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Adderall XR

Holistic Reviews At CorePsych

by Dr Charles Parker on January 24, 2010 · 5 comments

Airport Long-Distance Rail Station

Consult Without Travel

Virtual Consult – Heads Up on Two Items
1. Conference Starts Tomorrow Jan 26!
Do consider attending the Holistic Health Virtual Conference, - I look forward to presenting there on Wednesday Jan 27.  I will be very active with feedback at the forum there, and have an excellent slide presentation for you to follow during the program.

We really must stop automatically treating superficial labels in psych, and need to get down to treating real people with evidenced based objectives. Hope you can make it, just hit the Holistic link on the side bar here, – and remember it’s virtual and recorded, you don’t have to be there real time!

2. We Can Talk Privately-
You’re here because you have listened to my podcasts, watched my YouTube videos, read my comprehensive perspective from hundreds of pages of posts and references – so do feel free to set up a time to review your personal matters by phone.

I have been answering a ton of questions on the comments of several posts here at CorePsych Blog [this one with >140 comments], and realize many of the readers here need more time, and more information regarding meds and the issues with meds – and just don’t have someone local to help resolve those next steps. Psych complexity is workable – if it is addressed comprehensively.

If you’re regularly unhappy with you or your child’s progress, have been walking in the darkness for years, and are just plain old frustrated with current inadequate intervention strategies – such as:

- ADHD meds just not working the way they should
- Chronic psych problems that are not resolving
- Refractory, ‘untreatable’ depression
- Unexplained moods and anxiety that won’t quit with multiple complex issues
- Addiction recovery with cravings that sit on your shoulder
- Brain injury interventions – more than just anti-epileptics
- Mixed Medical and Psych challenges, including more extensive testing
- SPECT Brain Imaging Cookie Cutter Results my personal review [or second opinion] – including neurotransmitter specifics

I can then give you targeted feedback if we can connect with your more specific history, laboratory testing, & med trials – and my comprehensive questionnaires that will save us time on the consult.

Phone Consults Are Often Helpful
Helping you decide what-to-do-next, seeking further evidence, is completely reasonable with a phone consult. Millions get on the phone everyday for specific input with medical and psych challenges. I won’t be writing for any medications unless you come to Va Beach, but I can discuss your next investigations. It’s easy, and often just a few visits can add significant, even more useful information.

What I Do
I can order helpful testing, some of which you can do in your own home, often covered by insurance. I can follow your progress with facts. The benefits are simple: more complete questions, more answers, and a concerted effort to give you information you can use with your own trusted medical team there at home. Frequently recommendations include specific neurotransmitter precursors.  We have seen many reduce their medications with these precise interventions, and have treated many without psych meds at all. I do interpret SPECT imaging, reports are customized, comprehensive, about 15-20 pages, and never cookie cutter.

If You Wish To Chat: How
If you are interested in an initial meeting, please drop an email to Caitlin, the CorePsych Administrator.

Thanks, I look forward to our next conversations – and see you at Holistic!
cp

PS: Take a look at this Neuroscience page if you want more information on what we can do together, and would like more references.

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details


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ADD/ADHD Medications: News and More Tips for Vyvanse

by Dr Charles Parker on August 10, 2008 · 6 comments

ADD/ADHD Medications: Frequently Asked Questions on Vyvanse
A recent ADD/ADHD treatment question came up on another post comment, and I thought to share it with all of you.
So many are wondering how to get Vyvanse correctly titrated – and good news: Shire has the new doses out – just last week. [I have updated the pages at this Squidoo lens on Vyvanse for additional easy reference]

Doses now available 20, 30, 40, 50, 60, 70 mg - may have to wait at the pharmacist for a few days, but they can be ordered. No more messing around with all of the water titration strategies.

This recent question from a reader:
“My 14 yr old son has been on
Vyvanse 70 mg. of about 3 weeks. He was on Adderall xr for a couple of
years and it didn’t seem to be working as well as it used to, so the
dr. switched him to this vyvanse and he has been more irritable and his
sensory issues seem to be more pronounced. I upped the Vyvanse to 100
mg. for a couple of days and he seemed to do better. I called the
doctor and she said to stay at 70 mg. for a little longer, that there
are no studies that have been done over 70 mg., I called Shire and
asked about 100 mg., they also said no studies over 70mg.


Do you think it would effect him in a neg. way, by taking 100 mg.?
There was such a difference in him those couple of days that I had him
on 100 mg., but if it’s not safe, there’s no way. He’s 6 feet and
weighs 128 lbs.”

My Answer:
The description of “isn’t working” sounds like it may be the *bottom of the Therapeutic Window* – see this post:
http://www.corepsychblog.com/2008/01/tips-on-medicat.html

For the important answer to the question of *Duration of
Effectiveness
* needed to get the dose dialed in most precisely see this
post:
http://www.corepsychblog.com/2007/11/addadhd-treatme.html

As noted in several posts: weight, age, gender, level of
hyperactivity… none of these characteristics will help with the
dosage individuation necessary to get the right dose for the specific
rate of metabolism with any person. No groups have specific
characteristics – so his size and age are truly unimportant. Each
person, each dose pattern must be customized.

Important details follow:

[click here to continue this article…]

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details


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Understanding ADD/ADHD Medications: Pay Attention to the Details

July 20, 2008 Beyond ADHD

ADD/ADHD medications at first seems simple – if you have ADD, “Here’s the script.” Yes, I am suggesting we modify our scripting process. The truth is that ADD/ADHD medications do require specific, precise thinking with clear guidelines – or the entire process of medication management can become dangerous, frustrating, or disappointingly ineffective – with disastrous long term consequences. Problems arise much too often. And they are correctable!

19 comments Read the full article here →

ADD/ADHD Treatments: Tips for Vyvanse

August 29, 2007 Beyond ADHD

You already know our regular CorePsych theme with ADD/ADHD and emerging brain science: the more we know the more we can have a positive impact. Vyvanse is a surprisingly forgiving stimulant medication.

151 comments Read the full article here →

ADD/ADHD Innovations in Treatment

March 17, 2007 Beyond ADHD

News from the Front: ADD/ADHD Treatment Options Grow
As you know, I do my best to remain informed with both sides of the provider fence: Traditional Psychopharmacology and Systems Medicine.
-Just back from a very interesting weekend [the reason for delay in posts for this past week] of faculty training on the new ADD prodrug, Vyvanse coming [...]

4 comments Read the full article here →

Problems with ADD: Stimulants1

December 6, 2006 Beyond ADHD

Stimulants for ADD 1: The Titration Solution: it works if you work it.
“Titration” from the Wikipedia definition it is complicated. For us, for everyday usage, it’s simple: adjust the dose correctly. Remember the last of my 3 R’s? Right dosage is the most commonly missed activity, process, in 98% of second opinions, people who consult [...]

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