Posts Tagged ‘Medication’

The Cost of Sedating Our Boys

February 20, 2011

I recently came across an interesting opinion piece by Elizabeth Farrelly in the Sydney Morning Herald.  Whilst I wouldn’t go as far as to connect the lack of representation of male teachers to the number of boys on Ritalin, some of her points do resonate.  There is no doubt that Ritalin does have a place, but with the numbers of children (boys in particular) taking the drug climbing markedly from year to year, it is more than fair to raise some strong concerns.  Ms. Farrelly certainly does just that:

The Ritalin wars are usually treated as just another tussle between the pharmaceutical companies and the rest, but is there something else going on here as well? Is it part of a more generalised, covert war on boyhood? //

Thirty years ago Australian primary schools employed five male teachers for every four females. By 2006 there was one male teacher for every four females. This overwhelming feminisation of primary education, and of culture generally, has made boy-type behaviour stuff to frown upon. Are we in danger of seeing boyhood itself as a disorder?

When Christopher Lane, author of Shyness: How Normal Behaviour Became a Sickness, quoted a psychoanalyst saying “We used to have a word for sufferers of ADHD; we called them boys”, he probably did not expect it to become the most famous line of his book.

What was once introversion is now “avoidant personality disorder”, nervousness is “social anxiety disorder” (SAD) or dating anxiety disorder (DAD) and so on. It’s not that these disorders don’t exist, says Lane, a Guggenheim fellow studying the ethics of psychopharmacology, but that our definitions are so broad that the entire mysterious subconscious is reduced to chemical balance, and any deviation looks like disease.

Why, he asks, is ADHD so commonly diagnosed in boys? Is it new behaviour? Or just a new attitude to that behaviour?

But why the gender imbalance, and why now? We know that boys tend to be late maturers anyway, but Scott concedes there are also social and perceptual factors at play. Teachers with “less structured” teaching style and “more distracting” classroom environments, he says, yield many more of his clients than their more disciplined (my word) colleagues.

Whereas ADHD girls “sit quietly in a corner”, the boys are more disruptive and more noticed, more referred, more medicated. And although much the same is true of ”normal” boys and girls, the upshot is that ”girl” is a norm to which boys are expected to strive. Scott sees it as “an unintended consequence of how society operates”.

But consequences this important should be either clearly intentional, if girlifying boys is really what we want, or remedied. Personally, I reckon the crazily creative are types we’ll need more of, rather than fewer of, in the future, even if they are male.

The above are just some snippets from this very thought-provoking opinion piece.  It has never sat well with me that such a large proportion of children taking Ritalin are boys.  Whilst I wouldn’t go as far as to blame it on few male teachers, it does make you wonder whether we are getting it right.

It seems like society may be letting boys down very badly.

The Drug Companies Are Winning at Our Children’s Expense

February 17, 2011

I have a confession to make.  I hate drug companies.  No, worse, I despise drug companies.

I may not be a doctor, pharmacist or  expert, so you can discount my views as just ramblings from an ignorant blogger if you like, but that isn’t going to change my position.

It is my belief that the drug companies have a vision.  That vision is to see children being given medication as if it were candy.  Last month I wrote about the fact that more than a quarter of kids in the US are on medication, with almost 7% on two or more prescription drugs.  The drug companies probably see that figure as merely a good start, with plenty of room for improvement.

And as much as I wish we could see through what they are doing, I’m afraid, they continue to prevail.

I was really disappointed to hear that a lice drug called Natroba,  has been approved by the U.S. Food and Drug Administration for use on children ages 4 and older.

A lice drug?  So let me get this straight.  You give your child a drug that goes into the bloodstream to fight a problem which is external to the body.  How on earth does that work?

The product — which is applied to dry scalp and hair, then left on for 10 minutes — contains spinosad, a compound that excites the central nervous system of head lice. The bugs, which are most common in children ages 3 to 12, become paralyzed and die.

And what about the “known” side-effects?

Common side effects of Natroba include redness or irritation of the eyes and skin.Because it contains benzyl alcohol, which can be harmful to newborns and low-birth-weight infants, the drug should not be used on children younger than 6 months.

6 months?  Why would you give a prescription drug to a baby suffering from lice?

The sad part of this is that we live in the age of the quick fix.  The solution to every problem must come at the click of a finger.  No matter how many of these drugs get released, there will always be doctors happy to endorse and prescribe them and parents only too happy to avoid the time and energy used to treat their children in the traditional way.

If this keeps up, soon it will be rare to find a child not on medication.  What a tragedy!

There is Something Seriously Wrong Happening Here!

January 28, 2011

I am no expert and don’t pretend to be one, but I can’t help being quite disturbed by the incredible amount of young children being prescribed medication.  As a teacher and parent, it hurts to know that kids all over the world are being prescribed these drugs in vast numbers.

