In terms of the post about
manipulating your doctor -- I'd completely agree with Ellie1 on this one! Your physician has been through a lot of training to manage psychotropic medications. Additionally -- in my practice, I always reserve Adderall XR for patients as a 2nd line option because Methylphenidate has such a high response rate (especially with the addition of Concerta). However many physicians advocate Adderall as a first-line option. Again -- your physician definately knows best.
As is mentioned above -- any stimulant medication can induce a hypomanic, mixed, or manic episode. A recent study by Dr. Perlis at Harvard Univ studied ADD/ADHD & Bipolar D/O and found that once your stablize a patients BPD symptoms on a mood stabilizer (+/- atypical), it's acceptable for a trial of methylphenidate in children for the ADD symptoms. However -- he makes explicit mention of patients that relapsed into a hypomanic episode. Additionally -- this is part of an ongoing trial called "STEP-BD" which was not designed to test this hypothesis explicity. Further, it was only a trial in children.
Hope that this helps!
Post Edited (ckgMD) : 3/17/2006 10:29:45 AM (GMT-7)