The drugging of our children

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The drugging of our children

  1. 1. . of ourof ourDruggingDruggingTheTheChildrenChildren
  2. 2. © 2009 Peter Pan PotentialAll rights reserved.Since the 60’s parents have been attemptingSince the 60’s parents have been attemptingto tell their children to “just say no” to drugsto tell their children to “just say no” to drugs
  3. 3. © 2009 Peter Pan PotentialAll rights reserved.TV commercials, parent magazines and theTV commercials, parent magazines and the“wellness” visits to the pediatrician’s office send“wellness” visits to the pediatrician’s office senda completely different messagea completely different message
  4. 4. © 2009 Peter Pan PotentialAll rights reserved.In the past two decades oursociety has accepted, evenembraced the idea that drugsare okayWe’ve forgotten that drugs arechemicals with potential harmfulside effectsAcceptance of DrugsAcceptance of Drugs
  5. 5. © 2009 Peter Pan PotentialAll rights reserved.Why have you accepted the drugging of yourWhy have you accepted the drugging of yourchildren without any question or caution?children without any question or caution?Question?Question?
  6. 6. © 2009 Peter Pan PotentialAll rights reserved.There may be several possible reasons:• Advertising has worked• Old habits die hard• The “WesternCulture” ofconvenience• No time forbeing sick
  7. 7. © 2009 Peter Pan PotentialAll rights reserved.• All drugs have side effects.• Drugs may cause cumulative long-termdamage to the body.• Drugs don’t cure. At best they managea condition.• Not all drugs have been thoroughly testedfor long usage.What You Should Know
  8. 8. © 2009 Peter Pan PotentialAll rights reserved.Like the tobacco industries, pharmaceuticalLike the tobacco industries, pharmaceuticalcompanies control the information and imagecompanies control the information and imageabout their product:about their product:Drugs areDrugs are ““alrightalright”” for our childrenfor our children
  9. 9. © 2009 Peter Pan PotentialAll rights reserved.So how do youprotectyourchildren?
  10. 10. © 2009 Peter Pan PotentialAll rights reserved.By being:• Aware of alternatives,• Understanding the risksassociated with mostmedications, and• Finding a wellnessminded pediatrician.It’s a chemical war that’s winnable!
  11. 11. © 2009 Peter Pan PotentialAll rights reserved.Old school medicine and practicesare on their way out…Parent’s Perception• It’s time to know the truth• It’s not about convenience• It’s about making the right healthcare choices for your kids• There are alternative options
  12. 12. © 2009 Peter Pan PotentialAll rights reserved.make the changeHow do youfor yourchildren?
  13. 13. © 2009 Peter Pan PotentialAll rights reserved.“the truth will set you free”
  14. 14. © 2009 Peter Pan PotentialAll rights reserved.• The majority of drugs givento your children have neverbeen tested for them““Guesstimating Medicine”Guesstimating Medicine”• Physicians are prescribingdrugs based on a “bestguess” as to the correctdosage, the safety andeven the effectiveness ofthe drugSource: www.baltimoresun.com/news/health/bal-te.medicine16oct16,0,5939770.story?coll=bat_tab01_layout.
  15. 15. © 2009 Peter Pan PotentialAll rights reserved.• Children are not just“small adults”• Little bodies processmedications differentlybecause they are indifferent stages ofdevelopment““Guesstimating Medicine”Guesstimating Medicine”Source: www.baltimoresun.com/news/health/bal-te.medicine16oct16,0,5939770.story?coll=bat_tab01_layout.
  16. 16. © 2009 Peter Pan PotentialAll rights reserved.Children’s bodies process medications differently:Children’s bodies process medications differently:•• Sometimes turning it into poisonSometimes turning it into poison•• Sometimes slowerSometimes slower•• Sometimes fasterSometimes fasterSource: www.baltimoresun.com/news/health/bal-te.medicine16oct16,0,5939770.story?coll=bat_tab01_layout.
  17. 17. © 2009 Peter Pan PotentialAll rights reserved.In 2007, the Government Accountability OfficeIn 2007, the Government Accountability Officesaid that only one-third of the drugs prescribedsaid that only one-third of the drugs prescribedfor children have been studied and labeled forfor children have been studied and labeled forpediatric usepediatric useSource: www.medscape.com/viewarticle/551766
  18. 18. © 2009 Peter Pan PotentialAll rights reserved.• The medicine didn’t work at all• Children were being overdosed or underdosed• Without warning, children were being exposed topossibly deadly side-effectsOf the older drugs just recently being studied inchildren, 87% were being improperly prescribed:Frightening Results of Recent FDA ResearchFrightening Results of Recent FDA ResearchPARENTS BEWARESource: www.baltimoresun.com/news/health/bal-te.medicine16oct16,0,5939770.story?coll=bat_tab01_layout.
