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Oct 25, 2008, 06:31 PM
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Member Since: Jun 2008
Posts: 1,156
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Originally Posted by sunrise
Simcha, you are a wealth of information on ADHD.
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 Aww.((((((((sunrise)))))) Thanks. I find it evidence that I just like to babble a lot. It makes it difficult to deal with physicians who actually do the prescribing, as often I find their education in this area is lacking. 
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The data tables my PNP showed me were based on chemical half life of Vyvanse, on average. They were not based on time of effectiveness for treating specific conditions. That you would have to figure out on your own by trial and error since everyone differs in how they metabolize drugs, and also because ADHD is a heterogeneous condition--it may be caused by different things in different people.
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A good point I noticed here between the lines---treatment should always be individualized. No two people are exactly the same, so how can we expect everyone to respond the same way? Are we carbon-copies of each other? Highly unlikely. I wish physicians would recognize that more.
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No, I don't believe they are saying anything about how long the drug works on the condition. It is just chemical half life they are reporting on (at least the data my PNP showed me). The effective dosages are determined during clinical trials, and remember, everyone varies, so you and your practitioner have to find out what works best for you.
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Then their time frames they give (that are assumed to indicate efficacy) don't mean anything at all. Half life of the chemical is sooooo unimportant in determining efficacy. Those tricksters.
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On the subject of different manufacturers of the same drug, it is good to stick with the same one.
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Interesting; I read something to that effect (and discussed it with my T) not too long ago. When I asked the pharmacist about it, he denied there was any difference between manufacturers of the same drug.
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It's not only time-consuming, but it's my health!
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Your unlike most people, and to your benefit----you take a proactive approach to your own health. If more people were active partners in their own healthcare like you are, then people would see better responses to medical (and by extension, psychological) interventions.
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Yes. It took me ages to bring my problem with this up with my T because I was very embarrassed about it and thought he would dismiss it. But he was very responsive, even though he isn't an ADHD therapist, and he had all the right names for referrals (ADHD therapist and PNP). I think it helped he has ADHD himself and so knows how it is.
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Him being a therapist who also has ADHD (that is under control) is the added benefit. His insight is invaluable, and I highly doubt that you would need to see a separate therapist to address the ADHD issues. All therapist SHOULD be well trained in this area too, but... meh, you know how that goes. At least you don't have to worry about your therapist.
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I believe he takes just 10 mg Adderall a day. He does the rest (behavioral) himself for optimum functioning. His office makes me feel at home because it might be considered typical of a person with ADHD (it looks just like my office!!!).
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Haha!  I'm sure his office is warm and welcoming. 
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--SIMCHA
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