Our MD said a new study on meds says...

iVillage Member
Registered: 01-22-2004
Our MD said a new study on meds says...
10
Tue, 07-28-2009 - 5:27pm

Today while getting DS's football physical and updating our normal doctor on what we're doing ADHD-wise and how I'm so frustrated that after 5 years we still haven't found the right combo of meds and/or the sleep apnea is interfering...

He started to explain a new study and we got interrupted so I don't have the details yet. I plan on calling tomorrow to ask for the info but until then I thought I'd see if any of you know anything.

As best as I can recall, he said a new study that came out in the last month or so says that research shows 'long term' use of the stimulant meds doesn't continue to be effective. That after a few years on them, many people no longer respond to them or have a benefit greater than other management techniques. I started to remind him that in DS's case we've never gotten to the benefit phase so I wasn't sure the study applied. That's when there was an emergency and when he got back to us, I forgot to ask for the details.

Anyone here familiar with what he's talking about? I'd like to read the research or at least the summary.

Lissa

Avatar for sabrtooth
iVillage Member
Registered: 12-03-1999
Tue, 07-28-2009 - 11:18pm

We already talked about this. The study is deeply flawed.

http://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-psaddchild&msg=17780.1&ctx=128

And then there are THESE studies...

http://www.child-psych.org/2009/07/adhd-medication-may-prevent-future-psychiatric-disorders.html

http://www.foxnews.com/story/0,2933,297298,00.html

As far as I am concerned, the only research *I* need is what I have seen in my own kids, who have been on meds for 14 YEARS. No stunted growth. ODD Depression and OCD significantly reduced when on meds. Academics significantly INCREASED on meds.
Long term outcome? Older dd has been a HS teacher for 5 years. Own car, has apt on her own-no roommates, travels each summer, saving money for grad school. Younger dd has been a legal secretary for 6 years, married for 3, 2 cars, own home.

The times they were off meds were always very difficult. When they went back on, life got better again. They finally learned their lessons.

iVillage Member
Registered: 06-10-2007
Tue, 07-28-2009 - 11:35pm

SOme kids do need a tweak in dosage after a while, so i guess it does kind of wear off, or they become Immune so to speak. I know My DD Has been on the same med, same dose for over 3 years....and we are happy with it.


A child may HAVE ADHD, but it is not what they ARE. Never tell a child they ARE ADHD.

iVillage Member
Registered: 03-04-2009
Wed, 07-29-2009 - 10:08am

I agree with the statement about becoming immune to meds. I think it can happen to anyone...not just kids on ADHD meds. Personally I suffer from migraines and chronic daily headache. I have been on all sorts of medicines within the last 7 years or so. And it always seems that once I get a good combination and dosage of meds that seem to be working and make me feel great...Shortly after that it stops working. SOOOOOOO frsutrating!! And i noticed it in DS this year. He was on Concerta for several months with success. Then in May/June it seemed to completely stop working. We switched to Focalin in early July... all is hunky-dory again...so far...


jenn

iVillage Member
Registered: 03-09-2009
Wed, 07-29-2009 - 11:52am

<<>>

Another factor is that medication dosage is determined based on weight, and kids GROW. What worked when your kid was, say, 80 lbs is not going to work as effectively when they are 100 lbs. Dosages need to change as the child grows.

iVillage Member
Registered: 06-10-2007
Wed, 07-29-2009 - 2:19pm
ADHD meds are not dosed by weight, but by symptoms, with the exception of Straterra. Growth is not a factor.

A child may HAVE ADHD, but it is not what they ARE. Never tell a child they ARE ADHD.

iVillage Member
Registered: 02-14-2007
Wed, 07-29-2009 - 9:22pm

I haven't read the other posts to you - but meds are not based on weight except Strattera - it is based on severity.

Denise

iVillage Member
Registered: 03-09-2009
Thu, 07-30-2009 - 8:46am

My post was in response to the suggestion that a child can become "immune" to their individual, doctor prescribed, medication dosage. I was not addressing how said doctor dreams up the initial dosage.

An individual child's prescription is usually based on that child's symptoms (because individual children have different levels of severity, and different needs such as needing focus versus needing impulse control, when it comes to ADHD), but weight does come into play. As the child grows, that same dosage will not have the same effect.

What helped my DS at 6 yo, did not help him when he was 9 yo and 20 lbs heavier. The dosage of the same med was increased, and low and behold, the meds started working again. He did not become "immune" to the meds, he just outgrew the dosage.

Now, if the study included adults who's weight remained static for the duration of the study, then I might be more convinced that one could become "immune" to ADHD meds.

iVillage Member
Registered: 03-25-2008
Thu, 07-30-2009 - 10:01am

Our son's psychiatrist did say that the Ritalin family of meds tends to stop working in the teenage years for many kids, so perhaps that's what he was referring to when talking about immunity? It didn't sound like they knew why this happens frequently with that age group.

Michelle

iVillage Member
Registered: 03-09-2009
Thu, 07-30-2009 - 10:32am
Teens have dramatic growth spurts. My SS grew about 6 inches over a spring/summer when he was 16 (and "ate the house" during that time LOL). I could well imagine that the dosage of meds he'd been (hypothetically) taking during the winter would not have been as effective in the following fall. Just saying...
iVillage Member
Registered: 02-14-2007
Thu, 07-30-2009 - 6:30pm

Oh yes - my son had the good luck of every med we gave him worked - and yes he did get immuned and they stopped working - it would be like "overnight".

Denise