  19. 19. © 2009 Peter Pan PotentialAll rights reserved.Prescribing?Off-LabelWhat is
  20. 20. © 2009 Peter Pan PotentialAll rights reserved.This common practice is when a prescriptionThis common practice is when a prescriptionis written for a child for a drug that has onlyis written for a child for a drug that has onlybeen tested and labeled for adult usebeen tested and labeled for adult use
  21. 21. © 2009 Peter Pan PotentialAll rights reserved.Or, when a prescription is written for a purposeOr, when a prescription is written for a purposefor which it was never intendedfor which it was never intendedAnd it’s done every day
  22. 22. © 2009 Peter Pan PotentialAll rights reserved.A recent study published in the Archives ofA recent study published in the Archives ofPediatrics and Adolescent Medicine showedPediatrics and Adolescent Medicine showedthat off-label drugs were used in nearly 80%that off-label drugs were used in nearly 80%of major children’s hospitals in 2004of major children’s hospitals in 2004Source: www.baltimoresun.com/news/health/bal-te.medicine16oct16,0,5939770.story?coll=bat_tab01_layout.
  23. 23. © 2009 Peter Pan PotentialAll rights reserved.At times, children have been harmed and maybeeven killed because of a lack of knowledge of howdrugs would affect them.-Robert Ward, M.D., Chair of the American Academy of Pediatrics Committee on DrugsAcknowledging the riskAcknowledging the riskSource: Pediatric Drug Studies:Protecting Pint-Sized Patients, FDA Consumer, May-June 1999.“”
  24. 24. © 2009 Peter Pan PotentialAll rights reserved.Facts Difficult to DetermineFacts Difficult to DetermineThe British Pediatric Surveillance Unit believes thiscould be due to a reluctance to report, even in ananonymous way, the number of deaths due to off-label prescribing of drugs to childrenAnd the European Medicines Agency believesthere is sufficient evidence that harm actuallyoccurs and is under-reportedSource: www.bpsu.inopsu.com/publications/annual_reports/annual-report_2004.pdfEMEA/11207/04 London, 26 October 2004
  25. 25. © 2009 Peter Pan PotentialAll rights reserved.• Albuterol• Phenergan• Ampicillin• Auralgan• Lotrisone• Prozac• Intal• Zoloft• Ritalin• Alupent SyrupTop-Ten Drugs Being Prescribed “Off-Label”Top-Ten Drugs Being Prescribed “Off-Label”Source: Principles and Practice of Pharmaceutical Medicine, Fletcher, et al, p184© 2002 John Wiley & Sons LTD, ISBN:0471986550
  26. 26. © 2009 Peter Pan PotentialAll rights reserved.given toCommon DrugsChildren
  27. 27. © 2009 Peter Pan PotentialAll rights reserved.The reason for givingthese over the countermedications are:• Relief of Pain• Reduce Fever• InflammationAnalgesics – the painkiller family
  28. 28. © 2009 Peter Pan PotentialAll rights reserved.Typical reasons you may give your children these drugs:• Colds and their associated fevers• Headaches• Aid in sleeping• Teething• Your child hurts and you are lookingfor a quick reliefAnalgesics – the painkiller family
  29. 29. © 2009 Peter Pan PotentialAll rights reserved.Acetaminophen (Tylenol & many other brand names)ContraindicationsChildren with liver disease,such as hepatitis ormononucleosis.Side EffectsCan be fatal if overdosed.
  30. 30. © 2009 Peter Pan PotentialAll rights reserved.ContraindicationsDo not give aspirin to a childor teenager unless thephysician recommends it.Aspirin has been associatedwith the development ofReye’s syndrome, apotentially life-threateningdisease.Side EffectsStomach upsetHeartburnNauseaVomitingIncreased chance of bleedingMay cause an allergicreaction.Aspirin
  31. 31. © 2009 Peter Pan PotentialAll rights reserved.Ibuprofen (Advil, Motrin, etc)ContraindicationsDo not give to children underthe age of 3 without speakingto a physician.Do not take late inpregnancy.Side EffectsUpset stomachHeartburn
  32. 32. © 2009 Peter Pan PotentialAll rights reserved.AntibioticsAntibioticsSource: American Academy of PediatricsMore than 24.5 million childrenwill be seen by pediatricians eachyear for otitis media12.4 million prescriptions forantibiotics will be written eachyear to treat this inflammationof the middle ear
  33. 33. © 2009 Peter Pan PotentialAll rights reserved.AntibioticsAntibiotics100 Studies Reviewed:Antibiotics help just out ofchildren with ear infections1 8
  34. 34. © 2009 Peter Pan PotentialAll rights reserved.Percentage of ear infectionsresolved within 1 week:AntibioticsAntibioticsPlacebo-controlledrecipients81% Antibiotic recipients94%Source: New England Journal of Medicine
