>> GOOD EVENING.

I'M PSYCHIATRIST CHIEF OFFER LIVE FROM FORT WAYNE, INDIANA.

WELCOME TO MATTERS OF THE MIND NOW IN ITS 22ND YEAR MATTERS.

THE MINE IS A LIVE CALL IN PROGRAM WHERE YOU HAVE THE CHANCE TO CHOOSE THE TOPIC FOR DISCUSSION.

SO IF YOU HAVE ANY QUESTIONS CONCERNING MENTAL HEALTH ISSUES.

GIVE ME A CALL HERE.

PBS FORT WAYNE BY DIE IN THE FORT WAYNE AREA, 9, 6, 9, 2, 7, TO 0.

IF YOU'RE CALLING LONG-DISTANCE, YOU MAY CALL.

IT'S 6, 6, 9, 6, 9, 2, 6, 2, 0, COLE FREE NOW ON A FAIRLY REGULAR BASIS.

WE ARE BROADCASTING LIVE EVERY MONDAY NIGHT FROM OUR PBS FORT WAYNE STUDIOS WHICH LAND THE SHADOWS OF THE PRETTY FORT WAYNE CAMPUS.

AND IF YOU'D LIKE TO CONTACT ME WITH AN E-MAIL QUESTION THAT I CAN ANSWER ON THE AIR.

YOU MAY WRITE ME VIA THE INTERNET AT MATTERS OF THE MIND.

ALL ONE WORD AT W F DOT ORG THATS MATTERS OF THE MIND AT W F DOT ORG AND I START TONIGHT'S PROGRAM WITH THE QUESTION I RECENTLY RECEIVED IT READS DEAR DOCTOR FALL FOR I'M A PERSON OF COLOR.

ARE THERE ANY PARTICULAR CONCERNS WITH MEDICATIONS OR OTHER TYPES OF TREATMENTS QUINN TREATING CERTAIN ETHNICITIES.

THE BIGGEST CONCERN WILL HAVE MATE HAS WHAT PEOPLE WILL BE WITH PEOPLE WITH ASIAN DESCENT.

THEY MIGHT HAVE DIFFICULTIES, PARTICULARLY WITH BREAKING DOWN MEDICATIONS AND WILL WE CALL IT A FARMER.

KINETIC DRUG INTERACTION.

THE BEST WAY TO KNOW FOR SURE IF IT AFFECTS YOU WOULD BE TO SIMPLY GET A GENETIC TYPE THIS MOUTH SWAB WHERE THEY CAN ACTUALLY DETERMINE WHAT KIND OF SOMATIC ACTIVITIES YOU HAVE.

THERE ARE ALL THESE DIFFERENT ENZYMES WE HAVE IN OUR BODIES THAT CUPP BREAKDOWN MEDICATIONS, MANY OF THEM ARE CALLED SET A CHROME PUPPY FOR 50 ENZYMES AND HAS WON A 2 TO THE 6 TO BE 6.

ALL THESE DIFFERENT ENZYMES.

WE'LL BREAK DOWN MEDICATIONS TO DIFFERENT DEGREES.

AND IF YOU'RE A SLOW METABOLIZE OR YOU'LL HAVE HIGHER BLOOD LEVELS.

IF YOU'RE FAST METABOLIZE OR YOU HAVE LOWER BLOOD LEVELS.

SO FOR THAT REASON, IT'S HARD TO SAY JUST BASED ON YOUR ETHNICITY, IF YOU'RE GOING TO BE A HIGHLAND TAB.

ALLIES ARE LOW.

METABOLITES ARE.

SO WE WOULDN'T NECESSARILY DETERMINE HOW HIGH OR LOW TO GIVE YOU THOSE MEDICATIONS JUST BASED ON YOUR AT THIS IN A CITY WE PREFER TO REALLY LOOK AT THE FORMER KENTUCKY FROM A KINETIC GENETIC TESTING IS AVAILABLE NOW.

THAT'S WHERE WE WOULD DETERMINE THAT.

THANKS.

YEAR.

THANK YOUR QUESTION.

LET'S GO TO THE NEXT CALLER.

HELLO, BARBARA WALK IN AMERICA MIGHT.

>> WELL, MY BROTHER.

>> I WAS WONDERING IF THERE IS A VITAMIN OR SUPPLEMENT THAT HELPS MEMORY.

I'M 83 NOW NOTICING THAT MY MEMORIES GETTING BAD.

>> PROBABLY THE BEST WAY TO DETERMINE AND YOU MIGHT NEED WOULD BE TO GET A BLOOD TEST LOOKING SPECIFICALLY AT YOUR VITAMIN B, 12 BLOOD LEVEL AND YOU'RE FULLY CAST AT THAT LEVEL AND WILL HAVE PEOPLE MOVED PREFERENTIALLY MAYBE TAKE VITAMIN D AS WE'RE GETTING OLDER.

IT WOULD SPECIFICALLY HELP THE MEMORY, BUT IT CAN HELP YOU.

A LOT OF OTHER AREAS.

THERE DISCUSSION ABOUT VITAMIN D BE IN A POSSIBLE PREVENT ANY FOR EVEN COVID THE SEVERITY OF YOUR COVID INFECTION.

IF YOU'RE TO GET THAT.

SO VITAMIN D AS IN DOG SEEMS TO HAVE A LOT OF HEALTH BENEFITS FOR MOOD FOR YOUR OVERALL PHYSICAL HEALTH.

AND IN GENERAL FOR MEMORY, YOU KNOW, BARBARA, IF THERE IS A SPECIFIC VITAMIN, I WOULD BE TAKEN ON A REGULAR BASIS.

OFFICIAL HAS SOME BENEFITS FOR THE HEART BUT ALSO THE BRAIN.

SO FISH OIL.

