Wellbutrin XL was approved for the prevention of Seasonal Affective Disorder (SAD), based on the results three studies in which over 1,000 patients with SAD (but who were well at study entry) were randomly assigned to either Wellbutrin XL 150 to 300 mg QD or placebo. Do insurance companies pay for light boxes? Many of them do … or at least they say they do!
Norman Rosenthal, MD
Clinical Professor of Psychiatry Georgetown University School of Medicine Author, Winter Blues (Revised edition, Guilford Press, 1998)
Dr. Rosenthal has disclosed that he is a consultant and member of the speaker’s bureau for GlaxoSmithKline, and has spoken about the use of Wellbutrin XL for preventing SAD. In order to prevent the possibility of commercial bias, we have not included any material on medication management of SAD in this interview.
Dr. Rosenthal, as the “father” of light therapy, how did you got interested in doing research on seasonal affective disorder?
Recently three new psychostimulant formulations have been approved (Daytrana, the Ritalin patch, and Focalin XR), and one older medication received a new indication (Adderall XR is now indicated for adult ADHD).
On April 6, 2006, the FDA announced the approval of Daytrana, a transdermal patch version of Ritalin (methylphenidate). While you wouldn’t know it by the gushy promotional copy on Daytrana’s website (www.daytrana.com), the Ritalin patch just barely squeaked through the FDA approval process.
Mr. H., now 49, was first diagnosed with ADHD at the age of 40, when he was evaluated at the suggestion of an old friend, a psychologist who had known him in grade school.
Lawrence H. Diller, MD
Private Practice, Behavioral Pediatrics, Walnut Creek, California
Clinical Faculty, UCSF School of Medicine
Author, The Last Normal Child, Running on Ritalin and Should I Medicate My Child?Dr. Diller has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Dr. Diller, as a behavioral pediatrician you certainly prescribe stimulants and other psychiatric medications to children, but at the same time you have spent much of your career speaking and writing about some the potential negative consequences of the excessive use of stimulants. You’ve also studied the history of stimulant use, and have thought about how this can inform our decisions now.
We’ve all noticed the trend: children are increasingly being diagnosed with bipolar disorder. This issue is controversial, because psychiatrists are already accused of overmedicating children.
1 in 3 Americans were victims of online scams in the past year. Even when you know your patient is being scammed, it is hard to pull them out. We speak with Cathy Wilson about...