ADD Medication

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14
Jun 10

ADHD Prescriptions Are Controlled Substances

As any anyone with ADHD can tell you, the drugs for ADD are classified as controlled substances. You can’t get refills of ADHD prescriptions, you have to get a new prescription for every time you get your monthly supply of Adderall or Ritalin. Likewise, the pharmacy cannot call your doctor to get an approval for your ADD prescription for you like they can for other drugs like antibiotics or insulin. Of course, this also means that you cannot take advantage of the discounts or convenience for getting  your prescriptions in a 90-day supply via mail order from your insurance company, either.

Too bad, because it would be a great ADHD advice tip to have people who aren’t good at organization and remembering to-do lists to have their medication automatically mailed each month.

All drugs (not supplements – there is a difference) are controlled substances by virtue of being “controlled” by the DEA and the FDA. What people with attention deficit disorder may not realize is how ADHD drugs are classified.

Adderall, Ritalin, Concerta, Vyvanse, and all the generic equivalents are classified as “Schedule II” controlled substances.

That may not sound absurd at first, but believe me, it is asinine and yet another example of why the so-called war on drugs is so messed up.

Adderall Is As Bad As Morphine or Cocaine

There are technically five schedules used for classifying drugs. Schedule I drugs are the “bad” drugs, the ones that get smuggled in by villains using super speedboats and hollowed out dolls, depending upon the movie. These are the narcotic drugs and they include Heroin, Ecstasy, Marijuana, and LSD. Ironically, cocaine is not on this list which is going to make your Adderall meds being on the next list all the more pathetic.

Schedule II drugs are the very next set of medications. This is where ADD medicines are classified, just one step below Heroin and meth. It is also where cocaine is classified, as well as all of those pain killers that you hear about people getting addicted to.

How are ADHD medicines like Adderall and Ritalin grouped with pain killers and cocaine?

The law states that in order to be classified as a Schedule II controlled substance three factors must be met:

  1. There is a high potential for abuse
  2. There are valid medical reasons for using the drug (this is the difference between Schedule I and II)
  3. Abuse of the drug may lead to severe psychological or physical dependence

Wow!

Number 3 is a newsflash to me. No one every told me that taking mixed amphetamine salts could lead to severe dependence!

Of course, the reason no one ever told me that, is because it is not true.

There have been no medical studies that suggest that taking ADD medication like Adderall leads to any kind of dependence at all, except for having to get used to its affects going away. Certainly there is no medical data that these medications cause severe dependence.

As for abuse, the only thing I have ever heard of is students using ADHD medicines to study and concentrate. That’s hardly shooting up in the back of an alley. It is not safe, but neither is taking someone’s antibiotics because you feel sick; that’s no reason to lock them all up under tighter rules.

The law requires that all three conditions be met to be listed as a Schedule II medication, so even if you go with the whole “abuse” thing, ADD drugs should not legally be classified as Schedule II substances.

Even worse, the law specifically says that the “salts of,” among other things, amphetamine,  are to be listed as Schedule III drugs.

So, the next time you have to jump through hoops in order to get the same medicine that you have gotten every month for years, remember that it isn’t even legitimate. You are just being screwed over by a Federal Agency who put your medication on there for political reasons.

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3
May 10

How To Take St. John’s Wort For Depression With ADHD and ADD

Taking St. John’s Wort to treat mild depression that occurs with ADHD might be a helpful way to control symptoms that don’t respond as well as you would like to traditional attention deficit hyperactivity disorder medicines and therapies. As always, discuss all of your symptoms with your doctor or medical professional whether they are symptoms of attention deficit disorder or otherwise.

This posting is continued from Use St. Johns Worth For Depression with ADHD ADD

It should go without saying, but here it is anyway.

I am not a doctor. Nothing in this article or on this website should be considered medical advice. All information including dosages, medications, timing, and recommendations and warnings are for general knowledge only and is not medical advice. Consult with a physician before starting any treatment. Drug interactions can be dangerous or unpleasant. Consult a pharmacist or physician about taking any medicine, herbal remedy, or supplement.

st-johns-wort-for-depression-adhd-medicine Before anyone jumps on the, Let’s Try St John Wort to treat possible depression with attention deficit disorder Bandwagon, here are some facts you need to know.