  35. 35. © 2009 Peter Pan PotentialAll rights reserved.• “The bacteria which cause earinfections learn quickly to beresistant to antibiotics. At somepoint we’re going to run out ofdrugs to treat the problem.”• “Antibiotic resistance is a hugeproblem in this country. Thepractice of treating 8 children tohelp 1 who needs antibiotics justmakes it worse.”Source: Little, Gould, et al; Predictors of poor outcome and benefits from antibiotics in childrenwith acute otitis media: pragmatic randomized trial. BMJ 2002; 325:22 (6 July).The Downside of AntibioticsThe Downside of Antibiotics
  36. 36. © 2009 Peter Pan PotentialAll rights reserved.wait and watchA previous study by Little, Gould et al comparedimmediate use versus delayed use of antibiotics,showing that for most children, the benefit withimmediate antibiotics was only marginal with nosignificant difference in pain or distressSource: Little, Gould, et al; Pragmatic randomized controlled trial of two prescribing strategiesfor acute otitis media. BMJ 2001; 322 336-342
  37. 37. © 2009 Peter Pan PotentialAll rights reserved.New GuidelinesA recent observation published by the AmericanAcademy of Pediatrics and the American Academyof Family Physicians advocates the wait and watchapproach for all cases of earachesSource: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm
  38. 38. © 2009 Peter Pan PotentialAll rights reserved.Each course of antibiotics given to a child can makefuture infections more difficult to treat. The result isan increase in the use of a larger range of – andgenerally more expensive – antibiotics. In addition,the benefit of antibiotics for Acute Otitis Media issmall on average and must be balanced againstpotential harm of therapy.New GuidelinesNew GuidelinesSource: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm“”
  39. 39. © 2009 Peter Pan PotentialAll rights reserved.About 15 percent of children who take antibioticssuffer from diarrhea or vomiting and up to 5 percenthave allergic reactions, which can be serious or lifethreatening. The resistant bacteria in a child can bepassed to siblings, other family members, neighbors,and peers in group-care or school settings.Source: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htmNew GuidelinesNew Guidelines”“
  40. 40. © 2009 Peter Pan PotentialAll rights reserved.New GuidelinesThe New Guidelines set by the American Academy ofPediatrics and the American Academy of FamilyPhysicians provide an “option to observe for selectchildren and only start antibiotic treatment ifsymptoms have not improved in 48-72 hours.”Source: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm[emphasis added]
  41. 41. © 2009 Peter Pan PotentialAll rights reserved.wait and watchApproximately 80 percent of children withAcute Otitis Media get better without antibiotics.And children whose ear infections are nottreated immediately with antibiotics are not likelyto develop a serious illness.Source: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm[emphasis added]“”
  42. 42. © 2009 Peter Pan PotentialAll rights reserved.• Immediate antibiotic prescriptions providedsymptomatic benefit mainly after 24 hours—when symptoms were already resolvingThe researcher’s conclusionThe researcher’s conclusionSource: Little, Gould, et al; Pragmatic randomized controlled trial of two prescribing strategiesfor acute otitis media. BMJ 2001; 322 336-342• For children who are not very ill systemicallywait-and-watch approach seems clinicallyfeasible
  43. 43. © 2009 Peter Pan PotentialAll rights reserved.ContraindicationsDo not give to achild with aprevious allergyto this drug orpenicillin drugsSide EffectsDiarrheaSkin rash (hives)Yeast infectionsProduct NamesAmoxicillinAmoxilAugmentinPolymoxTrimoxWymoxAmpicillinOmnipenPolycillinAmoxicillin and Ampicillin
  44. 44. © 2009 Peter Pan PotentialAll rights reserved.Cedadroxil and CephalexinContraindicationsAllergy to the drug,a blood clottingdisorder or history ofbleeding problems,phenylketonuria(PKU), stomach orintestinal disease,especially colitisUse with caution in achild with kidney orliver disease orpenicillin allergySide EffectsUpset stomachNauseaVomitingDepressed whiteblood cell countAnemiaRashInhibited bloodclottingProduct NamesCedadrozilDuricefCephalexinKeflexKeftab
  45. 45. © 2009 Peter Pan PotentialAll rights reserved.ContraindicationsShould not be given to achild with seizure or centralnervous system disordersShould be used with cautionin individuals with liver orkidney disease or a historyof tendonitisSide EffectsUpset stomachNauseaVomitingLoss ofappetiteDiarrheaHeadacheSleepdisturbanceDizzinessMood changesDepressedwhite bloodcell countAnemiaRashSun sensitivityMay increase the risk oftendonitisCiprofloxacin
  46. 46. © 2009 Peter Pan PotentialAll rights reserved.ContraindicationsAllergy to this drugPoorly tolerated ifchild already hasnausea or isvomitingSide EffectsUpset stomachSkin rashProduct NamesERYCLlotycinPCEPediamycinErythromycin
