Dr. John Kruse

Absolutely do a thorough family history if there's anything of concern or if the patient's anxious about it, get an EKG. But other than that, these should be generally safe for most people's hearts.

Absolutely do a thorough family history if there's anything of concern or if the patient's anxious about it, get an EKG. But other than that, these should be generally safe for most people's hearts.

Absolutely do a thorough family history if there's anything of concern or if the patient's anxious about it, get an EKG. But other than that, these should be generally safe for most people's hearts.

So there was a meta-analysis that came out earlier this year on, so most of the studies looking at more serious, other than just mild hypertension or mild elevation of heart rate, haven't found much, but most of them only look, you know, a year out or a year of treatment, do we see rates of heart attacks? Do we see rates of strokes? Do we see rates of dangerous arrhythmias?

So there was a meta-analysis that came out earlier this year on, so most of the studies looking at more serious, other than just mild hypertension or mild elevation of heart rate, haven't found much, but most of them only look, you know, a year out or a year of treatment, do we see rates of heart attacks? Do we see rates of strokes? Do we see rates of dangerous arrhythmias?

So there was a meta-analysis that came out earlier this year on, so most of the studies looking at more serious, other than just mild hypertension or mild elevation of heart rate, haven't found much, but most of them only look, you know, a year out or a year of treatment, do we see rates of heart attacks? Do we see rates of strokes? Do we see rates of dangerous arrhythmias?

And in general, they're looking at a young population where these events are really uncommon anyway, and most of them didn't find any evidence of problems in a year or two out. The more recent study,

And in general, they're looking at a young population where these events are really uncommon anyway, and most of them didn't find any evidence of problems in a year or two out. The more recent study,

And in general, they're looking at a young population where these events are really uncommon anyway, and most of them didn't find any evidence of problems in a year or two out. The more recent study,

looked as long as 14 years out, and there they found measurable, statistically significant increase in risk that increased during the first three years of being on a stimulant and increased at a much lower rate for the next 10 years, sort of plateaued out, but still measurably higher than people with ADHD who weren't on a stimulant, but the absolute rate is still really, really low.

looked as long as 14 years out, and there they found measurable, statistically significant increase in risk that increased during the first three years of being on a stimulant and increased at a much lower rate for the next 10 years, sort of plateaued out, but still measurably higher than people with ADHD who weren't on a stimulant, but the absolute rate is still really, really low.

looked as long as 14 years out, and there they found measurable, statistically significant increase in risk that increased during the first three years of being on a stimulant and increased at a much lower rate for the next 10 years, sort of plateaued out, but still measurably higher than people with ADHD who weren't on a stimulant, but the absolute rate is still really, really low.

So for most people, it's not a risk. I mean, on the other hand, if you start these medicines when you're 10 or 20 and maybe on them for 60 years, we don't know whether potentially more people are getting into more trouble.

So for most people, it's not a risk. I mean, on the other hand, if you start these medicines when you're 10 or 20 and maybe on them for 60 years, we don't know whether potentially more people are getting into more trouble.

So for most people, it's not a risk. I mean, on the other hand, if you start these medicines when you're 10 or 20 and maybe on them for 60 years, we don't know whether potentially more people are getting into more trouble.

So thanks for bringing me back to your question. Sure. And I'm going to jump through in that sort of qualifying phrase, never been on any stimulant in their life or tried it or something. At least not consistently. What I would say is these drugs are fairly common in our society, both illicitly and I mean, we know lots of kids, lots of adults with ADHD share their medication.

So thanks for bringing me back to your question. Sure. And I'm going to jump through in that sort of qualifying phrase, never been on any stimulant in their life or tried it or something. At least not consistently. What I would say is these drugs are fairly common in our society, both illicitly and I mean, we know lots of kids, lots of adults with ADHD share their medication.

So thanks for bringing me back to your question. Sure. And I'm going to jump through in that sort of qualifying phrase, never been on any stimulant in their life or tried it or something. At least not consistently. What I would say is these drugs are fairly common in our society, both illicitly and I mean, we know lots of kids, lots of adults with ADHD share their medication.

Lots of people have tried these things, even if it's just once or twice. And that itself is valuable clinical data, you know, if they felt too revved up from it. So if they have, I try to find out what dose was it, what did it do for you, what good things did it do for you, what bad things did it do for you. So my presentation is usually, you know, Adderall is likely to be

Lots of people have tried these things, even if it's just once or twice. And that itself is valuable clinical data, you know, if they felt too revved up from it. So if they have, I try to find out what dose was it, what did it do for you, what good things did it do for you, what bad things did it do for you. So my presentation is usually, you know, Adderall is likely to be