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	<title>Comments on: ADHD Meds Don&#8217;t Work In The Long Run: Study</title>
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	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 21:21:40 +0000</pubDate>
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		<title>By: ADHD Report&#187; Blog Archive &#187; ADHD Meds Donâ€™t Work In The Long Run: Study</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-110341</link>
		<dc:creator>ADHD Report&#187; Blog Archive &#187; ADHD Meds Donâ€™t Work In The Long Run: Study</dc:creator>
		<pubDate>Wed, 23 Jan 2008 04:27:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-110341</guid>
		<description>[...] Melissa OrlovReally interesting read I found today:The Multimodal Treatment Study of Children with ADHD has been monitoring the treatment of 600 children across the US since the 1990s. In 1999, it concluded that, after one year, medication worked better than behavioural therapy for ADHD &#8230; [...]</description>
		<content:encoded><![CDATA[<p>[...] Melissa OrlovReally interesting read I found today:The Multimodal Treatment Study of Children with ADHD has been monitoring the treatment of 600 children across the US since the 1990s. In 1999, it concluded that, after one year, medication worked better than behavioural therapy for ADHD &#8230; [...]</p>
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		<title>By: Janet</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25732</link>
		<dc:creator>Janet</dc:creator>
		<pubDate>Wed, 14 Nov 2007 00:31:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25732</guid>
		<description>So Malcolm - 
What are your thoughts on adults with ADHD?  Are they too suffering from lack of parental attention, discipline, etc. etc.?</description>
		<content:encoded><![CDATA[<p>So Malcolm -<br />
What are your thoughts on adults with ADHD?  Are they too suffering from lack of parental attention, discipline, etc. etc.?</p>
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		<title>By: Malcolm Roberts</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25690</link>
		<dc:creator>Malcolm Roberts</dc:creator>
		<pubDate>Tue, 13 Nov 2007 20:41:27 +0000</pubDate>
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		<description>Dear Janet,
http://www.jewishworldreview.com/strips/mallard/2000/MFT20071102.jpg</description>
		<content:encoded><![CDATA[<p>Dear Janet,<br />
<a href="http://www.jewishworldreview.com/strips/mallard/2000/MFT20071102.jpg" rel="nofollow">http://www.jewishworldreview.com/strips/mallard/2000/MFT20071102.jpg</a></p>
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		<title>By: Jon Stettin</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25664</link>
		<dc:creator>Jon Stettin</dc:creator>
		<pubDate>Tue, 13 Nov 2007 16:17:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25664</guid>
		<description>Knowing that William Pelham is a well respected academic who has done a lot of work in ADHD, I suspect that we may be seeing some one-sided reporting. It is certainly interesting that long term benefit may not be as good as was first hoped, however that doesn't mean that ADHD doesn't exist or that it could not be treated with a mixture of therapy and medication. The benefits of treating ADHD are huge. It's been shown that treatment (with Ritalin/Conerta/Adderall) has a positive effect on learning but also seems to prevent ADHD children falling into drug abuse later in life.</description>
		<content:encoded><![CDATA[<p>Knowing that William Pelham is a well respected academic who has done a lot of work in ADHD, I suspect that we may be seeing some one-sided reporting. It is certainly interesting that long term benefit may not be as good as was first hoped, however that doesn&#8217;t mean that ADHD doesn&#8217;t exist or that it could not be treated with a mixture of therapy and medication. The benefits of treating ADHD are huge. It&#8217;s been shown that treatment (with Ritalin/Conerta/Adderall) has a positive effect on learning but also seems to prevent ADHD children falling into drug abuse later in life.</p>
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		<title>By: Ken Thomas, RN</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25662</link>
		<dc:creator>Ken Thomas, RN</dc:creator>
		<pubDate>Tue, 13 Nov 2007 16:08:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25662</guid>
		<description>Dr. Reters is right. Just because a parent thinks that it's more important to see that their child sits still and can concentrate better is not an indication that the medication is therapeutic. Street drugs can do the same. Being that childhood is only a 4th or 5th of their lifespans, I'd like to see a child get a fighting chance without neurologic damage or dependency on a drug for life. I can't agree with NICE's statement when they are one-sided in their solutions. I have helped and seen many kids get off of ADHD meds and onto supplements with no side effects and thrive very well in school. It's not like there isn't precedence for the alternatives. There is mostly ignorance on the part of parents. But I see it as my duty to educate and inform them that there are alternatives that work without side effects.</description>
		<content:encoded><![CDATA[<p>Dr. Reters is right. Just because a parent thinks that it&#8217;s more important to see that their child sits still and can concentrate better is not an indication that the medication is therapeutic. Street drugs can do the same. Being that childhood is only a 4th or 5th of their lifespans, I&#8217;d like to see a child get a fighting chance without neurologic damage or dependency on a drug for life. I can&#8217;t agree with NICE&#8217;s statement when they are one-sided in their solutions. I have helped and seen many kids get off of ADHD meds and onto supplements with no side effects and thrive very well in school. It&#8217;s not like there isn&#8217;t precedence for the alternatives. There is mostly ignorance on the part of parents. But I see it as my duty to educate and inform them that there are alternatives that work without side effects.</p>
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		<title>By: Janet</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25645</link>
		<dc:creator>Janet</dc:creator>
		<pubDate>Tue, 13 Nov 2007 14:40:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25645</guid>
		<description>Dear Anna - 
"The problem is your parents"?? (Do you always provide diagnoses and treatment recommendations based on a sentence or two?) 
Do you disagree with the NICE statement?  Are there no situations in which you think medication can be part of an effective treatment program?</description>
		<content:encoded><![CDATA[<p>Dear Anna -<br />
&#8220;The problem is your parents&#8221;?? (Do you always provide diagnoses and treatment recommendations based on a sentence or two?)<br />
Do you disagree with the NICE statement?  Are there no situations in which you think medication can be part of an effective treatment program?</p>
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		<title>By: Anna Reters, MD</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25637</link>
		<dc:creator>Anna Reters, MD</dc:creator>
		<pubDate>Tue, 13 Nov 2007 13:53:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25637</guid>
		<description>How can one be so cruel to drug their children for convenience--avoiding their parenteral responsibilities. How easy it is to medicate our problems away.

