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Drugs for Attention Deficit Hyperactivity Disorder or ADHD will come with stronger and clearer warnings on the risks of suicidal thoughts and behaviours, Health Canada says.
The new warnings are based on reports of suicidal thoughts, suicide attempts and in a very small number of cases, completed suicide, the regulator said Monday.
The warning is already in place for one ADHD drug, Strattera (atomoxetine), which had the risk information added to its prescribing information or monograph in 2005.
"New information has emerged since to suggest that the risk of suicidal thoughts and behaviours may apply to all other ADHD drugs," Health Canada said.
"There is little evidence to establish that these drugs cause suicidal thoughts and behaviours, but it is possible that they may contribute to the risk."
The brand and generic drugs available in Canada include:
Adderall XR (mixed salts amphetamine extended-release).
Biphentin (methylphenidate controlled release).
Concerta (methylphenidate extended release).
Dexedrine (dextroamphetamine sulfate).
Intuniv XR (guanfacine extended release).
Ritalin (methylphenidate).
Ritalin SR (methylphenidate extended release).
Strattera (atomoxetine).
Vyvanse (lisdexamfetamine dimesylate).
Self-esteem is something tough to build back up when a child always feels like that can't even do the simplest of tasks properly, like stand in line for a couple minutes, but we're getting there.
In the coming days and weeks we will hear the media calling for more regulation of the airline industry, likely to be followed by some important congressional hearings to prevent similar tragedies, especially here in the States. However, the reality is, this likely WAS a suicide (and in the United States alone more than 41,000 people commit suicide each year, which would average out to 112 every day). Understanding the heart of a tragedy like the Germanwings crash means we must better understand and respond to suicide as an international public health crisis.