Posts tagged as:

Titration

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Blue Sky Thinking With ADD MedicationsImage by Tonyç via Flickr

So, why do some continue to fool around with IR [Immediate Release] meds? – Money talks, insurance money.

Looks like blue sky thinking to me…

Managed Care Creates A Significant Problem, Cost is a Problem, but IR medications then create even greater downstream challenges that often lead to treatment failure and non-compliance: Many fail because they don't take the medications consistently.

See the 7 Tips on how to better understand IR titration strategies, soon at EzineArticles.com

With
the increased influence of managed care, the choices of medications for
thousands are limited to the generic [often less expensive] immediate
release medications. IR medications are less than satisfactory in the
first place, for reasons listed in the 7 Tips Article.

Ineffective treatment
incurs greater long-term costs on many levels. Why managed care would
encourage the use of less medically effective products and create
greater cost, coupled with that inferior patient care, is a challenging
subject beyond the scope of this brief overview.

Clinical Implications of IR Medications

On
first thought, one might guess that the IR medications would almost
always be adjusted correctly, as they have been around for decades, and
appear at first as more simple, less complex intervention strategies. The uniformed hope for that conclusion, partly because it appears to make common sense.

The
most difficult aspect of this unhappy circumstance: IR choices with
stimulant medications regularly seem to invite insufficient attention
to adequate adjustment. Indeed they are often adjusted incorrectly. When the DOE for the day is not covered, the patient does not focus, cannot meet responsibilities sufficiently.

Watch for this upcoming article – should be approved soon at Ezines, …isn't Grumpy, but applies to many folks using the IR dosing strategies for stimulant meds.

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

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AD/HD Pediatricians & the Therapeutic Window: They Love It

by Dr Charles Parker on October 31, 2008 · 0 comments

Brief Missive From the AD/HD Front Lines:
Short note this AM after a late night – out for dinner at the almost-Tyson's-Corner-digs of Short Pump Mall in Richmond VA.

The pediatricians who see kids with AD/HD came out last night for a presentation on the nuances of Vyvanse Titration – I have told you before that I speak for Shire, and the reason is simple: I find Vyvanse so effective. It's a Duration of Effectiveness thing – standing right inside the Therapeutic Window.

Pediatricians in Richmond, as everywhere else I have presented, sign off quickly on the value of titration of stimulant meds, of Vyvanse in particular, because they love the science, they love 'metabolic individuality' issues, and they love the medical implications of asking the Number Two, the PoopMeister…  yes, the bowel frequency question.

If you don't ask, you don't know about the easy indicators for metabolic preparedness. Number 2 will tell you about body system that feeds the brain system – yes they are hooked up!

Most of all they loved all the details about how the Basic Therapeutic Window connected with the PoopMeister haps. Stay tuned and watch EzineArticles.com

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: Just The Top of the Window

June 25, 2008 Beyond ADHD

The Therapeutic Window: Use it Everyday for Every ADD/ADHD Medication Adjustment. Very briefly: I am excited! My first article is up and running over at EzineArticles and today, in a rush, just don’t have time to discuss the details except to tell you, patient or practitioner, that it will help understand ADD medication dosage systems.

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Vyvanse for ADD/ADHD: The Water Titration Recipe

November 14, 2007 Beyond ADHD

Some have asked offline about clarification of the water titration strategy with Vyvanse, and this post is a brief clarification on that process.

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ADD/ADHD Treatment Notes: More on Vyvanse

November 12, 2007 Beyond ADHD

Vyvanse offers considerable benefits over the best seller Adderall, but you have to know just a few points to get it right.

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Non Med Options for Brain Treatment: Neurofeedback 2

May 29, 2007 Beyond ADHD

Meds might not be the place to start for a variety of brain issues – from ADD/ADHD to brain injury or both. Especially both. Some of the most difficult to treat individuals suffer with both Traumatic Brain Injury [TBI] and associated prefrontal cortical injury that contributes to or kindles an ADD problem. In many of [...]

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Hormones: SSRIs and Suicide

March 3, 2007 Brain/Body Evidence

Connections Between Hormone Dysregulation, Suicide and “Incurable Depression:” Yesterday spent nine hours with Eldred Taylor, MD [Brd Cert OB-GYN] as he connected and reconnected depression, the inadequacy of treatment with only SSRIs, stress, hormone dysfunction and immune system suppression. He has written a book on this subject available at Amazon, and his presentation, both delivery [...]

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Notes On ADD: CorePsychPodcast

February 4, 2007 Beyond ADHD

Heads up! Some of you may not be tuned into my audio site over at CorePsychPodcast, so just to let you know today I sent over an audio MP3 file, downloadable from iTunes, and playable on your machine. Today, Episode 3: The Wrong Meds – Why they don’t work In previous programs: Episode 1: Diagnosis [...]

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ADD 2: The Media, the Meds and the Madness

January 27, 2007 Beyond ADHD

ADD 2: New podcast up on how to make the meds work better for ADD. Over at CorePsychPodcast Seems like so many of the basics are so often overlooked. Why a stimulant in the first place? They do work best if used correctly, listen to the how. What do they actually do in layman’s terms? [...]

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ADD: The Media, the Meds and the Madness

January 21, 2007 Beyond ADHD

ADD: The Media, the Meds, and the Madness Episode 1: The diagnosis If we start with the right diagnosis, and recognize complexity of the spectrum of ADD, we will be much more capable of finding the right solution. This is the first in a series regarding right diagnosis, right meds, wrong meds, and metabolic issues [...]

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