![]() ![]() (Many teletherapy services have stopped prescribing stimulants like Adderall.)ĪDHD content on social media only added to concerns about over-diagnosis. Plenty of people benefitted from that increased access to care, but it also raised concerns about over-treatment and over-diagnosis-particularly when teletherapy startups began writing so many stimulant prescriptions that federal investigators raised alarm bells. Thanks to relaxed regulations on both telehealth and remote prescription of controlled substances, it became easier than ever to get diagnosed with and treated for ADHD online. The pandemic also opened up new avenues for getting an ADHD diagnosis. Many people were forced out of their normal work and school routines, stressed, sleeping less, and scrolling social media more- a perfect storm of distraction that may have exacerbated symptoms in some people. Over 6,000 healthcare professionals have subscribed for our FREE Giveaways.For some people, the pandemic may have been a tipping point from manageable concentration issues to those that required professional help, says Margaret Sibley, an associate professor at the University of Washington School of Medicine and an ADHD specialist. In addition, you’ll get access to the free giveaways below. What did I miss and what other drug interactions would you like me to cover?ĭid you enjoy this blog post? Subscribers are emailed when new blog posts. This is one of the many drug/food interactions that I have covered in my recent Amazon Best Seller – Meded101 Guide to Drug Food Interactions. Since most patients take Adderall in the morning to minimize the risk of insomnia, I’d typically have the patient take the vitamin C later in the day. If they want to take a supplement, I’d recommend that they try to space it out. Would I forbid vitamin C supplementation in a patient taking Adderall? Most patients who are eating a regular diet will get enough vitamin C, so I would likely steer them away from using it. ![]() If you have access to prescription records and you note that doses have changed frequently or have been escalated over time, this may be an indicator that the vitamin C intake of the patient may be variable. We want to avoid this, so when patients are stabilized, it would be a good idea to remind them that alterations in vitamin C intake could reduce Adderall concentrations.Īnother key indicator that you should as about the Adderall and vitamin C drug interaction would be frequent dose changes in the Adderall. Volatile changes in vitamin C intake could potentially lead to more of a yo-yo type effect with Adderall drug concentrations. Information To ReviewĪnother key question to inquire about is the patient’s lifestyle and or risk for supplement or dietary changes. If the patient is not responding to the Adderall as anticipated, this would definitely be a red flag to look for this and other drug interactions. If symptoms of ADHD or whatever diagnosis we are managing are under control, most will not go any further than this. The very first thing I would assess is how the patient is doing. I do admit that it may be overlooked because if the patient is not clinically responding, the provider prescribing the Adderall may just increase the dose to potentially even out the interaction. I say that because I have never seen an issue come up in practice. In my experience, the clinical significance of the interaction is low. ![]() Here’s my take on the Adderall vitamin C interaction and some questions I would be sure to address. Having a more acidic gut environment can reduce the absorption of Adderall. The primary issue for this drug interaction involves an alteration of Adderall’s gastrointestinal absorption. As you may or may not be aware, Adderall and vitamin C can interact with each other.
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