He says: â€˜Why am I like this mum, I don't want to feel like this, I don't want to be like this, you know, help meâ€™... Well.. unfortunately the problem is your parents. If your were to wean from the deliberate poisoning of your system, life would blossom before you.</description>
		<content:encoded><![CDATA[<p>How can one be so cruel to drug their children for convenience&#8211;avoiding their parenteral responsibilities. How easy it is to medicate our problems away.</p>
<p>He says: â€˜Why am I like this mum, I don&#8217;t want to feel like this, I don&#8217;t want to be like this, you know, help meâ€™&#8230; Well.. unfortunately the problem is your parents. If your were to wean from the deliberate poisoning of your system, life would blossom before you.</p>
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		<title>By: Laurie</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25494</link>
		<dc:creator>Laurie</dc:creator>
		<pubDate>Tue, 13 Nov 2007 02:07:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25494</guid>
		<description>Not knowing the long term effects of these drugs HAS to be a concern for parents. These are effects that could effect that child for a lifetime. Risk vs benefit cannot be evaluated with only short term use data. We have no idea what these children face in their futures. I don't deny the ADHD diagnosis in a small percentage of children. But if the numbers are as staggering as we are seeing documented today, then it's not the kids. It's the educational process.</description>
		<content:encoded><![CDATA[<p>Not knowing the long term effects of these drugs HAS to be a concern for parents. These are effects that could effect that child for a lifetime. Risk vs benefit cannot be evaluated with only short term use data. We have no idea what these children face in their futures. I don&#8217;t deny the ADHD diagnosis in a small percentage of children. But if the numbers are as staggering as we are seeing documented today, then it&#8217;s not the kids. It&#8217;s the educational process.</p>
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		<title>By: Janet</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25432</link>
		<dc:creator>Janet</dc:creator>
		<pubDate>Mon, 12 Nov 2007 20:20:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25432</guid>
		<description>What exactly defines â€˜beneficial effects of the medicationâ€™ and what is defined as â€˜an outcomeâ€™?   What exactly does â€˜not work in the long runâ€™ and â€˜don't work any better than therapyâ€™ mean?   

