Tuesday, October 13, 2009

More Adderall info

all the DEA information
http://www.deadiversion.usdoj.gov/pubs/brochures/stimulant/stimulant_abuse.htm

ADCAPS Web site has a section devoted to prescription drugs, on which Adderall is not mentioned
ADCAPS campaign last fall to bring awareness to prescription drug abuse, on Web site, says it is not a big problem but the trend is increasing (25% on college campuses from http://www.drugabuse.gov/DrugPages/PrescripDrugsChart.html)



questions to ask ADCAPS: Is this a problem you are seeing? If so, in what ways? What inspired your prescription drug campaign last fall? more about the campaign?

"Ongoing FDA Review:
The FDA is continuing its review of the strengths and limitations of this and other epidemiological studies that evaluate the risks of stimulant medications used to treat ADHD in children. The Agency for Healthcare Research and Quality (AHRQ) and the FDA are sponsoring a large epidemiological study that will provide further information about the potential risks associated with stimulant medication use in children. The data collection for this study will be complete later in 2009. "

label info:
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.Label_ApprovalHistory

label: (page 10 for abuse and scheduled drug info)
http://www.accessdata.fda.gov/drugsatfda_docs/label/2007/011522s040lbl.pdf

black box warning:
http://drugs.about.com/od/bdrugandmedicalterms/g/blackboxdef.htm

NIDA Web site
injecting and blocking blood vessels
increase norepinephrine and dopamine-producing a high and possible addiction
usually doses start low and increase
ritalin use decreased over 2001-2008
1.1 million using stimulants nonmedically
but use is up in 18-25 year olds where use is highest over all the pop
only .5 % getting prescriptions online
http://www.drugabuse.gov/infofacts/PainMed.html

Drug Enforcement Agency prescription drug abuse fact sheet:
http://www.usdoj.gov/dea/concern/prescription_drug_fact_sheet.html
DEA Internet drug trafficking initiatives over the past 3 years have identified and dismantled organizations based both in the U.S. and overseas, and arrested dozens of conspirators. tens of millions of dosage units of prescription drugs and tens of millions of dollars in assets have been seized.
DEA info on internet pharmacies:
http://www.usdoj.gov/dea/pubs/cngrtest/ct051607.html
schedule II means:
• The drug or other substance has a high potential for abuse.
• The drug or other substance has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions.
• Abuse of the drug or other substance may lead to severe psychological or physical dependence.
• Examples of Schedule II substances include morphine, phencyclidine (PCP), cocaine, methadone, and methamphetamine.

on all websites it seems to be listed as an additional but not main source of concern. it is a schedule II, on the same level as cocaine and meth

addction and high information: http://www.usdoj.gov/dea/pubs/abuse/chart.htm





data on ADHD med use in college students


http://jad.sagepub.com/cgi/rapidpdf/1087054708320399v1





diagnosing info: using caution in diagnosing because ppl are trying to get diagnosis without having ADHD


http://www.acha.org/prof_dev/ADHD_docs/Use_Misuse_of_Stimulants.pdf





huff post article on ADHD med abuse rise:


http://www.huffingtonpost.com/2009/08/24/86-percent-rise-in-adhd-m_n_266818.html





226 pg article answering all questions: online, adderall etc


http://www.casacolumbia.org/absolutenm/articlefiles/380-Under%20the%20Counter%20-%20Diversion.pdf





drug sharing:


http://www.jointogether.org/news/research/summaries/2009/one-in-five-teens-share-their.html





1/5 adults misusuing alertness drugs:


http://www.jointogether.org/news/research/summaries/2008/survey-shows-one-in-five.html





the problem is starting earlier:


http://cmif.pictco.org/default.asp?PageNum=583 (among other sources)



drug deaths/overdose:

http://seattletimes.nwsource.com/html/theblotter/2009518118_pharmaceutical_opiates_leading.html


awesome neuro-enhancers article in the New Yorker:


http://www.newyorker.com/reporting/2009/04/27/090427fa_fact_talbot

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