Small correction to the story. The report came out of Louisville, KY but the incident occurred in Eminence, KY. Also as of August 28th the Kentucky Board of Pharmacology has ordered that location to cease compounding after finding multiple violations including lack of documented training and missing or inaccurate compounding documentation.
Could be cross contamination at the pharmacy? Or a contaminated batch from the supplier? Common ADHD meds shouldn't be fixed by narcan. Whatever happened, I hope there's a very thorough review of that pharmacy's procedures to make sure it never happens again. If they knew several others had had an adverse reaction already, why on earth would they let another patient still use it?
I did a bit of searching and it seems they had missing and inaccurate compounding records in addition to other issues. They may not even know what was in the compound.
Yeah if they’re treating somewhat successfully with Narcan then there’s an opioid involved, and while I’m not a pharmacist I’ve never heard of an opioid being used to treat ADHD. Which means either the completely wrong thing was compounded, they sourced contaminated ingredients, or the pharmacy was severely neglectful about avoiding cross contamination of equipment. I fully agree if they had any reason to suspect something they dispensed was incorrect or unsafe they needed to have had the patient return the medication and try it again. Accidents happen, but not going above and beyond to avoid any other people getting hurt is inexcusable. Whatever the case may be, that pharmacy needs to be shut down and the licenses of everyone working there suspended until they get to the bottom of what happened.
They pretty much only use stimulants and occasionally SSRIs to treat ADHD. They for sure did something wrong. You would never treat ADHD with opioids. (Some people self-medicate with opioids because they don't know why they're unhappy and ADHD is the root cause, but you would never use it in a clinical context like that.)
...oh my goodness. You can't even remove opioids without a time delayed safe at my pharmacy. I don't understand how you make a mistake like this; i just don't.
What did their tox screens show? What side effects will giving that much Narcan have on these children? (If I have absolutely any doubt, I throw meds out! If the pharmacy had called me, I would have returned it to them for a refund, especially if the medication wasn't needed to stay alive).
I feel like we need more information, but logic tells you an opiate, and a hell of a lot of it for a child, was in that medication. How did this happen? They must have been compounding multiple recipes in the same place and either used the wrong ingredients or mislabeled the finished product is all I can think
Genuine question: shes 5 and taking adhd meds? I was diagnosed at 7 or 8, i just feel like 5 is very young. I also was never given a chance for liquid meds, my momma didnt play that lol, she was like youre gonna learn to take a pill kiddo
That was my thought too. I have adhd as well and was given it as a 4/5 year old. in hindsight i think its way too young, my mom agrees, and doctors told me they dont do this anymore. Sickening. Most kids would do better if they had less screen time and a better diet.
Eehhh? I'm not sure of the exact effects on the brain, but for me personally, they ease up my hyperactivity (make me less hyper) and help me focus a bit better! I can always tell if I've took my meds or not, cause they make me feel a specific way internally that idk how to explain hrjdhrud 😭
They’re usually stimulants but have the opposite effect on many people with ADHD. There are non-stimulant ADHD meds and off label use of other meds, but opioids are NOT used for ADHD
Yall did you watch the vid? The children were given narcan, so there was heroin/morphine/fentanyl in the medication. They were dosed with opioids… you know, the sedative medications?
ADHD meds are stimulants. You are correct that they are not specifically sedating. An overdose might give you the shakes, severe anxiety, or even a heart attack, but it isn’t going to knock you out. So how do they help calm people down? Stimulants work on the entire brain and body (thus the side effects) but work more strongly on the prefrontal cortex than the rest of the brain. That is the part of the brain that manages attention and critical thinking but it is also the part of the brain that inhibits more base instincts and reactions. For someone with ADHD it is thought that the prefrontal cortex is a bit slow to respond to the demands placed on it so you get difficulty with critical thinking, decision making, attention management, and impulse control. Think of it like trying to find a phone number you need NOW but you’re trying to google with dial up. By the time the prefrontal cortex has kicked in to handle something the rest of the brain or body has already moved on to something else. Or to stick to the analogy, someone with a broadband connection has already found the number, dialed it and is looking at you like you’re an idiot. Adding stimulants helps the prefrontal cortex be a little faster off the mark so it can do a better job of all the things it is supposed to do. At proper doses stimulants can actually help someone with ADHD calm down because they increase the ability of the prefrontal cortex to apply the brakes to other parts of the brain that are racing along getting carried away or distracted on things that are not helpful.
This why I always say this job is not recommended anymore it doesn't worth it when you try to help patients who don't deserve to be helped and they use the medication wrong and they lie saying they made everything correctly as pharmacist said and the pharmacist keep searching for the compound medication because the stupid patient took the wring one people don't deserve us they should buy from companies and as a pharmacists WE WILL MAKE AMERICA GREAT AGAIN
Small correction to the story. The report came out of Louisville, KY but the incident occurred in Eminence, KY.
Also as of August 28th the Kentucky Board of Pharmacology has ordered that location to cease compounding after finding multiple violations including lack of documented training and missing or inaccurate compounding documentation.
Thank you for sharing this!!! 😊
Could be cross contamination at the pharmacy? Or a contaminated batch from the supplier? Common ADHD meds shouldn't be fixed by narcan. Whatever happened, I hope there's a very thorough review of that pharmacy's procedures to make sure it never happens again. If they knew several others had had an adverse reaction already, why on earth would they let another patient still use it?