To say there are â€œno beneficial effects of the medicationâ€ appears misleading as there is plenty of evidence to support improvements in concentration, focus and mood with ADHD medications. 

Earlier articles by Pelham have stated that, "Thirty years of research show that ADHD drugs used alone do not help children avoid long-term outcomes that are a hallmark of the disorder -- substance abuse, domestic problems, school dropout, delinquency and criminal behaviors. More parents would opt out of using medication as the first line or sole treatment if they were provided with this information, and if physicians didn't opt for medication first."

As a parent, I am personally more interested in helping my child sit still in the classroom and be able to concentrate and learn, than I am in worrrying about potential domestic problems in 20 years.  To say these drugs have no beneficial effects ignores this whole short-term issue.  I do concur that these drugs are not appropriate for everyone, should not automatically be considered first-line therapy, are not risk free, and are not a substitute for teaching effective behavioral and coping strategies.     

Perhaps the BBC article missed the point of the study which was reflected in the following NICE statement:  "The National Institute of Clinical Excellence in England (NICE) has advised that drug therapy should only be part of a comprehensive treatment programme that includes a range of social, psychological and behavioural interventions" and "Careful, informed clinical decision-making, involving the parents and child should involve discussion of the benefits versus the risks of all interventions.â€</description>
		<content:encoded><![CDATA[<p>What exactly defines â€˜beneficial effects of the medicationâ€™ and what is defined as â€˜an outcomeâ€™?   What exactly does â€˜not work in the long runâ€™ and â€˜don&#8217;t work any better than therapyâ€™ mean?   </p>
<p>To say there are â€œno beneficial effects of the medicationâ€ appears misleading as there is plenty of evidence to support improvements in concentration, focus and mood with ADHD medications. </p>
<p>Earlier articles by Pelham have stated that, &#8220;Thirty years of research show that ADHD drugs used alone do not help children avoid long-term outcomes that are a hallmark of the disorder &#8212; substance abuse, domestic problems, school dropout, delinquency and criminal behaviors. More parents would opt out of using medication as the first line or sole treatment if they were provided with this information, and if physicians didn&#8217;t opt for medication first.&#8221;</p>
<p>As a parent, I am personally more interested in helping my child sit still in the classroom and be able to concentrate and learn, than I am in worrrying about potential domestic problems in 20 years.  To say these drugs have no beneficial effects ignores this whole short-term issue.  I do concur that these drugs are not appropriate for everyone, should not automatically be considered first-line therapy, are not risk free, and are not a substitute for teaching effective behavioral and coping strategies.     </p>
<p>Perhaps the BBC article missed the point of the study which was reflected in the following NICE statement:  &#8220;The National Institute of Clinical Excellence in England (NICE) has advised that drug therapy should only be part of a comprehensive treatment programme that includes a range of social, psychological and behavioural interventions&#8221; and &#8220;Careful, informed clinical decision-making, involving the parents and child should involve discussion of the benefits versus the risks of all interventions.â€</p>
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		<title>By: Robert McMaster</title>
		<link>http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25403</link>
		<dc:creator>Robert McMaster</dc:creator>
		<pubDate>Mon, 12 Nov 2007 16:57:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/11/adhd-meds-dont-work-in-the-long-run-study/#comment-25403</guid>
		<description>Thing is, lazy docs will just keep on pumping the drugs out. They simply don't have anything else and are in denial about alternatives. So much for "Evidence-Based Medicine".</description>
		<content:encoded><![CDATA[<p>Thing is, lazy docs will just keep on pumping the drugs out. They simply don&#8217;t have anything else and are in denial about alternatives. So much for &#8220;Evidence-Based Medicine&#8221;.</p>
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