I realise that there are children that legitimately require medication – but surely we are prescribing these drugs far too easily and haphazardly.  This is not Aspirin!  These are powerful drugs.  Surely, a global body needs to be set up to review the practice of mass prescriptions and to further tighten the regulations.  I am scared for the next generations of children.  I never want to live in a society where prescribing powerful drugs to kids is seen as normal or standard practice.

In the past week alone I have read countless articles on this issue.  The article below from the UK claims drugs are being prescribed for ‘normal’ reasons, such as shyness:

Children are being prescribed mind-altering “chemical cosh” drugs for conditions such as shyness and mild social anxiety, behaviour experts have warned.

Young people are routinely being given medication to treat normal childhood conditions, it was claimed, despite fears over their long-term health.

The disclosure came as it emerged that the number of eight- to 13-year-olds on drugs such as Ritalin has soared seven-fold since 1997.

But Dave Traxson, a senior educational psychologist who works in schools in the West Midlands, warned that children were increasingly prescribed drugs for “normal” conditions.

“I feel very strongly that the time is right to challenge the growing practice of medicating our children for displaying behaviours and thought processes that until recently would have fallen within the normal range,” he said.

There was this article along the same lines from Australia:

THE use of stimulant drugs to treat attention deficit hyperactivity disorder (ADHD) is soaring, with data showing prescriptions for some medications grew by 300 per cent over seven years.

Prescription of the stimulant drugs rose by 87 per cent between 2002 and 2009, Australian researchers have found. Use of one drug commonly sold as Ritalin, methylphenidate, increased by 300 per cent.

Most studies of stimulant medication only tested its effects for between six and 12 weeks, and there was no evidence it improved educational or life outcomes, Associate Professor Jureidini said.

This description from the US site defending the use of Ritalin and other such drugs:

Stimulants are safe and effective for most children, helping them to focus their thoughts and control their behavior. In some children, these medications may cause mild side effects, such as decreased appetite, weight loss, stomachaches, sleep problems, headaches and jitteriness. Rarely, there may be more serious side effects, such as dizziness, stuttering, tics or increased blood pressure.

This article was printed in a Malaysian newspaper:

ALMOST one million children in the United States are potentially misdiagnosed with Attention Deficit-Hyperactivity Disorder (ADHD) because they were the youngest and least mature in their kindergarten classes, a US study found.

And finally, another damning article from the US:

While stimulant drugs have long been known to help children with ADHD alleviate symptoms, new studies have shown the opposite effects.

Many experts recommend prescription of a stimulant drug in severe cases, and often believe ADHD symptoms can be treated by using methods other than medication.

One dangerous possible side-effect of Ritalin is the potential alteration of personality. Some individuals have explained that when medication is stopped, the actions, thoughts, and feelings are vastly different than when taking the medication.

Whilst ADHD no doubt exists, and is often best treated with drugs, I am still of the opinion that we are drastically overprescribing these drugs.  I may not be an expert, but I still feel sufficiently concerned to speak up about it.

As teachers have a part in the decision as to whether or not a child is prescribed medication, I make the following request.  Please don’t take the decision lightly.  Don’t let an easier classroom experience ever taint your objectivity.

Think Before You Medicate Our Children!

December 30, 2010

Dear Medical Profession,

Whilst I am no expert and don’t pretend to be, I am bewildered at the rate in which kids are being prescribed medication in the US especially.  I read the Wall Street Journal article about prescription drug use among children and teenagers in the US, and I just shook my head in disbelief.

Below are some of the passages from the article that disturbed me:

These days, the medicine cabinet is truly a family affair. More than a quarter of U.S. kids and teens are taking a medication on a chronic basis, according to Medco Health Solutions Inc., the biggest U.S. pharmacy-benefit manager with around 65 million members. Nearly 7% are on two or more such drugs, based on the company’s database figures for 2009.

Doctors and parents warn that prescribing medications to children can be problematic. There is limited research available about many drugs’ effects in kids. And health-care providers and families need to be vigilant to assess the medicines’ impact, both intended and not. Although the effects of some medications, like cholesterol-lowering statins, have been extensively researched in adults, the consequences of using such drugs for the bulk of a patient’s lifespan are little understood.

But children and teens are also taking a wide variety of other medications once considered only to be for adults, from statins to diabetes pills and sleep drugs, according to figures provided to The Wall Street Journal by IMS Health, a research firm. Prescriptions for antihypertensives in people age 19 and younger could hit 5.5 million this year if the trend though September continues, according to IMS. That would be up 17% from 2007, the earliest year available.

So, one-quarter of kids in the US are on medication.  Is this acceptable?  Is this not far too high?  Is it going to get higher in the future?  Are we going to have half of our kids on medication?  Why don’t we put all kids on meds?  That’s where we are going, aren’t we?

As I stated, I am no expert.  I just find it hard to believe that so many kids rely on medication.  It doesn’t sit well with me.  Am I just behind the times, or is this generation of medical professionals comfortable with prescribing medication to kids in such high numbers without adequate research?

Yours sincerely,

 

MICHAEL