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Hannu Ikonen, MD | 1 years ago (raw) | root | parent | reply | flag 
 To have adhd treated by meds is to live in an inherently ableist paradigm, where your capacity for efficient executive functioning is stigmatized by those without such a developmental trajectory -- one that is out of adaptive sync to the demands of Capitalism in 2023 (but may have foraging, scavenging, and inclusive fitness benefits).
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Hannu Ikonen, MD | 1 years ago (raw) | root | parent | reply | flag 
 Its not only an Ableist paradigm, its also theocratic paradigm: an implicit Christian Calvinistic sense that:

any medication regardless of therapeutic benefit that may also cause someone to feel better is shameful or inappropriate. 

https://journals.sagepub.com/doi/10.1177/07439156221110482

#ADHD #MentalHealth
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3e178592 | 1 years ago (raw) | root | parent | reply | flag 
 @46cd5609 Are they against ethanol extractions for certain medications? Because if they aren’t, they are inconsistent and, well, ridiculous. Ethanol and isopropranol are found as an active ingredient in oral, parenteral, and topical (including inhalational) prescription and nonprescription drug products.
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Hannu Ikonen, MD | 1 years ago (raw) | root | parent | reply | flag 
 @59efb61a Not sure. Probably not, Id imagine. I agree it is luducrous and arbitrary. 

Take cocaine as the only vasoconstricting topical anesthetic effective in certain ENT procedures. 

Its still in use today.
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3e178592 | 1 years ago (raw) | root | parent | reply | flag 
 @46cd5609 I also see what you said about dosing. For some meds it needs to vary depending on the day. I know plenty of docs who are down with that because it’s true. Days where less medicine is needed happen. Just one day of less medicine can maintain efficacy so the need to increase dose over time doesn’t happen. I know that. Do you think a lot of people who need these medicines also know this and self moderate, too?
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f2419bbb | 1 years ago (raw) | root | parent | reply | flag 
 @46cd5609 Calvinists were/are uniquely insufferable

About 10 years ago there was an interesting meta-analysis that strongly implied stimulants were *slightly* safer than exercise in kids with ADHD