  47. 47. © 2009 Peter Pan PotentialAll rights reserved.• Research by the American Academy of Pediatricsand the American Academy of Family Physicianshas shown that antibiotics have little influenceupon acute otitis media• Doctors may be prescribing antibiotics based on:What You Should KnowSource: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm Old indoctrination Concern of developing acute mastoiditis,which has been proven to be rare
  48. 48. © 2009 Peter Pan PotentialAll rights reserved.• Don’t give antibioticsfor 72 hours, considering50% will settle down in24 hours• Children without feverand vomiting receive littlebenefit from an antibioticWhat You Should KnowSource: American Academy of Pediatrics and the American Academy of Family PhysiciansQuestions and Answers on Acute Otitis Media March 9,2004http://www.aap.org/advocacy/releases/aomqa.htm
  49. 49. © 2009 Peter Pan PotentialAll rights reserved.• You should take theinitiative and questionyour pediatrician aboutwaiting 72 hours beforeintroducing antibioticsWhat You Should Know
  50. 50. © 2009 Peter Pan PotentialAll rights reserved.Have a new attitudewhen going to yourpediatrician’s office.If you expect to receive aprescription, you will morethan likely get one – evenif your child may notnecessarily need it.The True Prescription
  51. 51. © 2009 Peter Pan PotentialAll rights reserved.For the overall wellnessof your child, you shouldparticipate in all decisionswhen it comes to theusage of antibiotics andactively seek other non-invasive forms of careYour Take Home Message
  52. 52. © 2009 Peter Pan PotentialAll rights reserved.…that childhood asthmacauses more schoolabsences than any othersingle pediatric disorder?Did you know
  53. 53. © 2009 Peter Pan PotentialAll rights reserved.According to theSocial Security andDisability ResourceCenter the U.S. hasseen a 75% increasein newly diagnosedcases of asthma inrecent decadesAsthmaAsthmaSource: www.ssdrc.com/condition-asthma.html
  54. 54. © 2009 Peter Pan PotentialAll rights reserved.Over 9 million childrenin the United Stateshave been diagnosedwith asthma and over4 million children willhave an asthma attackeach yearAsthmaAsthmaSource: www.pulmicortrespules.com/childhood-asthma/children-toddlers.aspx
  55. 55. © 2009 Peter Pan PotentialAll rights reserved.for thetreatmentCommonAsthmaDrugsof
  56. 56. © 2009 Peter Pan PotentialAll rights reserved.BronchodilatorsContraindicationsAllergic to themedicine, or childwith heart or bloodvessel diseasesSide EffectsDizzinessFlushed faceHeadacheIncreased heartrateNervousnessProduct NamesProventilVentolinAlupentMaxairSereventBrethine
  57. 57. © 2009 Peter Pan PotentialAll rights reserved.Leukotriene ModifiersSide EffectsHeadacheNasal congestionNauseaDiarrheaAbdominal painWeaknessDizzinessMuscle achesFeverProduct NamesSingulairAccolate
  58. 58. © 2009 Peter Pan PotentialAll rights reserved.Inhaled SteroidsContraindicationsMay be risky in caseof serious infections,such as pneumoniaSide EffectsOral yeast infectionProduct NamesAeroBidFloventAzmacortBecloventDecadronPulmicortand others
  59. 59. © 2009 Peter Pan PotentialAll rights reserved.Oral SteroidsContraindicationsMay be risky in caseof serious infections,such as pneumoniaSide EffectsSuppression ofimmune systemFluid retentionInsomniaIncreased appetiteProduct NamesPrednisoneand others
  60. 60. © 2009 Peter Pan PotentialAll rights reserved.TheophyllineContraindicationsAllergy to drugSide EffectsNervousnessHeadacheIrritabilityIncreased heart rateNauseaDiarrheaand possible long-term use may belinked to learningdisabilitiesProduct NamesAerolateBronkodylDuraphylElizophyllinPrimateneSlo-Phyllinand others
  61. 61. .StimulantsPsycho-
  62. 62. © 2009 Peter Pan PotentialAll rights reserved.The past decade has seen a generalized upwardThe past decade has seen a generalized upwardtrend in the prevalence of adolescent use oftrend in the prevalence of adolescent use ofsubstances, including [psycho]stimulants.substances, including [psycho]stimulants.““””Source: NCBI, PubMed,Medical and nonmedical stimulant use among adolescents: from sanctioned to unsanctioned use.By Christiane PoulinCMAJ. 2001 Oct 16;165(8):1039-44..
  63. 63. © 2009 Peter Pan PotentialAll rights reserved.In teenagers, antidepressant use is reallyIn teenagers, antidepressant use is reallyexploding. Antidepressant use among the veryexploding. Antidepressant use among the veryyoung is increasing even more rapidly. Wereyoung is increasing even more rapidly. Wereseeing a doubling of the population using it.seeing a doubling of the population using it.““””Source: NCBI, PubMed,Medical and nonmedical stimulant use among adolescents: from sanctioned to unsanctioned use.By Christiane PoulinCMAJ. 2001 Oct 16;165(8):1039-44..
