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ADHD Medications Don't Work?

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Published on Nov 22, 2012

You can purchase Dr. Parker’s book "New ADHD Medication Rules: Brain Science & Common Sense" from anywhere in the world, by clicking on this link http://geni.us/adhd

#ADHD Medications: Med Details in Video and Audio
http://corepsych.com/details

1:06
http://corepsych.com/connect - More than 460 articles on psychiatric diagnosis and treatment.
*Transit Time Tool* = Download PDF: http://www.corepsych.com/ttt

http://drcharlesparker.com - Learn more about how your medications are expected to perform. This knowledge helps guide your treatment success; you will better understand if your medications are working correctly.

http://corebrain.org - Training tools to facilitate evolving psychiatric care.

Video Playlists For More Info on ADHD Med Details:
ADHD Meds Tutorial -- Overview: http://bit.ly/medstutorial
ADHD Meds Dosage: http://bit.ly/dosevids
ADHD Meds Problems -- Mind and Gut: http://bit.ly/mindgut
ADHD Meds & Allergies -- Milk and Wheat: http://bit.ly/mawimmun
ADHD Meds & Allergies -- Street Immunity: http://bit.ly/IorWJs

Articles: http://www.corepsych.com for DOE details - use the SEARCH at the top of the page.

http://www.drcharlesparker.com If we don't dose medications correctly, based upon the expected pharmacology, we simply are simply not paying attention to the details. Time is of the essence, and must be measured, just as would measure a land and tide fix if sailing off the New England Coast.

More details on the importance of metabolism and customized dosing strategies in my book: "New ADHD Medication Rules" here: http://www.bit.ly/rulesbooks

To see the connection between brain science and common sense: evidence matters.

Details Matter:
The Meds Don't Work Long Enough: The Duration of Effectiveness [DOE] is not adequate: Each stimulant drug, each family of stimulant drugs has its own expected DOE. This DOE is not discussed in the literature as a measuring tool, but it's common knowledge with any who watch carefully for drug action and duration through the day.

All stimulant medications have an expected, less than 24 hr duration.This is an obvious point, but overlooked so often as an essential tool. If meds last less than 24 hr, then how long should each last? Dialing in the specific duration is essential to get the best action out of each specific med. [AMP=Amphetamine Family, MPH=Methylphenidate Family]

Vyvanse [AMP] and Daytrana [MPH patch] both win the DOE race with 12-14 hr expected

Adderall XR [AMP] is next with 10 hr DOE -- sometimes can get 12, but often 12 DOE is too much

Concerta [MPH] and Focalin [MPH] both run 8-10 hr if dialed in effectively -
some studies show longer, my experience: more than 10 hr with either of
these is too much -- see other articles on the 'Top of the Window'

Metadate CR [MPH] and Ritalin LA [MPH] are both right at 8 hr, rarely longer, with side effects if pushing the dose higher

The Immediate Release Stimulants, the tablets with no extended time
expected, last only a portion of the day with Adderall IR [AMP]
[Immediate Release Tabs] lasting about 5-6 hr, Ritalin IR [MPH] is 4 hour max duration.

Details on expected DOE for each stimulant: http://www.corepsychblog.com/2009/06/...

*Like* this and share it with your friends, using DOE makes a difference.
http://youtu.be/rmuCkCRFUQM

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