The Sides of the Window are Puzzling and Require a Few More Office Questions. The reason to ask the questions is simple: we want to know exactly how the medication is working in the context of time of day, duration of effectiveness, and predictable expectations from the specific medication in question.
All of these questions arise from the essential philosophic overview of medication delivery systems: if you know the science, and have clear objectives, you can measure the treatment outcome objectively, and correctly adjust the medications according to that specific individuals biochemical and metabolic individuality. Measure that ‘Window’ for predictable outcomes.
The Entire Problem with Stimulant Meds can be summarized in two ways- Too Much, or Not Enough – the Therapeutic Window is the correct dosage, not too much, not too little, lasting exactly the right duration through the day. Stimulant meds don’t last all day, thus the problem with timing. Everybody is built different metabolically, thus the problems with dosage.
The rationale for why Zoloft and stimulants are offered in combination is because many people who suffer from ADHD also have problems with other disturbances such as depression, OCD, nervousness and others. Zoloft may also be effective in treating the hyper-focused kind of ADHD versus the inattentive type.
The prime difficulty with using Zoloft for ADHD therapy is its serious side effects when taken unaccompanied and in interaction with other drugs.
However, there may be some toddlers who have these natural qualities to an extreme degree, find it difficult to fall asleep each night, and are all too often in a mode of melt down, which is hard on both parents and daycare providers. Those who care for these children are more apt to turn to drugs as the answer. Why? It’s fast-acting; and TV and information gleaned from the internet say it’s ok.
The second category of ADHD medications is non-stimulants. These include such medications as; Strattera, Wellbutrin and Effexor. These typically increase the levels of norepinephrine and serotonin in the ADHD brain and can help increase the mood, energy and motivation of people with ADHD. The third category is what I call “others”. These include such medication as: klonopin, Tenex or Provigil. These ADHD Medications are typically prescribed to reduce ADHD symptoms such as impulsivity or to increase alertness (as in the case with Provigil). Each of these categories of medications works differently to help manage symptoms of ADHD.