Adolescent Prescription ADHD Medication Abuse Is Rising Along With Prescriptions for These Medications

Setlik, Jennifer; Bond, G. Randall; Ho, Mona

doi:10.1542/peds.2008-0931

Cited by 107 publications

(76 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Stimulant medications are both more effective at treating ADHD symptoms 53 and much more commonly misused than nonstimulant medications. Pediatricians are thus in a position to prescribe a medication that can reduce both ADHD symptoms and the risk of developing an SUD and simultaneously pose a risk for abuse and diversion.…”

Section: Stimulant Medicationsmentioning

confidence: 99%

“…59,69 Indeed, short-acting medications are more likely to be misused or abused, and amphetamine preparations are misused and abused more frequently than methylphenidate preparations. 53,70,71 3 ADHD symptoms must be present during childhood; thus, particular caution is warranted before making a new diagnosis of ADHD, especially in an adolescent. Although it is possible that symptoms in childhood were unnoticed, adolescents sometimes attempt to get a stimulant prescription by feigning symptoms of ADHD.…”

Section: Diversion Of Stimulant Medicationsmentioning

confidence: 99%

See 1 more Smart Citation

Attention-Deficit/Hyperactivity Disorder and Substance Abuse

Harstad¹,

Levy²,

Ammerman³

et al. 2014

Pediatrics

103

View full text Add to dashboard Cite

Attention-deficit/hyperactivity disorder (ADHD) and substance use disorders are inextricably intertwined. Children with ADHD are more likely than peers to develop substance use disorders. Treatment with stimulants may reduce the risk of substance use disorders, but stimulants are a class of medication with significant abuse and diversion potential. The objectives of this clinical report were to present practical strategies for reducing the risk of substance use disorders in patients with ADHD and suggestions for safe stimulant prescribing.

show abstract

Section: Stimulant Medicationsmentioning

confidence: 99%

Section: Diversion Of Stimulant Medicationsmentioning

confidence: 99%

Attention-Deficit/Hyperactivity Disorder and Substance Abuse

Harstad¹,

Levy²,

Ammerman³

et al. 2014

Pediatrics

103

View full text Add to dashboard Cite

show abstract

“…28 We found that stimulant medications were prescribed to adolescents at an increasing rate over the study period, similar to previously observed trends. 29 35 Potential associations between regional prescribing patterns and rates of misuse are complex and difficult to observe when using broad geographic regions.…”

Section: Figurementioning

confidence: 99%

Prescribing of Controlled Medications to Adolescents and Young Adults in the United States

et al. 2010

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT:The nonmedical use of prescription drugs by adolescents and young adults has surpassed all illicit drugs except marijuana and has become an increasing public health concern. Adolescents and young adults are in the most likely age groups to abuse prescription medications. WHAT THIS STUDY ADDS: OBJECTIVE:The nonmedical use of prescription drugs by adolescents and young adults has surpassed all illicit drugs except marijuana, yet little is known about prescribing patterns. We examined the prescribing of controlled medications to adolescents aged 15 to 19 and young adults aged 20 to 29. METHODS:We used cross-sectional data from the National Ambulatory Medical Care Survey (N ϭ 4304 physicians) and the National Hospital Ambulatory Medical Care Survey (N ϭ 2805 clinics; N ϭ 1051 emergency departments) between 2005 and 2007. We also used consecutive data from 1994 to describe trends. RESULTS:A controlled medication was prescribed at 2.3 million visits by adolescents and 7.8 million visits by young adults in 2007. Between 1994 and 2007, controlled medications were prescribed at an increasing proportion of visits from adolescents (6.4%-11.2%) and young adults (8.3%-16.1%) (P Ͻ .001 for trend). This increase was seen among males and females, in ambulatory offices and emergency departments, and for injury-related and non-injury-related visits (all P Ͻ .001). A controlled medication was prescribed during 9.6% of all adolescent visits and 13.8% of young-adult visits for non-injury-related indications and at 14.5% of adolescent visits and 27.0% of young-adult visits for injury-related reasons. Controlled medications were prescribed at a substantial proportion of visits for common conditions, such as back pain, to both adolescents (23.4%) and young adults (36.9%). CONCLUSIONS:Controlled medications are prescribed at a considerable proportion of visits from adolescents and young adults, and prescribing rates have nearly doubled since 1994. This trend and its relationship to misuse of medications warrants further study. Pediatrics

show abstract

“…Between 1998 and 2005, there was a 133% increase in amphetamine product prescriptions and a 52% increase in methylphenidate products, for teenagers and preteenagers in the US (Setlik et al, 2009). According to US government data, from 1998 to 2007, total amphetamine prescriptions increased by about 11.7 million, or 463% (Stix, 2009).…”

mentioning

confidence: 99%