to 58 percent between 20182022. and even as a pandemic has ended, many customers have gravitated to tell a health worth convenience and other perceived advantages. now let's bring in doctor henry kotch, clinical psychologist, specialist. so henry, how effective is admiral and other 80 h d. stimulants, and what are the long term effects on the body in mind? well, uh the, if the a considers it to be a drug that is capable of addiction and it is one that is abused by a, you know, by people they often try a fake that they have attention deficit hyperactivity disorder. or they will falsely present their children to a doctor saying that they believe their child has adhd.

and uh, and they'll pretty much do whatever they can to get a subscription or prescription, i'm sorry prescription so that they can have access to the drugs. now, after all comes in 2 forms, one is more fast acting and the other one is a slower acting. it's a slow release and a n and people who are interested in experiencing more of the high that comes from adderall. a go for the quick release form of adderall as opposed to the extended release. an ad role is a medication which is made up of amphetamine sauce. so really, the active ingredient is that it's an inside of me, so it's as it gives the recipient who's abuses the drugs kind of

a raise the feeling and also feeling of things going faster, experiencing more of a high as compared to, let's say valley i'm or other bends or die is pains which are more suited for people who want to have more of a kind of a laid back kind of high. so you have some people prefer more of a raise the high and other ones who want to be kind of be more of a laid back kind of like thinking like people who uh, who enjoy cocaine versus people who enjoy here with the the recipients. the experience of those drugs is a, is diametrically opposed. so a hair when paying people not out on here. when whereas cocaine, people, you know, often associate that as a party drug or more of a racy drug. you know, something,

you know, they may do at parties to stay up all night long. that kind of thing. and same thing with admiral, it's, uh, it's in the stimulated class and that's why people beat. ready light to um, to go for that drug because it gives them what it gives them a feeling of having more energy than they normally would have. and what percentage of arrow prescriptions are actually mis diagnoses of people who don't actually have age be, but want to abuse the prescription and what percentage are people who are getting the prescription that may not necessarily need them? ok, and that's difficult to say. and that's something that as a non prescribing clinician who works in a, in tandem with the prescribing physician, who would probably be a psychiatrist or a family physician or a pediatrician. as the non prescribing clinician,

we would be the ones that would be seen those patients more, more regularly. that would be the prescribing physician. so that'd be something we'd be on the look out for. is this a situation where a parent is falsely getting this medication, supposedly for their children, and they aren't even given it to their children and they're using themselves? or is it something that as an adult somebody's trying to do the same thing. so it's something that a vigilant doctor or counselor is always on the look out for my own personal experience. i would have to say that if you really do a thorough diagnostic work up prior to prescribing or making a referral for a prescription to a prescribing doctor, if you do a thorough diagnostic work up, you're going to be able to catch these people and and usually you're not

going to say that look i, i think you're just doctor saab even you're trying to get this drug. normally what you'd be saying is, hey, i have good news for you. you don't have attention deficit disorder, but maybe you, maybe you have some problems maintaining concentration of attention. and we can, we can attempt to use other non medication methods to improve your attention concentration. if you have somebody who's truly experiencing those difficulties. and they're told that they'll be happy to hear that and they'll, they'll be accepting of what you have to offer. uh people who are shopping for at all, for uh, for misuse purposes. they, they usually are not pleased to hear that kind of response from the doctor. and they'll, they'll usually go off and try and find somebody else who yeah. who is going to be

more accepting of being able to give them the diagnosis and, and get the medication are adults more likely to become dependent on adderall, if they start using as kids? no, not necessarily in and now a adderall is, is available in an extended release form. so it is uh that makes it less likely to be addictive. and also there is another drug called by dance, which is x, which is an extended release of stimulant medication, which is also used for attention deficit disorder. and physicians will often prescribe that. and during the recent shortage with that are all in the past year. vibe, dance was off in turn to a by physicians as an alternate to prescribing natural. and do you think that we as a society, are funneling to many of these drugs out into the world for an easy short cut so

that kids will behave and get good grades? well, we are, i mean, we're definitely culture and i can't speak outside of the united states, but it certainly seems to me that as an american culture we're offering quick to find a solution in a bottle. and, and that's unfortunate because people are really willing to put into work to improve upon their situation in life. they are often looking for a quick fix, you know, through a pharmacist or through a, through a physician. thank you so much, dr. henry kotch, but please stick around. the doctor had any cods will be joining us back after the break. and when we come back, what segment of the population is abusing arrow the most and how our pharmacy is controlling the supply of medication turkeys already and they told me, and turkey is already doing its share as

a nate on ethics. but it's not going by some of the american ideas of kind of we cannot make them. our goal is, i guess rush, i think tricky will continue. and that's only because the relationship maybe beneficial economic rates. but also because russia has to be a partner in maintaining the international orange, the acceptance and i'm here to plan with you whatever you do. you do not watch my new show search like why watch something that's so different. listed of opinions that he won't get anywhere else. welcome to please or do have the state department and c

