ADHD Drug Shortage Causes Parents to Use Unsafe Substitutes

The shortage of drugs treating attention-deficit/hyperactivity disorder (ADHD) has left desperate parents scrambling to find substitutes. According to HealthDay News, however, not all medications are created equally and some may have dangerous side effects.

Generic medication, for example, often has a different rate of just how much of the drug is absorbed into the blood stream, making it difficult to estimate the proper dosage.

“If the does is too high, sometimes kids can get more withdrawn or weepy,” Eric Hollander of the Autism and Obsessive-Compulsive Spectrum Program in New York told HealthDay. “If it’s too low, they can’t get adequate control of their symptoms during the day, and they can get a rebound later in the day. The new medicine may wear off faster. It’s also not easy to switch from extended-release formulas to immediate-release.”

Instead of seeking out generic replacements, then, Hollander recommends contacting the child’s doctor. If medication isn’t available, they can suggest another medication that may be appropriate. However, HealthDay notes that parents may encounter a higher co-pay for drugs not on the preferred drug list of insurance companies.

Dr. Michael Hobaugh, chief of medical staff at La Rabida Children’s Hospital in Chicago, told the news outlet that even with a doctor’s help, choosing alternative medication can be tricky. Besides dosage amounts, doctors must decide individually how each patient would respond to a new drug. The switch can be “very patient-dependent,” he said. “It can be a difficult trial-and-error process to figure out what works for some patients,” Hobaugh explained. “Their lives aren’t uniform from day to day. Is it a side effect of the medication, or does the child have a virus or stress, or maybe didn’t get enough sleep? And trying to assess what the ideal medicine is for school readiness is difficult because there’s so much you can’t control. This introduces another factor you can’t control.” The ADHD drug shortage is being driven by U.S. Drug Enforcement Administration policies that limit the amount of active ingredients that can be supplied to drug manufacturers. According to many media reports, federal officials fear abuse of the drugs and have limited their quotas accordingly.
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