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ADHD drug treatment and risk of negative events and outcomes

bmj.com

21–30 of 537 posts

Re: ADHD drug treatment and risk of negative events and outcomes

#21

I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and cou…

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And yet, study after study doesn't actually show any of that. What happens is that ADHD tend to progress as you get older

Re: ADHD drug treatment and risk of negative events and outcomes

#22
post #9

Earlier quoted context omitted.

As others have stated this is not what the article/study states, also speed is related to a street drug with unknown dosage and control. While the prescribed pharmaceutical-grade medication is precise and well managed with slow release mechanism, making it vastly different from the street drug.

I wouldnt call it vastly different. It cant be abused for euphoria, but it still has an addiction warning on the label.

> It cant be abused for euphoria

Depends on the drug, vyvanse can't really be, but focalin can.

Re: ADHD drug treatment and risk of negative events and outcomes

#23

Makes sense that methylphenidate helps with most of the things associated with classical ADHD symptoms but not with clumsiness that can lead to accidental injuries; or, in my case, just bruises on my shins all the time.

Why? I don't really disagree with you but I wonder how the thwarted sense of "my body in the world" is so connected to ADHD while not being connected at all to executive functioning (which in my perception is what amphetamines help with).

ADHD is strongly associated with inattentiveness and daydreaming so it's not that surprising that people who are daydreaming or not paying attention tend to get injured walking or driving into thinks more often

Re: ADHD drug treatment and risk of negative events and outcomes

#24

Makes sense that methylphenidate helps with most of the things associated with classical ADHD symptoms but not with clumsiness that can lead to accidental injuries; or, in my case, just bruises on my shins all the time.

Why? I don't really disagree with you but I wonder how the thwarted sense of "my body in the world" is so connected to ADHD while not being connected at all to executive functioning (which in my perception is what amphetamines help with).

My understanding is that motor coordination is a mostly separate issue from attention regulation and task completion, so it would make sense that a stimulant would address focus and impulsivity (as well as suicidality and criminality by proxy of those) but not clumsiness. Also, one can have ADHD without being clumsy, but being clumsy alone does not quality for ADHD.

I could be completely wrong, but hopefully that explains my take better. I'd be happy for someone to correct me.

Re: ADHD drug treatment and risk of negative events and outcomes

#25

I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and cou…

Same, real life Flowers for Algernon.

Re: ADHD drug treatment and risk of negative events and outcomes

#26

I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and cou…

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ADHD is a neurodevelopmental disorder that's highly inheritable.

Re: ADHD drug treatment and risk of negative events and outcomes

#27

I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and cou…

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Being born with or developing a dysregulated nervous system

Re: ADHD drug treatment and risk of negative events and outcomes

#30
Conclusion for those who read the title and read it as an implied negative effect on use.

> Drug treatment for ADHD was associated with beneficial effects in reducing the risks of suicidal behaviours, substance misuse, transport accidents, and criminality but not accidental injuries when considering first event rate. The risk reductions were more pronounced for recurrent events, with reduced rates for all five outcomes. This target trial emulation study using national register data provides evidence that is representative of patients in routine clinical settings.

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