WE WOULD TAKE OMEGA 3 FATTY ACIDS SPECIFICALLY OMEGA 3 FATTY ACIDS CAN BE THE MOST BENEFICIAL MORE THAN OF MAKE A 6.

BUT OMEGA 3 FATTY ACIDS.

1000 MILLIGRAMS A DAY CAN BE BENEFICIAL FOR A LOT OF PEOPLE.

TO PRESERVE THEIR BRAIN FUNCTIONING.

FOR MEMORY LAUNCH.

VTA HAS BEEN A BRAND NAME PRODUCT THAT'S BEEN AROUND FOR A WHILE.

LAUNCH VIA IS SOMETHING IS A BRAND NAME PRODUCT THAT WAS DEVELOPED OUT IN NOBLESVILLE, INDIANA AND THAT'S BEEN STUDIED IN SOME AREAS BUT NOT SO MUCH THAT I DIRECT RECOMMENDED FOR EVERYBODY FOR THE BEST THING TO DO.

WOULD BE AT THIS 83 YEARS.

YOUNG CONSIDER TAKING OFFICIAL IN A REGULAR BASIS.

IF YOU'RE NOT HAVING ANY TROUBLE BLOOD CLOTTING.

THAT'S BE A THAT WOULD BE A REASON NOT TO TAKE FISH.

WELL, IF YOU'RE HAVING ANY TROUBLE TO TO NEED TO BE ON MEDICATIONS COUMADIN OR WAR FOREIGNER TYPE OF THINGS THAT AFFECT YOUR BLOOD CLOTTING.

SO YOU WANT TO TALK TO YOUR PRIMARY CARE QUESTION ABOUT THAT VITAMIN D IS JUST A GENERAL VITAMIN SUPPLEMENT THAT I RECOMMEND THE MANY, MANY PEOPLE, 2000 UNITS EVERY DAY IS OFTEN RECOMMENDED SOME PEOPLE TAKE AS MUCH AS 5,000 UNITS EVERY DAY.

DOCTOR FAUCI WHO CURRENTLY THE INFECTIOUS DISEASE EXPERT OFTEN MAKES RECOMMENDS RECOMMENDATIONS TO CDC ABOUT COVID APPARENTLY VITAMIN D HIMSELF.

THAT RECENTLY CAME OUT.

THAT HAS SPARKED AS FAR AS A SPECIFIC VITAMIN SUPPLEMENT ANY KIND OF SUPPLEMENT FOR MEMORY ITSELF.

I KNOW THERE'S A LOT OF THINGS OUT THERE.

TOUTED RIGGING CULT.

BILOBA WAS DISCUSSED A LONG TIME AGO AND THEN AND I WAS PROUD 20 YEARS AGO AND NOW THOUGHT THAT GINGKO BILOBA GLOBAL ACTUALLY CAUSES MORE HARM THAN GOOD CAUSE.

A TREMENDOUS NUMBER OF DRUG INTERACTION.

SHE WOULD BE VERY CAREFUL WHAT YOU TAKE.

BUT THE SAFE SUPPLEMENTS TO TAKE OUT THEIR BARBER WOULD BE OMEGA.

3 FATTY ACIDS OR FISH IF YOU DON'T HAVE ANY.

BUT THE ABNORMALITIES AND YOU'RE NOT TAKING ANY MEDICATIONS THAT AFFECT BLOOD CLOTTING WERE FOR AN INCUMBENT IN THOSE TYPE OF MEDICATIONS.

VITAMIN D CAN BE FOR YOU YOU CAN ALWAYS CONSIDER A MULTIVITAMIN JET IN GENERAL.

I I KNOW WHAT I WAS IN PHARMACY SCHOOL BACK IN THE 1970'S.

THERE IS THOUGHT THAT ULTIMATUMS COULD BE HELPFUL THAN IT WAS FOUND THAT MULTI VITAMINS DIDN'T REALLY HELP ANYMORE THAN THEY.

REALLY TALENTED ONE WAY OR ANOTHER.

SO I QUIT TAKING A MULTIVITAMIN A LONG TIME AGO.

BUT I WOULD RECOMMEND THAT ESPECIALLY AS YOU GET OLDER BARBER.

YOU HAVE DIFFICULTY WITH ABSORPTION VITAMIN B 12 VITAMIN B 12 NEEDS TO GO TO THE STOMACH.

IT CATCHES A BUS IN THIS BUS IS CALLED INTRINSIC FACTOR.

IT'S RELEASED FROM THE STOMACH AND THEN TRANSIT FACTOR THAN TAKES A RIDE DOWN TO THE INTESTINE SMALL INTESTINES.

AND THAT'S WHERE IT GETS ABSORBED.

SO VITAMIN B 12 NEEDS TO CATCH THE BUS TO GET AS WE GET OLDER.

THE INTRINSIC FACTOR WHICH IS RELEASED FROM THESE LITTLE CELLS UNDER STOCKS CALL THE PRIMAL CELLS.

THERE'S LESS OF THAT.

AND AS WE GET OLDER, SOMETIMES, WE JUST DON'T SECRETE ENOUGH OF THAT AND WE'RE NOT ABLE RELEASE THE BUS TO ALLOW 5 OF THE 12 TO TAKE HER EYES.

THAT'S WHY AS PEOPLE GET OLDER, THEY'LL TAKE A SUBLINGUAL VITAMIN B 12.

SOMETIMES OR EVEN INJECTION.

AND IT'S BECAUSE THEY DON'T HAVE ENOUGH VITAMIN B 12.

YOU CAN HAVE OTHER DIFFICULTIES WITH VITAMIN B 12 DEFICIENCY SUCH AS TINGLING OR NUMBNESS IN THE HANDS OR FEET SOMETIMES WEAKNESS AND PEOPLE JUST FEEL TIRED.