. i a weapons, bankers, multi $1000000000.00 corporations. choose your fax for you. go ahead, change and whatever you do, don't want my show stay main street because i'm probably going to make you uncomfortable. my show is called stretching, but again, you probably don't want to watch it because it might just change the wayne thing the just and what else was the story coming to the voice people? mutually which alone would you see is not a, it's a simple device. so the blue echo in this case. yeah. how long you're going to spend the new one. and then the last one, you really? yes. well people for, for loops vision was 0. see,

one of the toys folk city when you uh, what suv you to and she says for us to this is about the city or just the, the stick with the mr. she was doing it. so the 1st with some of you to do is just for us to be where they put them easier. it's nobody's not what we do, but as it will so you can use this method. each stood with the clear the 2nd to write in a 2 step to occur on $9.00. and i'm not sure, garza from the long be sufficient refresh the list to see later the

so what we've got to do is identify the threats that we have. it's crazy, even foundation, let it be an arms race based on all sides. very dramatic. the only personally, i'm going to resist. i don't see how that strategy will be successful. i think it was time time to sit down and talk welcome back to the cost of everything. 80 h d is actually a hard wired pattern of brain functions. national data suggests that one in 10 school age children meet this criteria. while 4 percent of adults continue to have symptoms and the knowledge goals study of 20 countries from the world health organization surveys found that across high upper middle lower middle income

countries. the prevalence rates of 80 in children and lessons for the highest in the us. at 8 point one percent lowest in poland at point 3 percent and romania, a point 4 percent data. also it suggests that 80 h d is greater in males than females across all racial ethnic groups, non hispanic, asian boys and girls. according to the journal of attention disorder study, or prevalence of 80 age d was 11.3 percent among non hispanic white children and 10.7 percent on non hispanic black children, which is significantly higher than the $2.00 prevalence rate found among non hispanic asian children and study studies has also shown that prescription stimulants have little to no effect on the cognitive performance of adults without age d. but what it does give them is an elevated mood like a high. unlike all things that give people highs,

this can be extremely addictive. and that is why amphetamine method instead of dates are scheduled to controlled substances in the us. which means that it is an accepted practice for medical use, but has a high potential for abuse. the fat at the a has announced a shortage of 80 age the medication out of role in october of 2022. and so far there had been no relief for patients. the at the indicated that there is not an adequate supply to meet us consumer demand. meanwhile, people with adhd they have been forced to endure the shortage. and unfortunately that population is growing. and making more tablets isn't as easy as just flipping a switch. most age, the medications fall into a class of controlled substances called central nervous system stimulants. these medications have a well documented history of abuse and addiction. so the f, b a n d e a limits how many pills of pharmacy can dispense at once and how

frequently patients can refill their prescriptions. adderall as a schedule to controlled substance, which means that the limits how much of the drug the manufacturer can produce per year. the quota is limited through ad roles, addictive ingredient amphetamine, and because of this, manufacturers are blaming and re, and scarcity is for the shortage. and in order to set these quotas, the d a must estimate how much arrow patients will require the following year. if the agency under estimates demand and fails to increase its quota, the result can be a widespread shortage. however, the announce last month that it will not be increasing the manufacturing quotes for 2023. despite the shortage again, without providing a reason one congress woman even wrote to be an update demanding an explanation last december. but there has been no response. after the agency decides annual

production quotas, manufacturers and distributors must set limits on how much of the meds each pharmacy can buy. pharmacies must guard the substance under lock and key and fill out forms even if they lose a single pill. or they can also refuse and report any suspicious orders of unusual size frequency, or deviating substantially from a normal pattern. many pharmacies also have monthly limits on how much of a controlled substance they can order from their full seller supplier. and this creates local bottlenecks at the retail level. this is a conservative system that is designed to keep just enough medication flowing to patients while also minimizing the risk of a legal diversion. and these quotas happen troublesome for many companies, including novartis or bystanders, which makes the generic admiral and consider the shortest, started as

a production issue, a ton of one of the world's largest drug makers, which makes both generic and brand name at all. the official explanation has offered little clarity as the announcements simply menches intermittent manufacturing delays tele, reportedly having issues with some of its arrow dosage, particularly the more expensive brand named versions and its fast acting tablets. the pharmaceutical industry shortages have also many caused by the dependents on china for raw materials. they're almost 50000 factories.