the 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 racy high. that other ones who want to 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 a adderall, 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? okay, 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 it'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 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 me, then 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. and um and now a adderall. busy is,

is available in an extended release form. so it is uh that makes it less likely to be that of. and also there is another drug called by bands which is x, which is an extended release, a 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 of ideas was often turn to a by physicians as an alternate to prescribing at all. 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, i, 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 a, you know, through a pharmacist or through a, through a physician. thank you so much dr. henry kotch, but play 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. the turkeys already in a drum in there and turkey is already doing its share as a nate on that. but it's not going by some of the american ideas of kind of we

cannot make them. our goal is to guess rush. i think directv will continue that up only because the relationship may be beneficial economic rates, but also because russia has to be a partner in maintaining the international orange the which i thought there were some openings to students, the sluggard or south carolina lecture today, for instance, clearing the style at the post, the result of the at the is that i, it's a get a minute come, other students need, which is easy to saw on the screen. so as a central material, which is a 1000000 level, i'm willing to identify july. the 2nd is oregon, which will screw well in the middle. so because i mean, yeah the,

the we did president to not typically get the results. ok. 20. and then we just didn't know for sure. and i'm transform which we, which insidiously sent him the process. the 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 need this criteria. while 4 percent of adults continue to have symptoms. and the all integral study of 20 countries from the world health organization surveys found that across high upper, middle and 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 adhd 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 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 2.2 prevalence rate found among non hispanic asian children and study the studies has also shown that prescription stimulants have little to no effect on the cognitive performance of adults without a adhd. 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 at a 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 had 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 and 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 in scarcity is for the shortage. and in order to set these quotas, the d a must estimate how much admiral 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 be announced 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. 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 no barcus or by send us, 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 mentions, intermittent manufacturing delays. a tele, reportedly having issues with some of its arrow dosage,

particularly in the more expensive brand new versions and its fast acting tablets. the pharmaceutical industry shortages have also been caused by the dependents on china for raw materials. they're almost $50000.00 factories in china that support a global network of companies and millions of ra, an intermediary parts, which can disrupt any and all supply chains. and this not only applies to adderall and acetaminophen, but also all. 6 critical drugs like a mock of cell and diabetes, drugs and for more let's bring in again dr. henry kotch, clinical psychologist, specialist. so doctor, do you think people that abuse adderall, are the culprits of the shortage and when you think the shortage will end? oh, well that's a supply chain problem. it seems, i don't know if it's really something that's tied to the the cobra difficulties and, and also the war and ukraine. if somehow those are,

are contributing to the supply problems or not. i really don't know what is causing the supply difficulty, the manufacturer for adderall is tampa t, e b a. and you'd have to look really into where they are, where their main production is occurring. and, and what's involved with that as far as their being able to get the materials they need to be able to put together the at are all compound. and what do you think about the rise in telemedicine? is this a good thing or a bad thing as regulators are trying to clam down on telehealth prescriptions to? well, telemedicine, i think, is very helpful for a lot of people over a variety of reasons that we really don't need to get into it. but as far as the, the the message of your question,

the doctors are still required to practice under the same rules and regulations with respect to providing a prescriptions. so it's, it really, probably, telemedicine probably puts more of a challenge to the prescribing physician to be able to, we doubt whether somebody is looking to receive a prescription for abusive purposes. because when you have somebody in the office with you and you can, you're getting much more information from them by their body language and, and how they are speaking to you and looking at you, which is qualitatively different from what you'll what you'll experience over um, over you know, a telephone or zoom or you know, that kind of

a medium for being able to meet with a patient. so the, so the, the responsibility is for the physician are, are the same. and i think the tell most and makes it more challenging for them and well, this increase and adderall, prescriptions cause any long term effects on society. and is it harmful, that all these prescriptions are just out there without any verification or control as well that there is control in the sense that uh uh, especially um in the past 10 years when we were having uh the oh boy crisis in this country which we still have but um, with the uh, with the intervention of the federal government requiring a database to be to be established by prescribing physicians. there,

there is now a better and more secure way to be able to track people as they attempt to get medications that used to be this used to be without this database that an attic to go from one doctor to the next and get, you know, a handful of prescriptions without one physician knowing what the other one was doing these days. it's much more difficult for that to occur and, and physicians are required to be knowledgeable of that and into practice accordingly. so i would hope that with the introduction of this requirement that there would be less opportunity for abuse. however, having said that, it haven't worked with enough addicts. they are very resourceful people. and they will often find what they're looking for based on their hunger force medications.