  64. 64. © 2009 Peter Pan PotentialAll rights reserved.General practitioners andincreasingly pediatriciansare writing the majority ofantidepressants prescriptions,not the psychiatristWhat’s happening?What’s happening?Source: WebMD,Child Antidepressant Use Skyrockets.By Daniel DeNoon quoting Tom Delate, PhDApril 2, 2004.
  65. 65. © 2009 Peter Pan PotentialAll rights reserved.If concerned parents would taketheir child to a psychiatrist first,where psychotherapy would bethe first defense, antidepressantswould be a last resort and lesschildren would be on psycho-stimulant drugsWhat’s happening?What’s happening?Source: WebMD,Child Antidepressant Use Skyrockets.By Daniel DeNoon quoting Tom Delate, PhDApril 2, 2004.
  66. 66. © 2009 Peter Pan PotentialAll rights reserved.prescribed forAntidepressantsChildrenParentsWhatKnowDon’t
  67. 67. © 2009 Peter Pan PotentialAll rights reserved.There is a growing usage of newer types ofantidepressants among children and adults
  68. 68. © 2009 Peter Pan PotentialAll rights reserved.In January 2004 the FDA approved Eli Lilly’sproduct, Prozac, for children ages 7 to 17Source: New York Times,U.S. Approves Prozac for Treating Children, January 4, 2003.
  69. 69. © 2009 Peter Pan PotentialAll rights reserved.is used to treatmanic-depressive andobsessive-compulsivedisorderProzac by Eli Lilly…Prozac by Eli Lilly…
  70. 70. © 2009 Peter Pan PotentialAll rights reserved.was once the world’stop selling depressiontreatment with annualsales of more than$2 billion dollarsProzac by Eli Lilly…Prozac by Eli Lilly…
  71. 71. © 2009 Peter Pan PotentialAll rights reserved.After numerous reports and hearings to thePsychopharmacologic Drugs and PediatricSubcommittees, the FDA issued in 2004a Public Health Advisory regarding thenew generation of antidepressantsSource: FDA Talk Paper,www.fda.gov, March 22, 2004.You should be aware…
  72. 72. © 2009 Peter Pan PotentialAll rights reserved.• ProzacPublic Health AdvisoryPublic Health AdvisoryThe new generation antidepressantsthat received this warning were:• LuvoxSource: FDA Talk Paper,www.fda.gov, March 22, 2004.• Zoloft• Celexa• Paxil• Lexapro
  73. 73. © 2009 Peter Pan PotentialAll rights reserved.• WellbutrinOther antidepressants thatmade the warning list include:Source: FDA Talk Paper,www.fda.gov, March 22, 2004.• Effexor• Remeron• SerzonePublic Health AdvisoryPublic Health Advisory
  74. 74. © 2009 Peter Pan PotentialAll rights reserved.The FDA warned that thesedrugs may contribute to suicideamong children and adultsSource: FDA Talk Paper,www.fda.gov, March 22, 2004 andBMJ 2003;326;1008Suicide AlertPublic Health AdvisoryPublic Health Advisory
  75. 75. © 2009 Peter Pan PotentialAll rights reserved.Source: FDA Talk Paper,www.fda.gov, March 22, 2004.• Agitation• Anxiety• Insomnia• Panic AttacksOther side effects to antidepressants are:Other side effects to antidepressants are:
  76. 76. © 2009 Peter Pan PotentialAll rights reserved.Source: FDA Talk Paper,www.fda.gov, March 22, 2004.• Irritability• Hostility• ImpulsivityOther side effects to antidepressants are:Other side effects to antidepressants are:
  77. 77. © 2009 Peter Pan PotentialAll rights reserved.Source: FDA Talk Paper,www.fda.gov, March 22, 2004.• Mania• Hypomania• RestlessnessOther side effects to antidepressants are:Other side effects to antidepressants are:
  78. 78. © 2009 Peter Pan PotentialAll rights reserved.Source: Peter R. Breggin, M.D.,The Proven Dangers of Antidepressants.What you may not know is thatthese antidepressants, and their inducedbehaviors, are identical to those ofmethamphetamine, cocaine and PCP
  79. 79. © 2009 Peter Pan PotentialAll rights reserved.Source: Peter R. Breggin, M.D.,Violence and Suicide Caused by AntidepressantsAll these chemicals are known to causeviolence and aggression
  80. 80. © 2009 Peter Pan PotentialAll rights reserved.Source: Peter R. Breggin, M.D.,The Proven Dangers of Antidepressants.Regarding removing your child too quicklyfrom antidepressants:• Withdrawal reactions may take days or weeks• A physician should closely monitor this processYou should be warned…
  81. 81. © 2009 Peter Pan PotentialAll rights reserved.Adolescents and adultsare often prescribedantidepressants atmedically supervisedweight loss clinics tocurb the obesepatients appetiteYou should be warned…
