and the scramble for solutions

As most of you ADHD kids/moms/dads know by now, there is a shortage of Adderall products in the United States. It has simmered all summer . . . only to hit the big time now that school is in full swing (great timing, big pharma!!). It has created havoc across the area and quadrupled the calls to the already full in-box on my voice mail. Everybody is blaming everyone else . . . . . . → Read More: The Shortage Of Adderall . . . and the scramble for solutions

Adderall vs. Vyvanse and Dealing With a Difficult Doc

I have a question for you pertaining to Vyvanse and ADHD in general. I’m 23 years old and currently living in Fresno, CA, and have been diagnosed by a couple psychiatrists here and elsewhere with ADHD. One prescribed me Provigil, which seems to work alright, but also gives me bad anxiety at the doses I . . . → Read More: Adderall vs. Vyvanse and Dealing With a Difficult Doc

Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Whenever a new medication or new technology hits the market, there is always a learning curve for both the public and for practicing physicians.  Tempering the excitement about receiving/delivering help with a dose of skepticism is healthy.  It keeps the public and physicians from being bamboozled by snake oil salesmen.  That is the whole idea . . . → Read More: Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Prescribing Outside The Box

Kurt writes in with a very common question:

I was prescribed 70mg Vyvanse for debilitating chronic fatigue. The 70mg was totally ineffective. At 6′2″, 220 pounds, I think the dosage was too small. My psychiatrist will not increase the dosage. I self-titrated and found that 210mg will get me through the working day but I’m . . . → Read More: Prescribing Outside The Box

Rash from Lamictal . . . do you have to stop it?

This letter brings up an important question about Lamictal . . .

I’m a 45 y/o female properly diagnosed and treated as bipolar for 1 & 1/2 years. Prior to this diagnosis, I was treated soley for depression for 10 years (the last 5 as refractory.) I am presently doing GREAT on Lamictal 200mg daily . . . → Read More: Rash from Lamictal . . . do you have to stop it?

Neurontin as a first line agent . . . I Don't Think So!

I received this question from a concerned consumer last week . . .

A week ago I was prescribed gabapentin, an anti-epileptic drug, for the off-label use of social anxiety and “affective mood disorder.” I have been concerned about this ever since I began my research on it a few days ago. Most of what . . . → Read More: Neurontin as a first line agent . . . I Don't Think So!

When is Lamictal Good for Regular Old Depression?

In our striving to provide our patients with the latest, the greatest and the newest treatments for one condition or another, many psychiatrists go out on a limb to try new things.  Some of us go wwwwaaaaaayyyyy out on a limb.  There are two sides to this, of course.  You don’t want a shrink who . . . → Read More: When is Lamictal Good for Regular Old Depression?

Lamictal and acne

Red writes in with a common complaint about Lamictal . . .

I’m a 29 y/o female. I started Lamictal July of 07 (150mgs) and since then I have developed horrible acne along my jawline that takes weeks to clear up and new pimples develop every other day. They are painful. I also have pimples . . . → Read More: Lamictal and acne

Does every kid on stimulants need an EKG?

Oh boy, oh,  BOY!!! When my wife showed me this issue on the internet last night I gave a big sigh and an eye roll.  I knew the phone calls would start early and heavy.  For those of you who have not heard, the American Heart Association issued a recommendation that all children who are . . . → Read More: Does every kid on stimulants need an EKG?

A warning . . .

Joanne writes in with a warning . . .  

From The FDA Enforcement Report 1/30/08 PRODUCT Lithium Carbonate Extended Release Tablets, USP, 450 mg, 90 and100 count bottles, Rx only, NDC 0143-1277-01, Recall # D-085-2008 CODE 100 count bottle; Lot number 62395C, Exp. Date 3/2008, 90 count bottle; Lot number 62395B, Exp. Date 3/2008 RECALLING . . . → Read More: A warning . . .