NOW, SOMETIMES YOU HEAR ABOUT PEOPLE I VITAMIN B 12 INJECTIONS IS FEELING BETTER.

AND AND IN GENERAL.

YOU ALWAYS WANT TO GET A BLOOD LEVEL.

BEFORE YOU GET A VITAMIN B, SUPPLEMENT OVER ALSO CHECK THE VITAMIN B, 12 AND GOING ALONG THAT WITH THAT CAN BE FORECAST TO DEFICIENCIES AS WELL.

SO WE'LL OFTEN CHECK THOSE 2 VITAMINS IS PUT IN PARTICULAR.

B 12 AND FOLIC ACID FORECAST IS ACTUALLY VITAMIN B 9.

SO THESE ARE 2 OF THE 12 B VITAMINS THAT WE HAVE.

SO IF YOU TAKE A B COMPLEX, FRANCIS.

YOU'RE GETTING THOSE SUPPLEMENTS AT FAIRLY LOW DOSES BECOME PLEX WILL ALSO HAVE OTHER B VITAMINS IN IT SUCH AS TIMING, WHICH IS VITAMIN THE ONE RIGHT BEFORE EVEN AS VITAMIN B 2 VITAMIN B, 6 PARADOX SCENE.

SO THESE ARE ALL THE DIFFERENT TYPE OF THE VITAMINS.

YOU CAN TAKE AN A, B COMPLEX IS REALLY OK TO TAKE I DISCOURAGE ANYBODY FROM TAKEN TO BE COMPLEX IN GENERAL.

SPECIFICALLY IF YOU WANT TO TAKE A LOOK AT A VITAMIN TO CONSIDER FOR MEMORY SPECIFICALLY.

WE WILL TYPICALLY CHARACTERISTICALLY CHECK A VITAMIN B 12 AND A VITAMIN THE 9 LEVEL, WHICH IS ALSO KNOWN AS FOLIC ACID.

BARBARA, THANK YOUR CAR.

LET'S GO TO THE NEXT E-MAIL.

OUR NEXT E-MAIL READS DEAR DOCTOR FARBER.

I'VE HEARD THAT SMOKING CIGARETTES.

I PRESUME TOBACCO CIGARETTES OR MARIJUANA CAN CAUSE DRUG INTERACTIONS.

WHAT'S THE EQUIVALENT AMOUNT CIGARETTES TO MARIJUANA TO CAUSE THESE INTERACTIONS GENERALLY IF YOU SMOKE ABOUT A PACK OF CIGARETTES A DAY TOBACCO CIGARETTES ABOUT A PACK A DAY.

YOU CAN HAVE DRUG INTERACTIONS AND THE SPECIFIC DRUG INTERACTIONS.

YOU CAN HAVE.

WE'LL BE THIS DRUG INTERACTION.

WHERE IF YOU HOW THIS ENZYME CALLED THIS SORT OF CRIME BEFORE 50 TO YOU WILL FIRE UP THAT PARTICULAR ENZYME.

SO ANY MEDICATIONS THAT GO THROUGH THAT IN TIME WILL HAVE LOWER BLOOD LEVELS.

SO THE CLASS OF MEDICATIONS AND PSYCHIATRY WILL BE CLOSURE ON TYPE WREXHAM THOSE KIND OF SMOKING A PACK OF CIGARETTES A DAY WHEN DEUCE THAT 2, INSIDE AND DECREASE THOSE WELL LEVELS.

OTHER.

MEDICATIONS, LOT OF THEM OUT THERE ARE AFFECTED BY 1, WILL BE UNDER ALL WEEK WITH A PROMISE WOULD BE ANOTHER ONE.

SO THESE ARE MEDICATIONS THAT HAVE CAN HAVE LOWER BLOOD LEVELS.

IF YOU SMOKE A PACK OF CIGARETTES A DAY SMOKING MARIJUANA YEAH.

THAT CAN ALSO HAVE A SIMILAR EFFECT ON FIRING UP THAT IS I WANTED TO AND DECREASING VARIOUS BUT LEVELS OF OTHER MEDICATIONS.

SO REALLY IF ONE PACK OF CIGARETTES IS EQUIVALENT TO AROUND ONE JOINT OF MARIJUANA A DAY IT HAS NOTHING TO DO WITH DAMAGE ON THE LONGEST WAR RELATED TO THE POLICE.

I CYCLE OF HYDROCARBON COMBUSTION.

THE CURSE FROM THE SMOKE ITSELF.

SO SMOKING TOBACCO CIGARETTE, SMOKING MARIJUANA.

THE PALI SAKE CYCLIC HYDROCARBON COMBUSTION.

THAT'S WHAT SEEMS TO FIRE UP THAT TO ENZYME.

AND IF YOU INCREASE THE ACTIVITY THAT INSIDE YOU DECREASE BLOOD LEVELS OF VARIOUS MEDICATIONS MAKING THOSE MEDICATIONS LESS EFFECTIVE.

SO THAT'S SOMETHING THAT'S BEEN DISCUSSED FOR PROBABLY ABOUT 25 YEARS NOW AS WE'RE TALKING MORE ABOUT DRUG INTERACTIONS.

THE REASON YOU'RE OFTEN ASKED BY YOUR DOCTORS.

DO YOU SMOKE CIGARETTES REDUCE THE NUMBER IT WILL BE BECAUSE WE'RE LOOKING FOR POSSIBLE INTERACTIONS WITH MEDICATIONS THAT CAN BE INFLUENCED BY THE TOBACCO CIGARETTES OR SMOKING MARIJUANA.

THANK YOU FOR YOUR QUESTION.

LET'S GO TO NEXT CALLER.

HELLO, SHARON.

WELCOME AIRS IN MIND.

>> I YES, I HAD A MY ELDERLY COUSIN AS THE MENTION.

