v a - b H v n h v E A H "l b s b a t l t o t l a t d a n e t norepinephrine, play an important role in focusing and paying attention to tasks, and that when those two transmitters are not balanced, ADHD symptoms result. Adderall XR, like other stimulant medications, is thought to restore that balance and promote more normal message transmission, thus increasing the ability to focus and pay attention. Hinshaw says Adderall is safe when used properly and that anyone — ADHD affected or not will experience a performance boost when taking a stimulant. However, it is a Schedule 2 drug, which means it is approved for medical use but also has the highest potential for abuse. "Why not put stimulants in the water supply? everyone does little better, linshaw says. (You can't) e c a u s e stimulants cane drugs of house. When they're used to treat ADHD, they help focus attention, they decrease distractibility and there is not much of a "If you get more [Adderall] than you need,you can get depressed irritable,manic and or particularly if you take them in other forms, such as snorting or injecting, then they can become drugs of abuse." Even when taken with a prescription, Adderall, like most stimulants, has side effects, like those Sarah experienced when she took Concerta. The most common side effects are dry mouth, difficulty falling asleep, stomachache, headache, loss of appetite and weight loss. In February, Health Canada (Canada's FDA equivalent) banned the sale of Adderral XR after learning from Shire Pharmaceuticals that the medication had been linked to 20 deaths worldwide. In August, however, Canada put Adderral XR Mark Romereim, founder of Wichita's Attention Clinic even psychotic." uphoria or a rush. But if you start get into a pattern of higher use, (the country still does not sell Adderrall in its original form) back on the market with a new label that warns people with heart problems about the dangers of taking the medication. Because Addler is an amphetamine, the FDA wards those taking the drug that it has a "high potential for abuse." And if overused or used improperly, Adderall can pose serious health risks, says Dr. Mark Romereim, founder of the Attention Clinic in Wichita. "If you get more than you need, you are more likely to have side effects. Stimulants will help anybody concentrate," Romerimeh says. "But if you get more than you need, you not only have problems with appetite and sleep, you can get depressed, irritable, manic and even psychotic." So what is "more than you need?" A June In December, New River Pharmaceuticals filed a new drug application for an abuse-resistant stimulant. The stimulant works through technology that prevents the drug's active ingredient from being released unless taken as directed and also limits the high 2005 FDA document says that while individual responses to amphetamines vary, toxic symptoms can occur, though rarely, at doses as low as two milligrams. The report says toxic symptoms are rare with doses of fewer than 15 milligrams, and that doses of 30 milligrams or more can produce severe reactions. PRESCRIPTION AMPHETAMINES Addderall Benzedrine Bephetamine Dexedrine Obetrol patients can get from a stimulant medication. Durophet Dustopper Source: San Diego Reference Laboratory. http://sdl.rd.com But until that drug is approved, Romereil and Hinshaw agree Getting a Fix that the biggest issue is how easy it can be to get diagnosed with ADHD and, along with the diagnosis, get a prescription for a stimulant medication. Hinshaw says he knows some doctors give people a short test, sometimes as brief as 15 minutes, and that downsizing Both doctors agree an ADHD test needs to have diagnostic and personal evaluations, where the patient's history is examined and sought from others, such as parents, who have an understanding of the child's long-term patterns. At UC-Berkeley, Hinshaw says, the ADHD test is eight to 10 hours long. the diagnosis causes false positives and false negatives. At the University of Kansas, the Counseling and Psychological Services Center does ADHD testing. CAPS clinician Dr. John Wade says the tests require three to five sessions (one 50-minute session per week) with a CAPS --- --- CONTINUED ON PAGE 12 02.02.2006 JAYPLAY <11 24