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Dr. David W. Goodman “Ask the Expert” Webinar for the National Resource Center for ADHD, “The Representation of ADHD in the Media”


On February 5, 2014 Wednesday at 3:00pm, I will be providing a webinar on “The Representation of ADHD in the Media”. The webinar is sponsored by the National Resource Center for ADHD, supported by a grant for the Centers of Disease Control. The topic was chosen after a number of recent articles on ADHD in national publications. Given my media experience, I was invited to provide an educational overview to how articles are developed, discerning the subtext, and advocating for input for those who deal with ADHD everyday.

I hope to provide the participants with a “behind the curtain” insight to the positive and negative representations in local and national press. My presentation with slides will be 25 minutes followed by 30 minutes of Q and A. Please join us.

You may wish to view transcripts of previous “Ask the Experts” presentations by leading experts. This is a treasure trove of information.

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Women’s Health Magazine and ADHD in Women


The June 2013 issue of Women’s Health magazine includes an article by S. Subramanian on ADHD in women. This is a long and insightful article highlighting the ADHD issues that specifically arise in women’s lives and relationships. I was honored to be interviewed and quoted in the article along with other nationally recognized experts in the field (Ed Hallowell, M.D., Patricia Quinn, M.D., Russell Ramsey, Ph.D., Craig Surman, M.D., Melissa Ovlov, and Gina Pera)

National coverage by press and media of ADHD in adults continues to be of interest to the public. With each such article a few more people reflect on their lives and experiences and think “Gosh, that sounds like me” or “Gosh, that sounds like someone I know well.” Hopefully these people seek out additional information and pursue a proper evaluation.

According to my recently ADHD diagnosed 65 year old patient, “It’s never to late to see what I’m really capable of.”

David W. Goodman, M.D.

High school students and stimulant use in Baltimore


Style magazine in Baltimore has  published an article in September 2012 edition on stimulant misuse in high school students in Baltimore. The article distinguishes between the use of stimulants for performance enhancement by students vs the use of stimulants to treat legitimately diagnosed ADHD in young adults. I, along with Dr. Alain Joffe, director of Johns Hopkins University’s Student Health Center, were interviewed for our thoughts on this important issue.  Students interviewed offer their perspective as well.

The take-home point for me as a psychiatrist treating late adolescents and young adults is to obtain a complete history of ADHD since childhood confirmed with input from a parent. Other co-existing psychiatric and medical condition are also considered. Only after I am confident of the presence of ADHD do I write a prescription and recommend behavioral/organizational therapy.

As it is important to treat those who need medication, it is equally important to not prescribe to those students who don’t have ADHD.

URGENT ALERT Counterfeit Teva Adderall 30 mg pills online


This morning the FDA’s MedWatch posted the following alert to physicians and patients concerning counterfeit Adderall 30 mg tabs from Teva Pharmaceuticals. These “Adderall” tablets don’t contain the four amphetamine salts as it should be. These tablets contain a combination of tramadol (pain medication) and acetominphen (tylenol).  READ THE FOLLOWING ALERT AND ADVISE ANYONE OBTAINING THIS MEDICATION ONLINE.

 

Teva’s Adderall 30 mg Tablets: Counterfeit Product – Contains Wrong Active Ingredients

AUDIENCE: Consumer, Health Professional

ISSUE: FDA is warning consumers and health care professionals about a counterfeit version of Teva Pharmaceutical Industries’ Adderall 30 milligram tablets that is being purchased on the Internet. FDA’s preliminary laboratory tests revealed that the counterfeit version of Teva’s Adderall 30 mg tablets contained the wrong active ingredients. Adderall contains four active ingredients – dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate. Instead of these active ingredients, the counterfeit product contained tramadol and acetaminophen, which are ingredients in medicines used to treat acute pain.

BACKGROUND: Adderall, which is approved to treat attention deficit hyperactivity disorders (ADHD) and narcolepsy, is a prescription drug classified as a controlled substance – a class of drugs for which special controls are required for dispensing by pharmacists. The counterfeit Adderall tablets are round, white and do not have any type of markings, such as letters or numbers. Authentic Adderall 30 mg tablets produced by Teva are round, orange/peach, and scored tablets with “dp” embossed on one side and “30” on the other side of the tablet.

See the Press Release for pictures of the product.

RECOMMENDATION: Anyone who believes they have the counterfeit version of Teva’s Adderall 30 mg tablets should not take or should stop taking the product. Consumers should talk to their health care professional about their condition and options for treatment.

Yeardley Love Murder Defense


The Yeardley Love murder trial has started in Charlottesville, VA this week. I was invited by Fox TV (WBFF) in Baltimore to speak to the defense’s position that alcohol and adderall were the cause of death, not the head injury. My interview excerpts will likely be aired sometime over the next 2 weeks.

In reviewing the specific information on alcohol and adderall in this tragic murder, I share below public information (NBC29.com) on autopsy findings.

“Through testimony from Dr. William Gormley, the man who performed Love’s autopsy, we learned that she had a blood alcohol content of 0.14; nearly twice the legal limit if she had been driving. He also said there were no fractures to Love’s skull but her brain was riddled with contusions, and the alcohol in her system was not sufficient to cause death.” 

“Love also had a trace of a prescription amphetamine in her system (0.05ng/ml this I added from another source) consistent with the Adderall she took to help with her ADHD. Gormley testified that he did not believe the amphetamines were a contributing factor to her death.”

In regards to adderall, Yeardley was prescribed adderall under medical care. Adderall can be detected in blood up to 24 hours later so it is difficult to know when she had taken her dose of medication. Very likely it was taken much earlier in the day. The level is so low as to be relatively inconsequential in regards to clinical impact.

Two recently published studies reviewing the serious cardiovascular risks of stimulants in children, adolescents and adults found no association between stimulants and risk of myocardial infarction (heart attack), stroke, or sudden death. These two studies (NEJM, JAMA) represent the largest databases ever reviewed on stimulants and serious cardiovascular risks. There is additional study underway by the NIMH that is not yet published.

In my opinion, given that Yeardley was a seasoned athlete who would have had a pre-sports cardiogram and her heart was subjected to extreme athletic conditions without symptoms, the likelihood that alcohol and adderall provoked a cardiac arrthymia and sudden death is almost non-existent and wouldn’t rise to the level of consideration, especially in light of the more obvious cause of death determined by the medical examiner, “blunt force head trauma”.

We’ll await the presentation of additional facts in court and the jury’s conclusion.

So sad for all involved.

David W. Goodman, M.D.