SHE'S BEEN TAKING LEXAPRO FOR 5.10, YEARS.

AND NOW THE PSYCHIATRIC NURSES DECIDED TO ADD ABILIFY TO HELP FOR DEPRESSION.

AND I WAS JUST WONDERING HOW HOW HARMFUL IS THAT TO HER.

THE BILL, IF I WILL HAVE THE WARNING AS DO ALL MEDICATIONS IN THAT CLASS CARE.

>> SHARING THE POSSIBILITY OF INDUCING FOR INDIVIDUALS DEMENTIA.

AND HERE'S HOW THOSE STUDIES EMERGE.

THEY REALLY CAME ABOUT 20 YEARS AGO WHEN.

THE MANUFACTURE SPECIFICALLY RISPERDAL.

WORST.

THEY WERE STUDYING PEOPLE WHO HAD DEMENTIA SPECIFICALLY USING RISK IT ALL AGITATION RELATED TO DEMENTIA AND WHEN THEY GAVE RISK.

BUT ALL SPECIFICALLY FOR PEOPLE WHO ALREADY HAD LUNG DISEASE OR PEOPLE WHO SPECIFICALLY.

WE'RE ALSO ON AT A VAN OR XANAX O'CLOCK THUNDER IT CAUSED THEM TO HAVE MORE FALLS.

AND IN SOME CASE CASE IS A HIGHER RISK FOR STROKE.

SO WAS THOUGHT SHE WAS AT THE RISK.

BUT ALL WAS THAT THESE OTHER FACTORS ASSOCIATED WITH IT WITH THE BOTTOM LINE IS THE FOOD AND DRUG ADMINISTRATION AT THAT TIME PLACED A WARNING NOT ONLY ON RISPERDAL BUT ALL MEDICATIONS THAT CLASS INCLUDING ABILIFY CONCERNING THE USE OF THOSE MEDICATIONS IN THE ELDERLY WITH DEMENTIA.

SO WE HAVE TO BE SENSITIVE TO THOSE KIND OF AFFECTION.

BUT NUMBER ONE, ELDERLY PEOPLE.

WITH THE MEN.

SHE REALLY SHOULD NOT BE ON MEDICATIONS LIKE ADDED AND SANTA CON UP IN THERE'S A SO CALLED BENZODIAZEPINES.

THOSE ARE THE PEOPLE WHO HAD MORE FALLS AND THEY SEEM TO HAVE MORE STROKES AND HAVE MORE TROUBLE WITH BREATHING THAT IF YOU'RE GOING TO USE ABILIFY, IT'S AN ENTIRELY DIFFERENT MEDICATION.

RISPERDAL THE OTHER IN THE SAME CATEGORY.

DEBATE BY HOW THE CLASSIFIED BUT RISPERDAL PRIMARILY AS A MEDICATION THAT'S BLOCKING A COUPLE RECEPTOR RECEPTOR CALLED TO THE 6 INTERCEPTOR CALLED.

TO SEROTONIN, SO IF YOU BLOCK SEROTONIN AND DOPING RECEPTOR TYPE 2, YOU CAN HAVE NICE EFFECTS FOR A MOOT STABILIZATION.

AND YOU CAN HAVE A CUTTING AFFECTS ABILIFY WORKS ENTIRELY DIFFERENTLY.

ABILIFY IS WORKING ON A WHOLE DIFFERENT SET OF RECEPTORS 2 MILLIGRAMS A DAY.

WHAT ABILIFY DOES SHARE IT ACTUALLY PUSHES OUT WARD OPEN MEAN INTO FRONTAL LOBE UP HERE.

SO IF YOU PUSH OUT MORE, DON'T MEAN THE FRONTAL LOBE.

YOU CAN HAVE RELIEF WITH DEPRESSION AND ACTUALLY HAVE BETTER CARS, CONCENTRATION AND FOCUS.

WHEN YOU DOSE ABILIFY UP TO 5 1015 MILLIGRAMS A DAY.

THAT'S WHERE YOU START BLOCKING DOPE, MEANING YOU GET SOME MORE OF THESE RISKS.

BUT ALL LIKE AFFECTS BUT SHARON WHEN WE TALK ABOUT MEDICATIONS LIKE ABILIFY FOR DEPRESSION.

WE'RE GOING TO USE IT.

A VERY TINY DOSES, OFTEN 2 MILLIGRAMS A DAY AND BASICALLY IF YOU THINK OF ABILIFY AND HOW IT WORKS WITH THE MEDICATION LIKE L'EXPRESS KOIKE AMBER HELPER WITH AMBER.

YOU KNOW, HAMBURGER HELPER MAKES HAMBURGER TASTE A LOT BETTER.

WELL, THE SAME THING.

THE BILL FI WILL DO.

IT WILL MAKE A MEDICATION LIKE LEXAPRO WORK BETTER FOR DEPRESSION.

IT'S JUST A REALLY TINY DOSES WE USE OF THE MEDICATIONS IN SMALL DOSES LIKE THAT.

FOR INSTANCE CYCLE.

A RESULT HE WILL USE AN AD ON MEDICATION.

SOMETIMES WE WILL WILL USE A SMALL AMOUNT OF SIGHT CRACKS AT THAT TIME.

SOMETIMES WE USE A SMALL AMOUNT OF SEROQUEL TO HELP PEOPLE WITH DEPRESSION.

THAT WE HAVE TO BE VERY CAREFUL WITH THE OLDER ADULTS IN GENERAL BECAUSE THEY'RE GOING TO BE MORE PRONE TO HAVING FALLS AND HAVING DIFFICULTY OF BLOOD PRESSURE, DECREASES AND THINGS LIKE THAT.

SO THOSE ARE THE REASONS WHY WE HAVE TO BE SPECIFIC AND CAREFUL.