  82. 82. © 2009 Peter Pan PotentialAll rights reserved.Peter Breggin, M.D. apsychiatrist, medicalexpert and author, hasbeen a watchdog regardingthe underreporting of sideeffects from antidepressantsand RitalinPsychostimulant Watchdog:Psychostimulant Watchdog:
  83. 83. © 2009 Peter Pan PotentialAll rights reserved.Dr. Breggin recommendsthat the U.S. followGreat Britain in banningthe use of most of thesedrugs on childrenSource: Peter R. Breggin, M.D.,The Proven Dangers of Antidepressants.Psychostimulant Watchdog:Psychostimulant Watchdog:
  84. 84. © 2009 Peter Pan PotentialAll rights reserved.He believes that “thosestruggling with severedepression essentiallyare feeling profoundhopelessness and despairthat can be addressed by avariety of psychotherapeutic,educational and spiritual orreligious interventions.”Source: Peter R. Breggin, M.D.,The Proven Dangers of Antidepressants.Psychostimulant Watchdog:Psychostimulant Watchdog:
  85. 85. © 2009 Peter Pan PotentialAll rights reserved.Resources for theconcerned parent:• www.breggin.com• www.icpa4kids.org• www.mothering.com• www.fightforkids.orgResources for You:Resources for You:
  86. 86. © 2009 Peter Pan PotentialAll rights reserved.Books by Dr. Breggin:Resources for You:Resources for You:• The Ritalin Fact Book• Talking Back to Ritalin• Brain Disabling Treatmentsin Psychiatry• Talking Back to Prozac• Toxic Psychiatry
  87. 87. © 2009 Peter Pan PotentialAll rights reserved.Misinformationand the MediaConspiracyADHDThe
  88. 88. © 2009 Peter Pan PotentialAll rights reserved.CHADD (Children andAdults with ADHD) andother similar groups aretrying to sell the idea thatADHD is a commondisease with drugs likeRitalin as its only cureA Common Disease?A Common Disease?
  89. 89. © 2009 Peter Pan PotentialAll rights reserved.• In 1990 there wereabout 900,000 childrentaking Ritalin• Today that number isestimated to be between4 and 6 millionStimulant Use is IncreasingStimulant Use is IncreasingSource: The Ritalin OutrageFinally, a Member of Congress Takes a Whack at a Drug PusherNicholas Regush, Sept. 30, 2002
  90. 90. © 2009 Peter Pan PotentialAll rights reserved.Source: The Ritalin OutrageFinally, a Member of Congress Takes a Whack at a Drug PusherNicholas Regush, Sept. 30, 2002• Over 90% of all Ritalinprescriptions are writtenhere in America (morethan five times the restof the world combined)Stimulant Use is IncreasingStimulant Use is Increasing
  91. 91. © 2009 Peter Pan PotentialAll rights reserved.It should be noted…It should be noted…The makers of Ritalinhave donated in excessof $1 million to CHADDsince 1988; and theirliterature supports, evenencourages, its useSource: Is Your ADHD Support Group a FrontOrganization for the Pharmaceutical Industry.By Richard DeGrandpre, Ph.D.http://www.ritalindeath.com/frontgroup.htm
  92. 92. © 2009 Peter Pan PotentialAll rights reserved.The head of the National Institute of MentalHealth says that his organization is “concernedabout improper diagnosis of ADHD.” This meansthat at least a portion of the 4 to 5 million usersof Ritalin don’t have to be taking it at all.Source: The Ritalin OutrageFinally, a Member of Congress Takes a Whack at a Drug PusherNicholas Regush, Sept. 30, 2002Why not Ritalin?Why not Ritalin?
  93. 93. © 2009 Peter Pan PotentialAll rights reserved.Source: The London Observer,Ritalin: This Children’s Drug is More Potent Than Cocainehttp://www.chiro.org/pediatrics/ABSTRACTS/Ritalin_Cocaine.shtmlDr. Nora Volkow led arecent study that provedRitalin to have a morepotent effect on thebrain than cocaineWhy not Ritalin?Why not Ritalin?
  94. 94. © 2009 Peter Pan PotentialAll rights reserved.Ritalin occupies moreof the neural transportersresponsible for the“high” experienced bycocaine addictsSource: The London Observer,Ritalin: This Children’s Drug is More Potent Than Cocainehttp://www.chiro.org/pediatrics/ABSTRACTS/Ritalin_Cocaine.shtmlWhy not Ritalin?Why not Ritalin?
  95. 95. © 2009 Peter Pan PotentialAll rights reserved.Source: ICPA,http://www.icpa4kids.org/research/children/ritalin.htm.CardiovascularShort TermShort Term• Rapid heart beat• High blood pressure• Unusual heart rhythm• Heart attackRitalinRitalin EffectsEffects
  96. 96. © 2009 Peter Pan PotentialAll rights reserved.Central Nervous SystemShort TermShort Term• Altered mental status• Hallucinations• Depression• ConvulsionsRitalinRitalin EffectsEffectsSource: ICPA,www.icpa4kids.org/research/children/ritalin.htm.
