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hallucination (seeing or hearing things that aren there) muscle weakness and pain rapid breathing restlessness seizures uncontrollable shaking vomiting. Their metabolism speeds up and so when they do eat, it is quickly metabolized, reducing weight gain. It is easy to see how this can be appealing to women who are constantly on-the-go because by simply taking a couple of pills, they are suddenly able to rid themselves of any fatigue, focus on multi-tasking, and lose weight in the process. Your pediatrician or primary care doctor can do the assessment. However, be aware that expertise in ADHD varies greatly?specially with adults. To make your doctor s job easier, you and a teacher can fill out an assessment checklist before the visit. The American Academy of Pediatrics has an ADHD Toolkit with an ADHD assessment checklist and treatment recommendations. This toolkit is available to doctors and non-medical people. The AAP toolkit provides Vanderbilt Rating Scales for parents and teachers; you can find the toolkit at You can also download the Vanderbilt Rating Scales from other websites. Doctors for adults vary greatly in using assessment tools for ADHD. For an adult ADHD assessment, you can download checklists such as the Adult ADHD Self-Report Scale (ASRSV1.1) or the ADHD Rating Scale (ADHD-RS-IV). Colchicine toxicity is not a pretty sight, and the reported reactions have been life-threatening or fatal. One patient on colchicine was admitted with fever, diarrhea, myalgia, and abdominal pain 4 days after starting clarithromycin. He subsequently developed multiorgan failure and died. 1 Another patient on colchicine developed fever, diarrhea, and abdominal pain 3 days after starting clarithromycin. 2 He went on to develop dehydration, pancytopenia, and acidosis, but he survived. Two other patients on colchicine died from agranulocytosis when clarithromycin was given concurrently. 3. Bisoprolol; Hydrochlorothiazide, HCTZ: (Minor) Amphetamines may counteract the activity of some antihypertensive agents, such as thiazide diuretics. Close monitoring of blood pressure is advised. Thiazide diuretics may also
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