In episode 198, we bring back Adil Virani yet again to help us work through the evidence for stimulants, which one to choose, what dose to start with, what to monitor, and how long to stay on the medications. We pay very close attention to the very end.

Show notes

1) Multimodal treatment of ADHD

Arch Gen Psychiatry 1999;56:1073-86

J Am Acad Child Adolesc Psychiatry 2001;40:168

2) What is the evidence for using CNS stimulants to treat ADHD in children?

TI Letter

In episode 197, James and Mike bring in our good friend and colleague Adil Virani to help us to discuss the issue of ADHD. In this first part we discuss the diagnosis and try to focus on the concept of improving function rather than necessarily improving ADHD symptoms. At the end we all lose focus but realize this is exactly what has happened in the previous 196 episodes.

Show notes

1) Information on Treating ADHD – excellent patient resource on ADHD

2) Influence of relative age on diagnosis and treatment of ADHD

CMAJ 2012;184:755-62

3) The Canadian Attention Deficit Hyperactivity Disorder Resource Alliance

In episode 196, Mike and James squeeze into the literature and look to see if there is a role for drinking cranberry juice in the prevention of urinary tract infections. Given the cost and caloric intake we lean towards prophylactic antibiotics and lean even further towards a 3-day course of antibiotics when symptoms occur.

Show notes

1) Does Cranberry juice or extract prevent recurrent urinary tract infections

Tools For Practice

In this special episode of the podcast, I have a great and lengthy discussion with Ben Goldacre about a variety things from “All Trials”, new drugs, old drugs, guidelines, pragmatic RCTs, to the smartness of the public.