and i mean dr shortage is bad, but just how bad is this and are we in panic mode right now? well, there are, there are other similar acting medications. uh, i think, you know, do the, with the greatest difficulty is that people who are searching for medication either, rightly or wrongly they, uh, they are and so aware that there are other medications available. and so they, they may unduly panic when they hear that there is a shortage thinking that this is the only medication that's available to, to treat a d h c. of course, if they then follow up and go to their doctor, the doctor will be able to assure them and say no there are. there's still riddle and that's available there. still, the extra dream is available is by vance. that's available. there's probably others that i'm not thinking of at the moment, but there are,

there are alternatives that are all within the same amphetamine class. and then um, and usually it's a, that's sufficient. uh, the only difficulty you might have. somebody may have a specific kind of biological system that only works well with the adderall and it would not work well. these other medications, but that would, that would be a very, very small number of people. thank you so much dr. henry college clinical psychologist specialist the winters here are the drug makers, which are very similar to the opi or crisis where millions of adults are now hooked on these prescriptions stimulants. the global adhd, the drug market is expected to reach over $25000000000.00 by 2025 with more than $6000000.00 children in the us alone diagnosed with adhd as well. this is absolutely a real condition and disease there american trying to obtain the short cut and

pushing pills to treat the symptoms rather than the cause is making this a much bigger deal than it actually is. and it's causing the subsequent addiction problems. much of this is thanks to the campaign, a efforts of big pharma elsewhere in the world and places like europe and asia, governments and cursing use of a comprehensive approach for the treatment of adhd, which includes behavior management skills, academic support, psychological support, and medicine. as a measure of last resort. i'm christy. i thanks for watching and we'll see you right back here next time on the cost of everything. 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 is often very dramatic. the only personally i'm going to resist, i don't see how that strategy will be successful, very create ticket of time. time to sit down and talk

the law school. a nice is about the wagner private military company. now it's fully controls the key. don't both city of our troubles. so let's back move out of our home dispositions fully over to the russian military in the coming. and the stories that shape the we run off between the top 2 candidates and trick she is the presidential election is confirmed. doctor. neither contender secures enough votes. in the 1st ride, the head to head college will take place next. thoughts for the 1st time in the us history, the nothing but a day of palestinian national tragedy has been officially collaborated. some of those guys that moines the victims of this little says really at the

with the top stories from the past 7 days and ride helped to the moment developments as well. this is the week 2 and r t hello and welcome. most schools defense ministry has confirmed the city of arch, almost in don't boss, also known as by moot, has officially come under russian control and other the mission was accomplished by the wagner, private, and electric company, supported by the russian army on the flex in the technical area, hard to must cause the result of the actions by the walk in the private middle to accompany, combined with the support of artillery navigation from the southern group of russian military troops. the liberation of the city of hotel musk has been completed. the lot of air put and congratulated the buckner group, russian military forces for their success. according to a statement from the criminal on saturday, the leader of the electric company, yes, skinny pra, goshen said. the city was finally under russell control,

after $224.00 days a bloody fighting military and conflict specialist alexander, as the palm of seized up the fates in archibald, is a muscle blow for ki amount its western bikers like use regions. you are in the single situations where the west on country is was a average. i'm using my home as a main goal or to control. busy and to, to use the offensive to types of farm moment festival. i'm talking about the main barrels, tearing so that now off in, um, you know, great in forces, but you don't see them. we don't see the status of that being used in any operation in the form black interior of talking about the ration that uh for example, uh, these 2 almost now doesn't play any role. first of all, would have to understand that now the fall off of premium choices is really low

because the main troops that were participating in the search, even this protection of the bottom of the and now i'll tell most uh, what are the best ones representative. so right with military accompanies, so the wisdom countries. so according to the statistics and the information i have about 4 to solve and oh, from the brennan watch was lost. it was very high. he brought talking about the possibility of me, for example, organizational dish going to attack or widely promoted into wisdom you did with this week also marked a year since russian forces took control of another, helps bought the city of muddy whipple in may, 2022. the russian m o g a 9. the last ukranian soldiers and nationalists units who'd be holding out at the vast adult spells still plant had surrendered. the buffalo for the coastal city left much of it in rooms. no 12 months. old ortiz,