  97. 97. © 2009 Peter Pan PotentialAll rights reserved.Source: ICPA,www.icpa4kids.org/research/children/ritalin.htm.Central Nervous SystemShort TermShort Term• Irritation• Hostility• Unhappiness• Tics or nervous habits• Obsessive-compulsivebehaviorRitalinRitalin EffectsEffects
  98. 98. © 2009 Peter Pan PotentialAll rights reserved.RitalinRitalin EffectsEffectsOtherShort TermShort Term• Eating disorders• Nausea and/or vomiting• Blurred vision• Headache or dizziness• Drowsiness or insomniaSource: ICPA,www.icpa4kids.org/research/children/ritalin.htm.
  99. 99. © 2009 Peter Pan PotentialAll rights reserved.Withdrawal and ReboundShort TermShort Term• Worsening of ADHD symptoms• Evening crash• Over-activity• IrritabilityRitalinRitalin EffectsEffectsSource: ICPA,www.icpa4kids.org/research/children/ritalin.htm.
  100. 100. © 2009 Peter Pan PotentialAll rights reserved.RitalinRitalin EffectsEffects• Ritalin use in preteenchildren may lead todepression later in lifeNeural SystemLong TermLong Term• Ritalin short-circuits thebrain’s “reward system”making it difficult toexperience pleasureSource: ICPA,www.icpa4kids.org/research/children/ritalin.htm.
  101. 101. © 2009 Peter Pan PotentialAll rights reserved.RitalinRitalin EffectsEffectsChronic exposure leads to:Emotional Response• decreased sensitivity toreward stimuliLong TermLong Term• increased negative responsesto averse situationsSource: ICPA,www.icpa4kids.org/research/children/ritalin.htm.
  102. 102. © 2009 Peter Pan PotentialAll rights reserved.RitalinRitalin EffectsEffects• Children who have takena psycho-tropic, psycho-stimulant drug after theage of 12 are ineligiblefor military serviceSource: ICPA and ADHD Fraud,http://www.icpa4kids.org/research/children/ritalin.htmhttp://www.adhdfraud.org/commentary/1-6-02-2.htm.CareerLong TermLong Term
  103. 103. © 2009 Peter Pan PotentialAll rights reserved.RitalinRitalin EffectsEffects• Between 1990 and 2000there were 186 deaths inthe U.S. from Ritalinreported to the FDA’sMedWatch programSource: ICPA and ADHD Fraud,http://www.icpa4kids.org/research/children/ritalin.htmhttp://www.adhdfraud.org/commentary/1-6-02-2.htm.Even DeathLong TermLong Term
  104. 104. © 2009 Peter Pan PotentialAll rights reserved.It should be noted…It should be noted…• That MedWatch is acompletely voluntaryreporting planSource: ICPA and ADHD Fraud,http://www.icpa4kids.org/research/children/ritalin.htmhttp://www.adhdfraud.org/commentary/1-6-02-2.htm.• The numbers probablyrepresent no morethan 10 - 20% of theactual occurrences
  105. 105. © 2009 Peter Pan PotentialAll rights reserved.A recent study revealed…A recent study revealed…Children between theages of 6 to 9 yearsare at the greatest riskof accidental RitalinoverdoseSource: White SR and Yadao CMCharacterization of methylphenidate exposures reported to aregional poison control centerArch Pediatr Adolesc Med 2000 (Dec); 154 (12): 1199-1203
  106. 106. © 2009 Peter Pan PotentialAll rights reserved.Out of 286 reportedoverdoses, most werethe result of a parent orcaregiver “unintentionallygiving patients excessiveamounts of the drug”A recent study revealed…A recent study revealed…Source: White SR and Yadao CMCharacterization of methylphenidate exposures reported to aregional poison control centerArch Pediatr Adolesc Med 2000 (Dec); 154 (12): 1199-1203
  107. 107. © 2009 Peter Pan PotentialAll rights reserved.A study done at Harvard MedicalSchool, in their neuropsychologypost-graduate program, testedtwenty children who had beendiagnosed with ADHDSource: Harding KL, Judah RD, Gant C.Outcome-based Comparison of Ritalin versus Food-supplement Treated Children with ADHDAltern Med Rev 2003 (Aug); 8 (3): 319-330Harvard StudyHarvard Study
  108. 108. © 2009 Peter Pan PotentialAll rights reserved.Ten were treated with Ritalinand the other ten were treatedwith dietary supplementsSource: Harding KL, Judah RD, Gant C.Outcome-based Comparison of Ritalin versus Food-supplement Treated Children with ADHDAltern Med Rev 2003 (Aug); 8 (3): 319-330Harvard StudyHarvard StudyThe subjects in both groupsshowed significant and essentiallyidentical improvements
  109. 109. © 2009 Peter Pan PotentialAll rights reserved.• Food and additive allergies• Heavy metal toxicity and otherenvironmental toxins• Low protein/high-carb diets• Thyroid disordersHarvard StudyHarvard StudyThe majority of the neurologicalThe majority of the neurologicalsymptoms attributed to ADHDsymptoms attributed to ADHDcan be attributed to:can be attributed to:
  110. 110. © 2009 Peter Pan PotentialAll rights reserved.Harvard StudyHarvard Study• Essential fattyacid deficiencies• Mineral imbalances• Amino acid deficiencies• B-Vitamin deficienciesThe majority of the neurologicalThe majority of the neurologicalsymptoms attributed to ADHDsymptoms attributed to ADHDcan be attributed to:can be attributed to:
  111. 111. © 2009 Peter Pan PotentialAll rights reserved.Studies support theeffectiveness of foodsupplement treatmentas a safer alternativeto RitalinRecommendationsRecommendationsSource: Harding KL, Judah RD, Gant C.Outcome-based Comparison of Ritalin versus Food-supplement Treated Children with ADHDAltern Med Rev 2003 (Aug); 8 (3): 319-330
  112. 112. © 2009 Peter Pan PotentialAll rights reserved.Can Chiropractic help my childCan Chiropractic help my childwith depression or ADHD?with depression or ADHD?
