In reviewing the transcripts from the past 5 years of hearings, the testimony sounds like a broken record - the same information gets rehashed over and over and over. The same dedicated advocates show up to testify about the latest statistics and horror stories while members of the panels pretend to be shocked, just shocked, as if its the first time they've ever heard any of it.
The FDA is running the charade this year. Its advisory committees held two hearings last month and two different advisory panels have scheduled hearings for March 22, and 23. Of course true to form the advisory panels are stacked with pharma connected members.
But the outcome of the hearings will change nothing one way or the other. Even if the FDA does order the dreaded black box warning on the labels of ADHD drugs, pharma will continue to find doctors who will prescribe the drugs regardless.
As it stands right now, the off-label use of stimulants with pre-school children is rampant even though no ADHD drug has been approved for children under 5.
By now, what more can be said at hearings? What new news is there to report?
Back in May 2000, Deputy Director Terry Woodworth of the Federal Drug Enforcement Administration told Congress that although his agency could not estimate overall numbers on the use of ADHD medications, drug production indicated the numbers were soaring.
Between 1991 and 2001, he said, the number of prescriptions had increased almost 500%, and Ritalin production had gone from less than 2,000 kilograms in 1990 to almost 15,000 kilograms in 2000.
In May 2001, the Archives of Pediatrics and Adolescent Medicine published a study of North Carolina's Medicaid program that found the use of drugs such as Ritalin and Adderall, had increased by nearly 550% between 1992 and 1998. In 1992, there were 24,584 prescriptions written compared with 135,057 prescriptions in 1998.
On April 15, 2004 CNN, reported that an estimated six million children in the US were taking Ritalin every day, up 500% since 1990.
So what has changed between 2000 and 2006? Is there a different way to present these statistics?
The drugging of toddlers has been reported for over a decade. A study published in the February 2000, New England Journal of Medicine, by the University of Maryland, estimated that 150,000 preschoolers (10% were 2-year-olds) were on psychotropic drugs in 1995, up from 100,000 only four years earlier.
A report published back in the October 1999 Archives of Pediatrics and Adolescent Medicine, on a study from Michigan State University in Lansing, warned that children three and under were being diagnosed with ADHD and placed on drugs.
The study reviewed the medical records on 223 Michigan children on Medicaid who had been diagnosed with ADHD at or before the age or 3 and determined than 25% of the children had been diagnosed at or before the age of 2.
The study found 57% of the children were put on drugs but psychological treatment was only provided to 27% of the kids.
The most frequently prescribed drugs were Ritalin and clonidine, even though studies dating as far back as 1995 found this combination to be lethal and reported four sudden deaths due to cardiac complications in children taking clonidine and methylphenidate together (Swanson et al. 1995; Cantwell et al. 1997; Fenichel 1995).