How To Use St. John’s Wort

  1. Not all herbal medicines, natural remedies, vitamins, supplements, and pills are created equal. Time and time again, studies or investigative journalism has shown that LOTS of over the counter medicines don’t have what they say they have in them. Just because it says it on the label doesn’t make it true. My ADHD trick for getting real alternative ADD treatments in a bottle is to always buy from a company that has something to lose. That is, buy your St. John’s Wort from a respected brand that has more to lose from the bad publicity about selling a crappy product than they have to gain from cutting corners. The easiest way to use this ADHD tip is to buy your stuff at Whole Foods or Vitamin Cottage or the like. These companies build their entire business model around being “better” and “more trustworthy.” That means the suppliers know that they are out, if bad publicity threatens to drag down their brand name. If you don’t want to go that route, then buy from a well-known and respected supplement brand.
  2. St John’s Wort can be what my gal once termed, “buzzy.” That means that it can make your mind seem a little buzzed. Not in an intoxicated way, and not in a racing way, but in a crackling, seems like I can feel the electricity firing in my neurons, sort of way. What that all means is that it can make it very hard to fall asleep and stay asleep. So, start by taking your St Johns Wort in the mornings, not in the evenings until you have an idea of how it affects you.
  3. Like all depression medications, and unlike most ADHD drugs, St. John’s Wort is not an instant effect medicine. It must build up in your body, or more specifically in your brain, before it has any effect. That means you need to take it for six weeks or so before deciding if it does or does not work. It may start working sooner. However, if if seems to be working on Day 2, that just be a good day or a placebo effect. More importantly, it might be that something else is working, so don’t just attribute it to the St. Johns Wort. Instead, look around and evaluate what you are doing that is different, maybe there is something else going on that helps with your inattention or other ADD symptoms and you need to know what that is. (I have one ADD friend who is always more focused after a night of drinking, but after the hangover ends. There isn’t much you can do with that alternative ADD treatment-wise, but at least you know not to judge the effectiveness of other things on that kind of day.)
  4. Finally, get the dosage right. Remember how I said not all pills are created equal? That goes double in the supplement world of alternative herbal therapies, because there is no regulations telling manufacturers or customers what SHOULD be in the bottle. Contrast this to multivitamins where the label has to say what percentage a vitamin is of the government established recommended daily allowance. That way you know if your vitamin has the right amount of Vitamin B, for example.
  5. The right dosage for adults using St. John’s Wort for the treatment of minor depression is 300mg with 0.3% hypericins taken three times a day. Note that to get a full dosage like this without encroaching on bedtime, you’ll need to use a schedule like first thing in the morning, after breakfast, and after lunch, or something similar. Furthermore, note that you need BOTH of those numbers to be on the label. A cheapo way of making St. John’s Wort is to just throw a bunch of it in a vat regardless of quality and then make 300mg pills. The 0.3% hypercins means that the right amount of actual medicinal quality stuff is in there.
  6. Don’t just get Hypercin extract or hyperphorin, or whatever. All the best studies test the WHOLE St. John’s Wort herb, not just extracts of it. Some research suggests that while the compound called hyperforin within St. Johns Wort might be the main cause of improvement for mild depression treatment, there is also research suggesting that some of the other components inside of the herb might be important as well. If you are getting 0.3% hypercins, then you are getting all of the hyperforin already, so you might as well get the other stuff.
  7. Lastly, St. John’s Wort can interfere with other prescription drugs and medications so research the heck out of what you are taking before you start up. If you are already taking anti-depressants the DO NOT start taking St John Wort too. That is a recipe for big trouble. Also, it seems that almost everything in the world interferes with heart medications, so specifically check with  your doctor first if you are taking any heart medicine. I don’t have to tell you which is more important of the two if you want to stay alive.

That should about do it. If you want to verify (PLEASE DO) the research and medical information I have jotted down here quickly, and without any editing, start with the U.S. Nation Library of Medicine from the National Institutes of Health at PubMed.gov. Here is a link to get you started. http://www.ncbi.nlm.nih.gov/pubmed/12543057

Yes, there is a lot of medical and scientific terminology in there, but don’t wimp out. Keep reading and you will get the gist of what is going on even if you don’t know what molarity is. The last sentence or two of the abstract is usually a conclusion, so at the very least read that. Also, always note the date of the research. It is often the case that the first study has very positive results because the first research is usually don’t as a proof of concept that more research is worthwhile. Even though the results are often reported in a splashy manner, these experiments are done on the cheap with limited controls and small groups of test subjects. Later research is typically more reliable, and when it comes to the brain, stuff from before 1980 is the mental equivalent of using leaches, so forget about research from the 1970s and before that has not been followed up significantly.

Have you tried using St. John’s Wort or other herbal medicines as alternative therapy for your ADHD or co-morbid conditions like depression? What has your experience (good or bad) been?

ADD Medication / ADHD-ADD Tips — No Comments
29
Apr 10

Depression and ADHD St Johns Wort Treatment

adhd-medicine-st-johns-wort-depression This one is going to be a little on the short and sweet side because I’m supposed to be doing other work (Hmmm, where have we all heard that before?), but it keeps bouncing around in my head, and that can be just as unproductive as a little writing tangent. So, you’ll have to forgive me if this post does not live up to my usual standard of backing up what I say with links to the original source materials and research evidence. As always, the best ADHD tips I can give is to please DO check up on what I (and others) say about ADD treatments and other ADHD tips.

