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ADHP should be seen by a specialist

I refer to the item on adult attention deficit hyperactivity disorder (ADHD) in Answerback (January 13). The GP asking the question had as a patient an American student asking for bupropion and an amphetamine.

The answer stated it was appropriate for GPs to prescribe a preparation for an unlicensed indication and stimulants to a resident of an overseas country with what might be described kindly as a 'litigation culture', presumably when the GP prescriber has few, if any, specialist skills or knowledge in the field of ADHD (as I don't!)?

Check your defence organisation subscription is up to date folks!

Unless you have specific skills and experience in the management of such disorders, new patients should be seen by appropriate specialists, whatever the situation with community services and waiting lists. It's a specialist problem. That's what they are there for, isn't it?

Perhaps it's just me being paranoid, but the implication (again) is that GPs should just get on with it, especially where making up for deficient service provision elsewhere is involved, notwithstanding the potential risks both to the patient and to the prescriber.

Dr Steve Cox

Aspley

Nottingham

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