Anecdotally: demographics, adult ADHD, and atypical psychotics

I worked in a pharmacy in a very wealthy community last night. First time. It was a huge change from both other pharmacies that I spend most of my time in. (One very poor, and one very middle class.) The thing I noticed most was the sheer number of adults (mostly men) filling prescriptions for Adderall XR and Concerta. I must have had maybe 7 or 8 in one hour. No Strattera or Cymbalta, interestingly enough. And most of the scripts were accompanied by other scripts for benzos, mostly for bedtime use. No surprise there.

Contrast this to my “home” pharmacy where we get maybe one or two adults filling these types of scripts per day. Then there’s the other pharmacy in the poor section of town: I’ve never seen a prescription for an adult ADD med. Ever.

The correlation between wealth and adult ADD diagnosis is very interesting to me. I could draw some other conclusions about the relative intelligence of the people coming into each pharmacy, but I haven’t worked at the wealthy pharmacy enough yet.

This is in contrast to the number of atypical antipsychotics used in children in the poor area. Lots of children on Zyprexa, Seroquel, and Risperdal. Almost none in the wealthy pharmacy. Again, the middle ground in my home store.

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