  113. 113. © 2009 Peter Pan PotentialAll rights reserved.Although there are no studies, parentsAlthough there are no studies, parentsreport back to theirreport back to their Family ChiropractorsFamily Chiropractorsthe positive changes resulting fromthe positive changes resulting fromchiropractic adjustmentschiropractic adjustments
  114. 114. © 2009 Peter Pan PotentialAll rights reserved.Do you have aFamilyResource Teller?Wellness
  115. 115. © 2009 Peter Pan PotentialAll rights reserved.Why is my Chiropractor telling me aboutWhy is my Chiropractor telling me aboutthe drugging of my children?the drugging of my children?Question?Question?
  116. 116. © 2009 Peter Pan PotentialAll rights reserved.Chiropractors are the originals in theChiropractors are the originals in theWellness movement and therefore naturallyWellness movement and therefore naturallyare drawn to caring for your childrenare drawn to caring for your childrenAnswer:Answer:
  117. 117. © 2009 Peter Pan PotentialAll rights reserved.Better health is achieved throughBetter health is achieved throughimproving body functionimproving body functionThe Wellness Movement
  118. 118. © 2009 Peter Pan PotentialAll rights reserved.Chiropractors are not anti-drug• A doctor of Chiropractic can be part of afamily’s healthcare team• A doctor of Chiropractic will refer to bothholistic and allopathic communitiesThe Chiropractors’ Perspective
  119. 119. © 2009 Peter Pan PotentialAll rights reserved.• Inside-Out vs.Outside-In• Providing objectivityabout drugs/chemicals• Resource-tellersThe Chiropractors’ PerspectiveChiropractors are teachers
  120. 120. © 2009 Peter Pan PotentialAll rights reserved.• They share the benefits of Chiropractic care inimproving the nervous system function.• They do not “cure” disorders, they provide apreventative environment.• There is simplicity in Chiropractic care— it’snon-invasive but powerful for pregnant womenand children.• They are dispelling myths about the cure-all ofdrugs and chemicals.An Alternative ChoiceChiropractors Offer Alternative Choices for Better Health
  121. 121. 5 StepstoHealthierThinking
  122. 122. Recent studies areproving whatChiropractors havebeen saying for years:Drugs aren’t alwaysthe answerStep 5:Research is on“Your Side”
  123. 123. Step 4:Utilize theapproachWhen left totheir body’s ownnatural defenses,most childrenwill improve in24-72 hours“Wait and Watch”
  124. 124. Team Players:• “Wait-and-Watch”Healthcare Provider• Wellness-MindedPediatrician• Family ChiropractorStep 3:Build thesuccessful“Wellness Team”
  125. 125. Step 2:Participate inWhen it comes to theusage of drugs, seekother non-invasiveforms of careRemember it’s yourchild and you havea say in his orher treatment“HealthcareDecisions”all
  126. 126. Step 1:Practice theLifestyleA healthynervous system– equals –a healthyimmune system– equals –fewer chemicalsand sick daysfor your child“Wellness Care”
  127. 127. © 2009 Peter Pan PotentialAll rights reserved.Sign up for theand stay up-to-date on all the latesthealth issues that concern you andyour children’s overall wellness.Family Wellness First E-Newsletter
  128. 128. © 2009 Peter Pan PotentialAll rights reserved.For all the latest researchand up-to-date informationfor both you and yourfriends visit the ICPA atwww.icpa4kids.org
  129. 129. © 2009 Peter Pan PotentialAll rights reserved.Take a moment to complete yourFamily Health Survey andschedule a complimentaryfamily chiropractic screening.
  130. 130. How to Contact Us…Gregson Health Chiropractic425 Winter StreetMadawaska, ME 04756P: (207) 436-1256www.GregsonHealth.comDrGregson@GregsonHealth.com

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