BUT AS LONG AS ABILIFY SHOES, THE DOSES UNDER 5 MILLIGRAMS A DAY FOR DEPRESSION, ESPECIALLY WITH AN OLDER ADULT DIFFICULTY WITH DEMENTIA.

THAT CAN BE A NICE OPTION FOR SOMEBODY LIKE THAT.

SHARON, THANKS FOR CALLING SCORE NEXT CALLER.

HELLO CAN WALK IN AMERICA MIGHT.

>> YES, PROBABLY JUST TOUCHED ON THIS, I WONDER WHAT THE DIFFERENCE BETWEEN THE GROUPS HOPE THE AND THE ABILIFY IN IN THEIR ACTIONS.

WHAT EXACTLY THIS RESULT YOU GET IT.

GIVE US BUILT.

I WOULD NOT FERRY SETTLE.

CAN THAT ACTUALLY THE MAKERS OF.

>> RIGGS ALL TO WEAR THE SAME MANUFACTURERS AND RESEARCHERS OF ABILIFY WHAT THEY FELT THE BILL.

5 WAS THAT SOME ON ABILIFY HAD MORE RESTLESSNESS.

WE CALL ME KAT.

THE SHIP.

IT'S A MISERABLE FEELING FOR A LOT OF PEOPLE WOULD NOTICE THAT FOR YEARS WITH PEOPLE ON HOW BALL, FOR INSTANCE, A LOT OF THE OLDER AND I SAY COMICS WERE HIS CAN'T SIT STILL.

AND YOU KNOW, YOU SEE HIM COME IN YOUR ROOM AND THEY'RE PACING AND THEY JUST CAN'T SIT.

STILL SOME MISERABLE FEELING.

AND IT'S A SENSE OF RESTLESSNESS AND IT WAS INADVERTENTLY.

MANY TIMES MISINTERPRETED AS BE AN AGITATION.

SO IT'S VERY IMPORTANT WE HAVE PEOPLE ON THESE MEDICATIONS.

A BLOCKED OPEN MEAN THEY'RE IN A PSYCHOTIC STATE.

WE HAVE THEM ON THOSE MEDICATIONS.

WE HAVE TO BE CAREFUL NOT TO GIVE THEM TOO MUCH OF THE MEDICATION BECAUSE YOU CAN ACTUALLY INCREASE SPACING IN THIS INNER SENSE OF RESTLESSNESS.

WELL, ABILIFY DID CAUSE SOME OF THAT, ESPECIALLY AS YOU GET UP TO 1015 MILLIGRAMS A DAY.

RICK SOT.

HE CAME OUT AS AN ALTERNATIVE.

VERY SIMILAR CHEMICAL STRUCTURE, BUT IT AFFECTS A DIFFERENT SET OF RECEPTORS IN SUCH A WAY THE SPECIFIC CAUSES LESS RESTLESSNESS.

NOW, BILL, IF I CAN GIVE YOU A LITTLE BIT OF WAKING NOT MUCH BUT A LITTLE BIT OF WEIGHT GAIN.

RESULTING CAN GIVE YOU THE SAME AMOUNT AWAKE.

AND SO THAT WASN'T AN ADVANTAGE.

SOMETIMES PEOPLE ON RESULT.

HE WILL HAVE A LITTLE BIT BETTER EFFECT IN TERMS OF JUST HAVING A SENSE OF PEACE.

THERE'S A TERM THAT WE USE AND PSYCHIATRY CALLED WIRED.

BUT TIRED, IT'S WHERE PEOPLE HAVE A SENSE OF INNER TENSION.

BUT AT THE SAME TIME THEY'RE REALLY TIRED THE WRECK SALTY COULD DO A NICE JOB IN RELIEVING SOME OF THAT.

SO WE'RE EXULTING AT LOW DOSES SOMETIMES BE A LITTLE BIT MORE BENEFICIAL FOR SOME PEOPLE THAN ABILIFY.

BUT ABILIFY IS NOW GENERIC.

SO IT'S VERY INEXPENSIVE.

SO A LOT OF TIMES INSURANCE WILL OFTEN TRY TO HAVE US TRY PEOPLE ARE BILL 5.

1ST IN A BILL 5.

YOU KNOW, WHEN WE FIRST STARTED USING IT, WE'D USE 1015 MILLIGRAMS A DAY STABILIZATION DEPRESSION.

JUST FOUND IT WAS WAY TOO MUCH FOR PEOPLE.

AND NOW WE FOUND THAT MORE RECENTLY OVER THE PAST SEVERAL YEARS.

2 MILLIGRAMS IS PLENTY FOR A LOT OF PEOPLE.

AND AGAIN, WHAT ABILIFY AND FOR THAT MATTER, A RESULT WE'RE DOING IS THAT LOW DOSES.

THEY'RE ACTUALLY FIRING OUT MORE DOPE MEAN.

IF YOU THINK ABOUT YOUR LITTLE NERVE CELLS AS BEING LIKE SHOTGUNS FIRING OUT THESE LITTLE CHEMICALS ABILIFY IS BASICALLY ENHANCING THE FIRING DOPED MEAN THEY'RE ON TO FIRE UP MORE DOPING MEAN.

THE FRONT PART OF THE BRAIN.

AND THAT'S ACTUALLY GOOD FOR CONCENTRATION FOCUS AND GET UP AND GO FOR A LOT OF PEOPLE.

BY AFFECTING THIS DIFFERENT SET OF RECEPTORS RIGS.

UL T GIVES YOU THE SAME KIND OF GOOD AS SEX ABILIFY, BUT YET MIGHT GIVE YOU A LITTLE BIT LESS RESTLESSNESS OVERALL.

AND THAT'S BEEN THE ADVANTAGE OF IT OVER THE COURSE OF TIME.

