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cover of episode Adderall, Stimulants & Modafinil for ADHD: Short- & Long-Term Effects

Adderall, Stimulants & Modafinil for ADHD: Short- & Long-Term Effects

2023/5/29
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Huberman Lab

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Andrew Huberman
是一位专注于神经科学、学习和健康的斯坦福大学教授和播客主持人。
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本期播客讨论了用于治疗注意力缺陷多动障碍 (ADHD) 的各种药物,包括兴奋剂(如Adderall、Ritalin、Vyvanse)和非兴奋剂(如莫达非尼、胍法辛)。这些药物通过影响多巴胺和去甲肾上腺素等神经递质来改善ADHD症状,如注意力不集中、多动和冲动。兴奋剂通过增加这些神经递质的释放和减少其再摄取来发挥作用,而莫达非尼和胍法辛则通过不同的机制来改善ADHD症状。 播客还讨论了这些药物的短期和长期影响。短期影响可能包括兴奋、失眠、食欲变化和心血管反应。长期影响可能包括身高受限、心血管风险增加、激素水平改变以及精神病和成瘾的风险。然而,这些风险在很大程度上取决于药物剂量、个体敏感性和治疗方案。 播客强调了在儿童和成人中使用这些药物的个体差异,以及找到最佳剂量和药物类型的重要性。它还讨论了药物假期和逐渐停药的重要性,以最大限度地减少戒断症状。 总的来说,本期播客提供了关于ADHD药物的全面概述,包括其作用机制、益处、风险和长期影响。它强调了在治疗ADHD时,综合考虑药物治疗和行为疗法的重要性,以及与合格的医生合作的重要性。

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Shownotes Transcript

In this episode, I explain how medications such as Adderall, Ritalin, Vyvanse and other stimulants work to increase focus and treat attention-deficit/hyperactivity disorder (ADHD). I explain the brain circuits involved in focus and the key roles dopamine and norepinephrine play in their regulation. Then I explain how stimulants such as Adderall and Vyvanse can increase focus and reduce hyperactivity in kids or adults with ADHD, and how and why Ritalin and other medications (e.g., Modafinil, Guanfacine) may work better for some. I explain the long-term effects of ADHD medications on height, cardiovascular health, hormones, predisposition to addiction and psychosis, and whether these treatments can be used and then stopped. I also discuss the immense individual variation in dosage sensitivity for these medications and the negative side-effects that occur from recreational use. This episode ought to benefit anyone with ADHD, their parents, those on ADHD medications or anyone curious about how these medications work.

For the full show notes, visit hubermanlab.com).

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The Brain Body Contract

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Timestamps

(00:00:00) Stimulants & Attention-Deficient/Hyperactivity Disorder (ADHD)

(00:03:38) Sponsors: LMNT & Waking Up

(00:06:35) The Brain-Body Contract

(00:07:22) Attention, Prefrontal Cortex & ADHD

(00:16:27) Stimulants “Sympathomimetics”

(00:21:29) Adderall, Dopamine & Norepinephrine

(00:25:58) Sympathomimetics, Dopamine & Norepinephrine

(00:27:21) Sponsor: AG1

(00:32:20) Vyvanse is Timed-Release D-Amp

(00:36:36) Ritalin, Concerta

(00:40:10) Dopamine & “Noise Reduction”; Norepinephrine & “Signal Amplification”

(00:45:28) ADHD: Focus, Hyperactivity & Impulsivity; Drug Selection & Dose

(00:50:57) How do Stimulants ‘Calm’ ADHD?

(00:54:480 Neuroplasticity & Neuromodulators

(00:58:06) Kids, ADHD Diagnosis & Treatment; Predispose Addiction?

(01:05:12) ADHD Medications: Individuality, Doses, Tapering & Long-Term Use

(01:13:28) Medication & Long-Term Effects: Height, Cardiovascular Risk, Alcohol

(01:19:32) Cortisol & Hormones

(01:27:45) Psychosis & Addiction; Methamphetamine

(01:38:20) Recreational Use, Addiction & Psychosis; Habituation

(01:42:30) Drug Holidays; Ritalin & Long-Term Effects

(01:45:35) Modafinil, Armodafinil; Side-Effects

(01:53:03) Guanfacine, Alcohol

(01:58:03) ADHD Medications

(02:00:26) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter

Title Card Photo Credit: Mike Blabac)

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