ADD/ADHD – Medication Management Series: Measuring the Top of the Window

ADD/ADHD: Medication – Start Meds At Bottom of the Therapeutic Window
October 27, 2008
AD/HD Pediatricians & the Therapeutic Window: They Love It
October 31, 2008

Adjustment of meds is all about the Top and Bottom of the Therapeutic Window

Review The Top                                                               ADDWindow

A very quick review: ADD/ADHD Medications Management problems can arise from too much medication [out the Top], and may create a problem at the Top of the Window as I documented in this previous posting.

Also Back to the Top: I recently rewrote my previous article on too much medicine: ADD/ADHD Treatment: 7 Tips on Finding the Elusive Top of the Therapeutic Window [844 words], over at EzineArticles.com   The 7 Tips on the Top Article is now back up for review there and distribution – please drop a comment here if you find these tips useful, or wish to have something added through this series on stimulant medication management.

Start with The Bottom

Now, as you know, I have a series of posts underway here at CorePsychBlog about the Bottom, too little medication, and this week a full 900 + word article will be up over at EzineArticles .com – on bouncing on the Bottom of the Therapeutic Window.

Why Bother?

All this top and bottom stuff is really simple: Too much stimulant medication creates big problems and is often hard to see exactly. Too little medication often leaves portions of the day inadequately covered, poor response, and often associated with problems that the "meds aren't working," – a remark we hear everyday.

If medications aren't working properly on either end, people suffer, – and can suffer for years with simple small adjustments correctly managed over time. The big word used by the docs: Titration – finding that specific opening in that window for that specific person is about 80% of the program.

cp


3 Comments

  1. […] to several different issues, the most frequent, and the reason for measuring the DOE, is simply too much Vyvanse, leading to an excessively long DOE [somewhere over 12 hr with some folks]. Said another way, sounds […]

  2. Hey Roger,
    -It is a rare occasion indeed when I can add to your vocabulary!

    Readers, Roger is a writer, speaker, and interviews writers regularly over at –
    http://www.publishedandprofitable.com

    Thanks Roger!
    cp

  3. Dear Chuck:
    Thank you for–as usual–simplifying a confusing topic and for introducing a new word to my vocabulary!