KEN, THANK YOU FOR COLE.

LET'S GO TO E-MAIL.

LET'S GO NEXT E-MAIL, WHICH SHOULD BE UP HERE WE GO.

HERE.

IT IS THE 3RD OF HER FATHER.

ALL MY FRIENDS.

TAKE A STIMULANT.

AND I AM HAVING A HARD TIME CONCENTRATING WOULD AFTER ALL, BE THE BEST CHOICE FOR ME.

WELL, AT ROY'S MEDICATIONS BEEN AROUND FOR A LONG IT'S AN AMPHETAMINE.

AND IT BASICALLY A MIXTURE OF SEVERAL AMPHETAMINE SALTS.

AND AFTER ALL, IS A MEDICATION THAT I DON'T PERSONALLY PRESCRIBE ANYMORE.

IT'S WIDELY USED.

I USED TO PRESCRIBE IT O G 1520, YEARS AGO.

NOT UNCOMMONLY, BUT I COULD PRESCRIBE IT ABOUT 7 YEARS AGO.

THAT'S BECAUSE I LISTEN TO PEOPLE WHO HAD TROUBLE WITH DRUG ADDICTIONS.

AND I ASKED HIM WHEN YOU USE DRUGS ON THE STREET.

WHAT WERE THE MOST POPULAR ONES.

WHICH ONES WOULD YOU REALLY CRAVE.

WHAT GAVE YOU THE BIGGEST HIGH AND AGAIN AND AGAIN AND AGAIN.

THE DRUG ADDICT TOLD ME OUR ROLE WAS WHAT THEY WANTED.

IT WASN'T REAL AND IT WASN'T CONSERVATIVE.

WASN'T THE OTHER STUDENTS THEY SPECIFICALLY WANTED AT ALL.

SOME OF THE DRUG ADDICTS WERE VERY FORTHRIGHT WITH ME.

THEY SAID, YEAH, I COULD $8 PER PILL FOR AT ALL.

IN ONE COST ABOUT $0.30.

A PILL AT THE TIME.

THEY SAY THEY GET ABOUT 8, $8, PER PILL ON ON THE YOU GET STREET OUT THERE FOR OUR ALL IN PARTICULAR.

THAT'S WHY A LOT OF PEOPLE ASK FOR AT ALL BECAUSE THERE'S A HUGE TREE VALUE FOR COLLEGE CAMPUSES IS PROBABLY THE DRUG ABUSE DRUG.

THERE IS BECAUSE WHAT YOU'LL NOTICE IS YOU'LL GET THIS.

THE SURGE OF ENERGY VERY QUICKLY.

AND THEN THAT SURGE OF ANY ENERGY CAN STAY WITH YOU FOR A WHILE AND THEN IT FADES AND A LOT OF PEOPLE ONCE THEY GET ON AT ALL.

THIS REASON I PRESCRIBING IT SEVERAL YEARS AGO WHERE PEOPLE ONCE THEY GET ON AT ALL, THEY OFTEN NEEDS AN EXTRA CLIMATHON ARE AT A VAN WITH IT BECAUSE AT OF AND SENATOR CLINTON WILL DECREASE SOME OF THE ANXIETY THAT HAD ROLES CAUSING NOW THAT ANXIETY INITIALLY IS ACTUALLY WELCOMED BECAUSE PEOPLE LIKE THAT SURGE OF ENERGY IT REALLY WAKES HIM UP AND LAST FOR 4 TO 6 HOURS DEPENDING ON WHAT KIND OF FORMULATION GET PEOPLE LIKE THAT AFFECT.

ALSO WITH THAT ARE A LOT OF PEOPLE GET THE APPETITE SUPPRESSION AND THE LIKE THAT EFFECT.

BUT THOSE ARE SIDE EFFECTS AT ALL WAS DESIGNED TO BE USED FOR FOCUS AND CONCENTRATION AND TO DECREASE DISTRACT ABILITY.

SO IF YOU'RE TREATING ADHD, THAT'S WHAT YOUR FOCUS IS GOING TO BE ON AND TREATING YOU WANT TO HELP WITH INATTENTIVENESS.

YOU WANT TO HELP WITH DISTRACT ABILITY, WANT TO HELP WITH THE SUFFICIENCY AND GETTING THINGS DONE.

BUT NOT EVERYBODY NEEDS AN ADHD MEDICATION.

PEOPLE ALWAYS ASK ME, YOU KNOW, WHY DON'T WE ALL TAKE SOMETHING LIKE HELP US GET THROUGH OUR DAYS.

WELL, IT'S KIND OF LIKE THE QUESTION BEING WHY DON'T WE ALL WEAR EYEGLASSES.

BECAUSE IF YOU HAVE NEAR-SIGHTEDNESS AND YOU HAVE A DIFFICULT TIME SEEING THINGS IN THE DISTANCE.

YEAH.

YOU WEAR EYEGLASSES AND YOU CAN SEE REALLY CLEARLY SO WITH THAT ARE ALREADY STIMULATOR.

ANY MEDICATION FOR ADHD.

THE KEY WILL BE TO USE THE MEDICATION AT THE DOSE THAT HELPS YOU WITH INATTENTIVENESS AND DISTRACT ABILITY BUT DON'T GO HIGHER THAN THAT EARLY ON.

YOU CAN HAVE.

THE SIDE EFFECTS LIKE DRY MOUTH.

YOU CAN HAVE SOME SIDE EFFECTS LIKE HIGHER BLOOD PRESSURE, HIGHER HEART RATE.

YOU CAN ALSO HAVE THE SIDE EFFECT OF INCREASED ENERGY.

AND TO RETAIN THAT SIDE EFFECT OF INCREASED ENERGY.

WHAT DO YOU HAVE TO DO TO KEEP IT.

