Ritalin is overprescribed.
In many cases, this wave of overprescription is a direct result of not following the procedures and guidelines set down in the DSM-IV and the Official pharmacological fact sheet for Ritalin and Ritalin SR
Our solution is as follows:
To wit: Follow the Manufacturer's directions.
More precisely:
The following should be banned completely:
Prescription of Ritalin or other drugs
as a diagnostic tool
Prescription of Ritalin or other drugs
without a complete medical, psychological, sociological, and emotional
history background check
Refills on AD(H)D drugs without a
psychiatrist appointment ("pick-up" prescriptions)
Prescription of Ritalin or other drugs
for ADHD to youth under the age of eight
Prescription of Ritalin or other drugs
as a first recourse
Prescription of Ritalin to patients
with anxiety or other disorders explicitly listed as incompatible with
Ritalin in the pharmacological fact sheet.
Any physician who participates in one or more of these
activities should immediately have their license revoked pending a hearing
for endangering the health and welfare of a patient.
The following should be required:
Yearly bloodwork and a full psychiatric
evaluation, possibly including CAT scans
Minimization of dosage -- that is,
dosage should be occasionally trimmed back, in order to assess if the current
amount is too high.
A yearly vacation where practical.
If the youth in question is under the age of sixteen, or is over sixteen
and does not have a job or summer classes, the prescription should be withdrawn
during the summer months in order to assess any improvement in their condition.
This should also help to stem the effects of addiction. In any other
case, i.e. summer job, summer classes, or otherwise, the prescription should
be reduced significantly (to perhaps 10 mg/day) during the vacation months.
Allowances could be made for those living in areas with year-round schooling.
These would need to be considered by the treating physician on a case-by-case
basis. Under no circumstances should the prescription not be withdrawn
simply on the pressures of the parents.
We feel that implementing these measures will help to stem the tide of abuse and overprescription, while still allowing those who have a legitimate and necessary reason for taking Ritalin (or other AD(H)D drugs) to still have access to their medications.