If you have done much reading about attention deficit disorder and attention deficit hyperactivity disorder then you know that

  • a) Those are both the same thing, I did that for the benefit of searchers
  • b) That many adults with ADHD, teens with ADD, and children that have ADHD are frequently diagnosed with other mental health issues in addition to their official diagnosis of attention deficit disorder.
  • c) That one of the difficulties in effectively treating ADHD is that certain conditions or issues can overlap each other.

These “add-on” conditions are known by the unfortunate medical term, “co-morbid,” which couldn’t sound worse if you tried. That is mostly because most people do not know the full definition of the word morbid, which is both “of or caused by disease or medical condition,” as well as, “gruesome.”

Note the very important difference between co-morbid conditions, which are those that occur together, but independently from each other, versus, a medical issue that is caused by, or the result of another medical issue. For example, improper insulin balance is NOT co-morbid with diabetes. A person has messed up insulin BECAUSE OF diabetes.

One common co-morbid condition of ADD is depression. Again, depression is NOT caused by ADHD, nor vice versa, it just so happens that the brain biology of people with ADD appears to give rise to depression sometimes as well.

The difficulty of having both depression and ADHD at the same time is that some of the symptoms of ADHD and depression can overlap meaning that while trying to treat and medicate certain issues, one might be barking up the wrong tree, so to speak, by using ADHD medication to help with symptoms that are actually caused by depression in whole or in part.

One symptom of some mild depression is apathy. Apathy, can easily lead to procrastination, which is also a potential symptom of a persons ADHD, particularly for those with the inattentive type of ADD. So, while you pump your body full of Adderall, and talk for hours with your therapist or ADD coach about your procrastination, you might be completely missing the target.

The reason I sought any sort of diagnosis and treatment in the first place was an overwhelming sense of apathy. In fact, I started out being treated for depression and being prescribed various medications for it like Zoloft rather than being diagnosed with adult ADHD. This was partly due to my focusing on the apathy in all of my sessions and either ignoring, not mentioning, or not understanding the potential importance of some of my other “quirks.”

Lately, I have been having trouble not with my focus so much as with my ability to GET GOING ON ANYTHING. Additionally, there have been some very major events happen in my life, including some spectacular failures, to which I had virtually no emotional reaction of any kind. It makes me wonder if it was a mistake to stop investigating the depression or anxiety angles to focus on just the ADD.

No one knows your mind or your body like you do. Unfortunately, our system dictates that you work through expensive, and (rightfully) skeptical middlemen called doctors or therapists to access some of the treatments, medications, and information about most medical conditions, including the ones that deal with your mind. That rules out starting back up the Zoloft or whatever else I was trying.

Now, let’s be clear. I never advocate trying to “get around” your doctor or medical professionals, and I do plan to talk to my guy about my ADHD plus depression hypothesis during our next visit. But, until my current supply of meds and prescriptions runs out, I’m conducting a self-experiment on my theory.

If you are suffering from depression, or think you are, seek professional help immediately. Do not wait based on trying this idea out!

St. John’s Wort is occasionally (and generally wrongly) mentioned as a possible non-prescription therapy for ADHD. This is not surprising as pretty much any herb, natural remedy, or medicine that shows the slightest effect on the brain is eventually promoted as a cure for ADHD and every other mental condition there is. However, real scientific research has shown that St. John’s Wort can be just as effective at treating mild depression as prescription depression medications. In fact, in some research St Johns Wort has been shown to be more effective for treating mild depression cases.

Unfortunately, just like with ADHD, the human mind is a complex and splendored thing. Not everyone responds the same way to every medicine or treatment, especially when we are talking about the brain. However, St. John’s Wort is available everywhere and is not very expensive, so it has a sort of “give it a shot” quality to it. Just keep in mind, St. Johns Wort has only been shown to be effective treatment for MILD depression.

St. John’s Wort is not an instant effect medicine. It must build up in your body, or more specifically in your brain…

The catch is that just grabbing a bottle of St. Johns Wort off the shelf at Whole Foods and throwing a couple down is not going to work. In order to be an effective treatment, you have to get it right. Which is why next up is how to take St. John’s Wort for depression with ADHD ADD.

I am not a doctor. Nothing in this article or on this website should be considered medical advice. All information including dosages, medications, timing, and recommendations and warnings are for general knowledge only and is not medical advice. Consult with a physician before starting any treatment. Drug interactions can be dangerous or unpleasant. Consult a pharmacist or physician about taking any medicine, herbal remedy, or supplement.

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