YOU HAVE TO KEEP GOING HIGHER AND HIGHER AND HIGHER COMMON DOSES FOR AT ALL.

THE EXTENDED RELEASE FORMULATION WILL BE 20 MILLIGRAMS A DAY.

I'VE SEEN PEOPLE IN AT ALL 220 MILLIGRAMS A DAY AND REASONING WITH SO HIGH WAS BECAUSE THEY WANTED TO KEEP GETTING THAT ENERGY THAT THEY WANTED TO TRY TO ACHIEVE FROM AT ALL THAT THEY NOTICE WHEN THEY FIRST STARTED TAKING IT SO YOU HEAR ABOUT THESE PEOPLE GOING HIGHER AND HIGHER AND HIGHER ON AT ALL.

WHAT ARE THEY TRYING TO ACHIEVE THERE OFF THE TRYING TO ACHIEVE MORE ENERGY BUT DID WHEN THEY TRY TO GET THAT ENERGY.

THEY HAVE TO USE AN EXTRA KLONOPIN TO CALM THEM DOWN.

SO IT'S KIND LIKE DRIVING DOWN THE ROAD WITH ONE FOOT ON THE ACCELERATOR AND ONE FROM THE BREAKS.

YOU JUST DON'T WANT TO DO THAT.

SO WHAT OTHER ALTERNATIVES DO WE HAVE THE SIZE AFTER ALL, WE HAVE MANY.

WE HAVE MEAN MEDICATIONS LIKE BY VAN SOME.

I D S JUST TO NAME A COUPLE OF THESE MEDICATIONS STAND.

PEOPLE SYSTEM FOR A 12 OR 14 HOURS.

THEY GIVE HIM A SMOOTHER EFFECT.

THE ADDICTS WILL OFTEN SAY THEY DON'T WANT THOSE MEDICATIONS AS MUCH AS THEY WANT SOMETHING LIKE ESPECIALLY A MEDIA RELEASE AT ALL TABLETS WHICH GIVE THEM A REALLY QUICK HIGH WITHIN A MATTER OF MINUTES AND IT STAYS IN YOUR SYSTEM FOR 4 HOURS OR SO PEOPLE AT ALL WILL CRUSH AND SNORT THE TABLETS THAT'S GIVES THEM A TREMENDOUS.

LEE HIGH BLOOD LEVEL AND IT GIVES THEM A MUCH HIGHER HIGH.

SO THEY'LL USE AT ALL SOMETIMES IN COMBINATION WITH OPIATES AND NO USE THESE CONCOCTIONS TOGETHER.

A LOT OF TIMES.

THEY'LL USE THE AT ALL TO OFFSET THE SEDATION THEY MIGHT GET FROM THEY PUT THESE THINGS TOGETHER SO GENERALLY AS AS A PHYSICIAN, I FEEL IT'S MY RESPONSIBILITY NOT TO INCREASE THE DIVERSION PROBLEM THIS OUT IN THE COMMUNITY.

SO THAT'S WHERE WE COULD PRESCRIBE AN ADULT AND THE LONGER JUST THE ONES THAT HAVE A SLOWER RELEASE ARE TYPICALLY MUCH SAFER AND GIVE PEOPLE LESS OF THAT KIND OF HIGH FEELING IN THE THEY WON'T FEEL THE ENERGY BUT WHAT WE'RE TRYING TO ACHIEVE WILL BE THE IMPROVE FOCUS AND CONCENTRATION.

AND LIKE I SAID, I MEAN, IF YOU HAVE ADHD, YOU NEED TO BE ASSESSED AND TREATED ACCORDINGLY.

THERE'S STIMULUS OUT THERE LIKE THE BUT YOU CAN ALSO USE OR RITALIN PRODUCT, WOODLAND PRODUCTS INCLUDE THE CAN CONCERT, WHICH I MENTIONED EARLIER, WHICH IS LONG ACTING RITALIN.

WE'LL USE THAT NCA WILL USE VARIOUS MEDICATIONS THAT SLOWLY RELEASE RITALIN OVER THE COURSE OF DAY.

AGAIN, WHAT YOU WANT TO TRY TO AVOID IS THE KIND OF RIDDLE HIM.

THAT'S A SHORT-ACTING THE LAST 3 OR 4 HOURS BECAUSE IT WILL MAKE HIM MOVE MORE MOODY, YOU'LL NOTICE HE GETS IN.

IT GETS OUT, GETS IN AND GETS OUT AND IT CAN CAUSE A LOT OF MOODINESS, A LOT OF PEOPLE IN ADMIRAL WHO HAD BEEN ON IT FOR A LONG TIME.

WILL OFTEN SAY THEY WANT HIGHER HIGHER DOSES.

AND WHEN YOU SAY THAT IT MIGHT NOT BE THE BEST MEDICATION FOR YOU AND THEY CAN GET GARNER VIOLENT WHEN THEY GET SO UPSET ABOUT YOUR EVEN SUGGESTING THEY COME OFF A BATTLE THAT'S NOT GOOD TO BE ON A MEDICATION LIKE THAT.

I'VE NEVER HEARD SOMEBODY GET.

HERSMAN GETTING VIOLENT WHEN YOU'VE TALKED ABOUT TAKING THEM OFF YOU KNOW, ZOLOFT OR RATHER AT A PRESS EVENT LIKE THAT AND MAYBE TRY SOMETHING ELSE.

BUT WITHOUT ALL THAT THEY CAN BE DOWNRIGHT THREATENING.

WHEN YOU TALK ABOUT MAYBE TAPERING THEM OFF AND PUTTING THEM ON SOMETHING ELSE.

