The Pilot News

Are you mixing your meds?

- BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.

These days, a lot of adults taking prescribed stimulants, such as amphetamin­es (Adderall and Dexedrine), methamphet­amines, like Desoxyn, and a methylphen­idate (Ritalin) are mixing them with various anti-anxiety/sedative/hypnotic medication­s and opioids. That’s a dangerous mix.

After looking at Rx insurance claims for more than 9 million folks over a oneyear period, Johns Hopkins researcher­s found that 276,233 adults used those stimulants and 45% of them combined those drugs with at least one more medication that affects the central nervous system. In fact, close to half of the stimulant users were also taking an antidepres­sant, close to one third filled prescripti­ons for antianxiet­y/sedative/hypnotic medication­s, and one fifth received opioid prescripti­ons.

It seems to happen, the researcher­s suggest, when, for example, an antidepres­sant gets prescribed, but causes drowsiness. So a stimulant gets added and that leads to insomnia. Then a sleep agent is put into the mix. The mix of meds might also be a case of the left hand (one prescribin­g doctor) not knowing what the right hand (a different doctor) is prescribin­g. Whatever the cause, adding evermore Cns-affecting meds isn’t a smart approach to managing challenges with depression, adult ADHD, or narcolepsy.

If this describes your medication regimen, talk with your doctor(s) about a less risky way to manage your primary condition and/or side effects from the medication you take for it. There may be alternativ­e meds and lifestyle changes (more meditation and posse time, more physical activity, improved nutrition, and stopping smoking, vaping and using recreation­al drugs/excess alcohol) that can help.

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