steve sweeney travel there to see how low cost recovery one year ago the city of my report was liberated, but it remains under attack from ukrainian forces, with shedding overnights and even right now, as we hit loud booms across the city, faced by thing took place for every district, for every street, for every inch of the city. matter you pull, remain the same for more than 2 months until come on this one week as a fatality in surrender. here are the hours of sale. still loans. progressives in western media portray these people as heroes. what's in reality, they wouldn't be a nazis who had terrorized, butchered the citizens of my view, both for at least 8 years. and you have to see what does it cool in 2014 was made by the united states and europe in order to put their people in and bringing this neo nazis. everything started from this time during the fighting people who didn't basements. it was hard for people, there was no food,

no water costs and shelling came from the side of the ukrainian neo nazis. the for of course, it was hard to run the russian scheme. it told became much better. yeah, it's me, shit that you get. i don't consider them here is. can you tell me who you think they are? i consider them nothing. i didn't see them. they didn't come up to me. they didn't know for me any help with support. they didn't save me nothing. my daughter in law lives without water, without food, without hate and all the amenities who risk their own lives for what and for whom. i still don't know the buttons and destroy lands, all people ukraine just didn't give it down about us. according to the united nations, at least 90 percent of civilian housing was destroyed during the fighting along with schools and hospitals. but the rates of reconstruction has been remarkable with infrastructure rebuilds, and many mario for residents receive a key. so new apartments like these on behind me, many people that we've spoken to have said that they've seen rates of investment

higher over the past few months. and they did chewing mold, and searching here, or is of ukrainian role was the of, to be liberated from the nazis. of course, our life became much better, easier because whitfield, that our people russians are here for a turn to our historical homeland. the city was completely destroyed. now everything is being completely rebuilt. schools, hospitals, came to gardens, houses. it has become much calmer than before. varies, and just feel calmer. all is well with security. i think over time it will be even better than any you crate. i beckett a 100 percent. the people have matthew polt will never forget the owners of the fighting. the shift skate of the destruction of the city is simply beyond comprehension. when moving, i spoke to compare that to her ross from a she, aust, wherever is that your opinion? where although is a claim to support ukraine, instead she said the supplying palms may solve

a weapons that will be used against the people of the city. in fact, a defense is helping working overtime, not just here across towns and cities in the don't yet for public as a crazy and attack, seek to destroy the entire i don't buy region, but they face iris vivian, people who say they will never give up this is steve sweeney and matthew poll for all t. as soon as the vote count ended last sunday, on choosing the next trickiest leader, the nation's election cancelled required. they said i roll off would be a nice balance due to take place in may 28th as needed. as neither of the top of the candidates surpassed the crucial 50 percent threshold to take victory me for shot the we strongly believe that we will continue to serve our nation for the next 5 years. we

will absolutely, absolutely. when these elections in the 2nd round, every one will say the recapping rug, one results topping the ball, it was incumbent president red chip type or the one with $49.00 and a half percent of the vote. his main opponent, the central f. camille college daughter lou trail by around 5 percentage points, while the 3rd candidate in the field right wing politicians, cnn, or receive just 5.2 percent. but who his supporters pro there a way those amount of percent could end up being crucial with over 64000000 target citizens eligible to vote, turn out was it was high, nearly 90 percent. you adjusting just how important people see best selection? i'm the direction the country goes moving forward on without tension generally comes controversy. after the 1st round mr. custodial lou accused his rivals,

party of interfering with the count, the reporting of results. subsequently, red chip or the one claimed his main opponent is working with the u. s presidential biden to try when the election with outside help, but in a week from now that all comes down to a straight shoot out as to who will lead the nation. local citizens have been sharing their thoughts on the future of the very suitable. i believe it was a fair election. however, due to the rejection of some valid boxes, there was a delay in the counting. i'm sure everything will go smoothly and the run a fully more concrete results. can you through dying now? i believe i do. i move in in the run of and i also think when it's expected the elections were a huge surprise for me. i was expecting compile carrots star, a loop to win. i think it will be a hard race, but i want him to when we spoke to the term of strategic studies,

tirty is foreign ministry who told us the western countries are clearly hoping mr. to want to lose as the rigs have nato countries on monday, july 18th collections, they want to topple out on its source to look at the german, french, american, english, the magazines and newspapers, the economist, etc. that all right, i guess add on. and of course, as of monday relation that this information had said that what they are doing properly out on, they say russia is monitored, i think i can see makes on avalon space. this is opposite exactly the opposite of it. we did not see any russian mingling interrogation election, but we saw a lot.