IT'S BECAUSE THEY BECOME ADDICTED TO UP THE OFTEN GET REALLY IRRITABLE AND IT'S NOT THEM COMPLAINING ABOUT ITS THE FAMILY MEMBERS AND PEOPLE AROUND THEM AND THEY WON'T NOTICE THEY ARE DIFFERENT IN TERMS OF THEIR DEMEANOR UNTIL THEY ACTUALLY GET OFF OF IT.

SOMETIMES FOR A MONTH OR 2.

BUT AFTER OFF OF A FOUR-MONTH OR 2, THEY REALIZE THEY'RE CALMER.

THEY'RE MORE PATIENT.

THEY CAN ACTUALLY TOLERATE STRESS BETTER AND THEY MAY OR MAY NOT NEEDS TO SOMETHING FOR ADHD AT THAT POINT.

BUT A LOT OF PEOPLE WILL FEEL GRATEFUL ONCE THEY'RE OFF AT ALL.

WHEN YOU SUGGESTED TO THEM, THEY ARE TOO HAPPY ABOUT IT.

IF YOU HAVE ADHD, IT'S LIKE HAVING YOUR SIDE OF THIS.

OKAY, GET TREATED.

A SKIMMER IS AN OPTION.

WE HAVE A LOT OF OTHER NON STILL OPTIONS AS WELL.

GENETIC TESTING OFTEN HELPS US DETERMINE WHICH KIND OF MEDICATION MIGHT WORK BEST FOR YOU.

A BIG CLUE WILL BE WHAT'S WORKED FOR OTHER FAMILY MEMBERS.

AND AGAIN, THE FERRY MEMBERS BEEN A NATURAL.

THAT'S OKAY.

WE CAN TAKE IN CONSIDERATION.

WE MIGHT USE A DIFFERENT TYPE OF AMPHETAMINE.

IT'S A SLOW RELEASE 4 PEOPLE.

BUT THERE, YOU KNOW, I'M CONCERNED.

BUT YOU'RE SAYING WHAT ARE YOUR FRIENDS RUN AT WHEN YOU HEAR ABOUT A LOT OF PEOPLE IN AT ALL.

THEY'RE TALKING ABOUT IT WITH EACH OTHER.

SOMETIMES THEY'RE SHARING WITH WITH OTHER PEOPLE.

THEY MIGHT BE USING IT IN APPROPRIATELY.

THANK YOUR QUESTION.

LET'S GO NEXT, CALLER.

HELLO, DON.

WALKING AMERICAN MIND.

>> WELL, THANK YOU, DOCTOR.

I'M LYNN AB.

2 YEAR-OLD MALE AND MY QUESTION IS IN REGARDS TO TRYING TO AVOID.

YOU KNOW, THE SEX, I THINK MEDICATION IN THE MORNING.

WHAT I DID GET A GOOD NIGHT'S REST AND AND I WILL END UP READING AND TRYING MY BUSINESS.

I END UP DOING TREATY AND WHAT I DO IS I TAKE YOUR LOCAL HAVE PERIPHERAL NEUROPATHY FOR LIKE 40 YEARS WAS RECENTLY GOT MORE FROM THE MAX OUT ON THE RETURN.

I TAKE YOUR BOAT ALSO.

AND THAT DOES SUPPORT THE BIG PICTURE.

>> HE HAD ON A SYMBOL TO THE MEDICATIONS NOSEDA LOCKS TEEN WHAT IT DOES.

IT DECREASES THE FIRING OF THE NERVE IMPULSES UP THE SPINAL CORD.

SO THAT'S HOW THAT WORKS.

LYRIC IS.

A MEDICATION COULD MAKE A KIND OF SLEEPY.

ITS CHEMICAL NAME IS PRE GAVEL.

HIM.

BUT WHAT IT'S DOING IS DECREASING THE FIERY OF THE ITCHY TRIGGER FINGERS ON THESE CALCIUM CHANNELS.

AND IT'S NOT THE PEOPLE HAVE NEUROPATHY BECAUSE A LITTLE CALCIUM CHANNELS ARE WELL FIRING TOO MUCH AN THEY HAVE 80 TRIGGER FINGERS AND LYRIC IS DECREASING THAT DOWN DOWN THE BEST I COULD SUGGEST TO YOU ABOUT THE LYRIC.

IF IT'S MAKING YOU DROWSY IS TO DECREASE THE DOSE EACH WITH YOUR CLINICIAN SUPERVISION ONCE IN A WHILE PEOPLE GET BY WITH IT ONCE IT IS IN THE EVENING OR AT BEDTIME.

BUT TYPICALLY WITH LYRICA, YOU'RE GOING TO USE LOWER DOSES TWICE A DAY AS A MEANS OF TRYING TO HELP WITH THE BUREAUCRACY AND OBVIOUSLY DONE YOU WANT TO MAKE SURE IF YOU HAVE PERIPHERAL NEUROPATHY, TRY TO UNDERSTAND THE SOURCE OF IT IS IF IT'S VITAMIN B 12 DEFICIENCY, WHICH I MENTIONED EARLIER.

THAT'S A TREATABLE CAUSE AS WELL KEEPING YOUR DIABETES AND HE'S IN CONTROL BECAUSE DIABETIC NEUROPATHY IS A COMMON REASON FOR THAT TOO.

DON, THANK YOUR CALLING FOR SOME OUT OF TIME FOR THIS EVENING.

ANY QUESTIONS?

CONCERNING MENTAL HEALTH ISSUES.

YOU CAN CONTACT ME VIA THE INTERNET AT MATTERS OF THE MIND.

ALL ONE WORD AT W F W 8 DOT ORG.

I'M PSYCHIATRY IS JAY FARBER, YOU'VE BEEN WATCHING MATTERS OF THE MIND ON PBS, FORT WAYNE.

>> GOD WILLING IN PBS WILLING OFF THE BACK IN NEXT WEEK.

HAVE GOOD EVENING TONIGHT.