Tuesday, February 2, 2010

what color is your ADHD medicine

Call me a hypocrite. As a child mental health professional, I've worked with hundreds of kids on meds. I've seen the good, the bad and the ugly when it comes to psychotropic medicaitons of all kinds. When it came down to my own child's hyperactivity, I just didn't think meds were the right course of action. Taking away the food dyes was probably a lot more difficult and time consuming, but really a better course for our whole family.

Lately, I've been researching side effects of stimulant medications prescribed for ADHD and had to share some of what I've been finding. What bothers me is that most of these medications state that they have not been tested for longer than 6 or 7 weeks. REALLY?! The multi million dollar drug industry can't afford to test their stimulants longer than that, or is that they can't get good long term results and therefore, won't publish those results? I'm guessing the latter. That would be consistent what I have seen.

I did come across an interesting 40 month study of the Daytrana patch. There was a 46% occurrence of anorexia with another 4% in the subjects who dropped out before completing the 40 months. So, there's a dye free patch that sends a stimulant straight into your skin, but you've got a 50/50 shot of your child ending up anorexic. How can they sell something with that kind of side effect?

Don't get me wrong, some kids are helped tremendously by their medications, but what I've seen more commonly is that many children look great for a few weeks up to a few months and then decline back from there. Many other children experience terrible, even life threatening side effects, with no real alleviation of their symptoms. If you have experienced this frustration, I strongly suggest you look at your eliminating additives (food coloring, artificial flavors and preservatives) from your child's foods first and then figure out if you still need any meds later.

Since this is already getting long, I'll go more into the side effects in another post. I wanted to share the main color ingredients. There are some color free options (in bold), but for the most part, these medications have many colors not allowed in food. OK, call me crazy, but if it's not safe for a food ingredient, usually because it's been shown to cause cancer or other health problems, they why in the world do drug companies put these ingredients in meds to be taken several times a day by children?! With how my own children react to one pink jelly bean containing artificial coloring, I now understand why so many children get so agitated and irritable on their meds. How much stronger of a dose is needed to counteract the effect of the food dyes? Hmmmm.

Well, here are medication colors I copied from rxlist.com. I did not copy all the other inactive ingredients to make the lists easier to read.

ADDERALL® 5 MG IS A WHITE TO OFF-WHITE TABLET, WHICH CONTAINS NO COLOR ADDITIVES.ADDERALL® 7.5 MG AND 10 MG CONTAIN FD & C BLUE #1. ADDERALL® 12.5 MG, 15 MG, 20 MG AND 30 MG CONTAIN FD & C YELLOW #6 AS A COLOR ADDITIVE.
Last updated on RxList: 6/26/2007

The inactive ingredients in ADDERALL XR® capsules include: The 5 mg, 10 mg, and 15 mg capsules also contain FD&C Blue #2. The 20 mg, 25 mg, and 30 mg capsules also contain red iron oxide and yellow iron oxide.

What are the ingredients in RITALIN®?
Active Ingredient: methylphenidate HCL
Inactive Ingredients: D&C Yellow No.10 (5-mg and 20-mg tablets), FD&C Green No.3 (10-mg tablets)

What are the ingredients in CONCERTA®?
Active Ingredient: methylphenidate HCl
Inactive Ingredients: synthetic iron oxides, titanium dioxide. (wonder what synthetic iron oxide is?)

What are the ingredients in FOCALIN®?
Active Ingredient: dexmethylphenidate hydrochloride
Inactive Ingredients: FD&C Blue No.1 #5516 aluminum lake (2.5 mg tablets), D&C Yellow Lake #10 (5 mg tablets); the 10 mg tablet contains no dye.

What are the ingredients in FOCALIN XR?
Active Ingredient: dexmethylphenidate hydrochloride
Inactive Ingredients include: , FD&C Blue #2 (5 mg and 15mg strengths), FDA/E172 yellow iron oxide (10 mg, 15 mg, and 30 mg strengths)

What are the ingredients in STRATTERA?
Active ingredient: atomoxetine hydrochloride.
Inactive ingredients: FD&C Blue No.2, synthetic yellow iron oxide, titanium dioxide, red iron oxide, and edible black ink.

What are the ingredients in Vyvanse?
Active Ingredient: lisdexamfetamine dimesylate
Inactive Ingredients: one or more of the following: D&C Red #28, D&C Yellow #10, FD&C Blue #1, FD&C Green #3, and FD&C Red #40.

MOST OF THESE COLORS ARE NOT ALLOWED TO BE IN FOOD, BUT IT'S OK FOR A CHILD TO TAKE IT DAILY???!!!!!


Now I think I'll be looking up iron oxide, especially the synthetic iron oxide. Is it just me or is that code for more food dyes under a different name? If I find any information on that I will post it.

3 comments:

Violets said...

Sometimes different generics will have different colors, too. My dd's migraine meds came in two kinds, white and blue. Not all pharmacies will honor the need for dye free meds, but if you shop around you can usually find a pharmacist willing to help. And if the med is in a capsule, you can ask if it can be dumped into applesauce. (Not all can be)

Anonymous said...

My son has been on Strattera, Adderall, Vyvanse and now Concerta. He has lost about 20lbs so I am getting concerned and started looking at the ingredients more in depth and that is how I found your post (thank you for this info). I questioned synthetic iron oxides because if it is man made it is not usually healthy...not sure why there would be color pigmentation in a white pill, Concerta is not a capsule that can be opened. This pill has polyethylene glycol which is like a laxative and increases the amount of water in the intestines so I will be passing this information on to my doctor because at this rate he could disapper and it has been less than a year he has been on meds for ADHD. He is doing well on Concerta but at what cost?

Jenn said...

iron oxide: Did you learn anything about this?
Thanks for your post! We've been dye free for at least 8 years. Iron oxide is a new one for me.