Treat or wait? The annual ADHD question

With the start of September, all thoughts turn to . . . medicating our kids??? Well, as bad as that can sound to some, it IS time for the annual debate. A question for which there is no clear answer. Let’s examine several scenarios and I’ll give some suggestions . . .

We’ll start with . . . → Read More: Treat or wait? The annual ADHD question

Vyvanse was helping depression . . . now . . . aggravating mania?

James writes in to say . . .

I started having panic attacks and was very unsociable and kept to myself,all this started about 10 years ago. The doctors diagnosed me as bipolor,i’ve been on every med available for bipolar with no positive results. Last december my doc decided to try me on 20 mg . . . → Read More: Vyvanse was helping depression . . . now . . . aggravating mania?

Vyvanse–the medication you can't get to

Just a short entry this evening. A little bit of a rant and rave. I’ve been trying to gain more experience with Vyvanse. So far, the patients that I have taken it have given mostly favorable reviews. Not perfect, but none of these poisons I prescribe are. Problem is . . . the insurance companies . . . → Read More: Vyvanse–the medication you can't get to

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?

Another turning point, a fork stuck in the road . . .

I want to pass along a thank-you to all who have written in recently on the use of nutrition and life-style changes to address psychiatric issues (esp depression/anxiety/anger). I find myself a bit overwhelmed with the volume of information that is available out there. My intent is to critically look at as much of this . . . → Read More: Another turning point, a fork stuck in the road . . .

Who holds the pills???

I still have a few connections at one of the local psych hospitals in my area, so I hear from time to time complaints and concerns from “the inside”. One of the big questions that comes up is why kids have access to their medicine and, oftentimes, are given complete control of their medicine. This . . . → Read More: Who holds the pills???

Minimal Bipolarism–how cautious do you have to be?

Very.

OK, I guess you want more than that for an explanation, right? This is an issue that comes up frequently. Since many of the medications that we use to treat other issues can potentially aggravate an underlying Bipolar Disorder, psychiatrists have been increasingly conservative in their prescribing and more aggressive in probing for latent . . . → Read More: Minimal Bipolarism–how cautious do you have to be?

Vyvanse–new way to deliver an old drug (this one is ok!!!)

I know I recently gave a rant and a rave about the inventive ways that pharmaceutical companies make an old drug “new” by making it sustained release or orally dissolvable, but I wanted to call a new medicine to your attention. Vyvanse is a recently approved medicine for ADHD. It is good old dexedrine (dextroamphetamine), . . . → Read More: Vyvanse–new way to deliver an old drug (this one is ok!!!)