I did a bit of searching and it seems they had missing and inaccurate compounding records in addition to other issues. They may not even know what was in the compound.
@@Skunkieboo well that's terrifying.
This is absolutely INFURIATING!! There needs to be criminal charges. This goes beyond negligence!!
They had to have not cleaned the tools ...I worked at a compounding pharmacy and we sterilized everything.. even for vet meds . Very very sad
I sense a lawsuit coming from this one
Yeah if they’re treating somewhat successfully with Narcan then there’s an opioid involved, and while I’m not a pharmacist I’ve never heard of an opioid being used to treat ADHD.
Which means either the completely wrong thing was compounded, they sourced contaminated ingredients, or the pharmacy was severely neglectful about avoiding cross contamination of equipment.
I fully agree if they had any reason to suspect something they dispensed was incorrect or unsafe they needed to have had the patient return the medication and try it again. Accidents happen, but not going above and beyond to avoid any other people getting hurt is inexcusable.
Whatever the case may be, that pharmacy needs to be shut down and the licenses of everyone working there suspended until they get to the bottom of what happened.
They pretty much only use stimulants and occasionally SSRIs to treat ADHD. They for sure did something wrong. You would never treat ADHD with opioids. (Some people self-medicate with opioids because they don't know why they're unhappy and ADHD is the root cause, but you would never use it in a clinical context like that.)
...oh my goodness. You can't even remove opioids without a time delayed safe at my pharmacy. I don't understand how you make a mistake like this; i just don't.
My guess is it’s a longer acting opioids like methadone. It could’ve also been codine if the child was an ultra rapidmetabolizer..
What did their tox screens show?
What side effects will giving that much Narcan have on these children?
(If I have absolutely any doubt, I throw meds out! If the pharmacy had called me, I would have returned it to them for a refund, especially if the medication wasn't needed to stay alive).
I feel like we need more information, but logic tells you an opiate, and a hell of a lot of it for a child, was in that medication. How did this happen?
They must have been compounding multiple recipes in the same place and either used the wrong ingredients or mislabeled the finished product is all I can think
Genuine question: shes 5 and taking adhd meds? I was diagnosed at 7 or 8, i just feel like 5 is very young. I also was never given a chance for liquid meds, my momma didnt play that lol, she was like youre gonna learn to take a pill kiddo
Lol, my first week as a pharmacist I saw 3-4 year olds on 70mg vyvanse
@@whitestkid holy moley!! Vyvanse made my hands shake which, as an art student wasn't a good thing. I can't imagine for kids
@@emilymoxie I'm on 60mg daily, but also an adult. This was 10 years ago, too. So those kids are probably on crazy-high doses now
That was my thought too. I have adhd as well and was given it as a 4/5 year old. in hindsight i think its way too young, my mom agrees, and doctors told me they dont do this anymore. Sickening. Most kids would do better if they had less screen time and a better diet.
@@whitestkid SEVENTY??? I'm 20 and have been taking 30mg since I was like... 11 or 12 😭 I couldn't IMAGINE 70mg???
Aren't ADHD meds meant to make you hyper so you can focus? The passing out makes me think of sedation first.
Eehhh? I'm not sure of the exact effects on the brain, but for me personally, they ease up my hyperactivity (make me less hyper) and help me focus a bit better! I can always tell if I've took my meds or not, cause they make me feel a specific way internally that idk how to explain hrjdhrud 😭
They’re usually stimulants but have the opposite effect on many people with ADHD. There are non-stimulant ADHD meds and off label use of other meds, but opioids are NOT used for ADHD
Yall did you watch the vid? The children were given narcan, so there was heroin/morphine/fentanyl in the medication. They were dosed with opioids… you know, the sedative medications?
ADHD meds are stimulants. You are correct that they are not specifically sedating. An overdose might give you the shakes, severe anxiety, or even a heart attack, but it isn’t going to knock you out.
So how do they help calm people down? Stimulants work on the entire brain and body (thus the side effects) but work more strongly on the prefrontal cortex than the rest of the brain. That is the part of the brain that manages attention and critical thinking but it is also the part of the brain that inhibits more base instincts and reactions. For someone with ADHD it is thought that the prefrontal cortex is a bit slow to respond to the demands placed on it so you get difficulty with critical thinking, decision making, attention management, and impulse control. Think of it like trying to find a phone number you need NOW but you’re trying to google with dial up. By the time the prefrontal cortex has kicked in to handle something the rest of the brain or body has already moved on to something else. Or to stick to the analogy, someone with a broadband connection has already found the number, dialed it and is looking at you like you’re an idiot. Adding stimulants helps the prefrontal cortex be a little faster off the mark so it can do a better job of all the things it is supposed to do. At proper doses stimulants can actually help someone with ADHD calm down because they increase the ability of the prefrontal cortex to apply the brakes to other parts of the brain that are racing along getting carried away or distracted on things that are not helpful.
If you actually have ADHD they generally focus your brain by helping it zone, by calming it
This why I always say this job is not recommended anymore it doesn't worth it when you try to help patients who don't deserve to be helped and they use the medication wrong and they lie saying they made everything correctly as pharmacist said and the pharmacist keep searching for the compound medication because the stupid patient took the wring one people don't deserve us they should buy from companies and as a pharmacists WE WILL MAKE AMERICA GREAT AGAIN