What Makes Jornay Special?
Вставка
- Опубліковано 9 жов 2022
- Jornay is the first stimulant designed to be taken at night. The delayed release coating prevents any delivery of the drug before the desired waking hour, and the slow release coating ensures effective doses of the medication throughout the whole day.
- Наука та технологія
This has been so helpful! Thank you so much! I'm on concerta and I just learned about Journay and I'm so excited about finding a medication that lasts longer.
This has been very informative, thank you for this video. 😊
This would've prevented so many "morning wars" between me and my parents growing up.
Yes, the morning mismatch in ADHD families between expectations and actual performance can be huge, and a big source of conflict.
Omg is that what it is? I have so many of those mornings with my adhd child, but I never connected the dots ! 😢
@@dr.johnkruse6708 does ritalin age the body as some suggestions to this or is this not the case or can be outweighed with good lifestyle
Morning horrendous all my life ten drs said it was CFS or neurosthenia.until now I no why
@@Truerealism747 I'm sorry that it took so long for doctors to figure out what was going on.
Great video!!
Thank you doc.
Thank you
Jornay: $320
Ritalin: $15
from GoodRX
Thanks for pointing this out, ridiculous prices for brand name drugs is something I have pointed out in several previous videos. If you have insurance, then the price differential is unlikely to be nearly this large. And some day, the US will act like a civilized country and everyone will have coverage for their medical conditions.
I’ve been thinking about switching from
Vyvanse to jornay pm
It's probably worth asking your doctor what they think. I have people who have gotten good results with either medication.
Hey doctor! My son is about to start this medication this week. Concerta extended release works amazing for him…but, the lowest dose is not holding him, and the next dose up is way too much. I find our doctor just switches meds (quillivant, quillichew, focalin, concerta) instead of maybe adding a tiny booster of something fast acting to get through the day. Is that normal? I just want my son on the smallest therapeutic dose.
I had answered this last week, but not sure where the reply went. Different doctors have different philosophies. Some want to minimize cost and maximize convenience by keeping the pill regimen simple. Some avoid short acting stimulants out of fear they are more addictive or prone to cause other side effects. It is encouraging that your son's doctor is at least willing to make changes, I just hope that the doctor has reasons for their changes, and explains them clearly to you and your son.
Your comment also highlights one of the possible problems with Concerta, in that, because of the osmotic delivery system, you really can't split pills to get intermediate, or smaller doses; that disrupts the slow release mechanism, and the methlyphenidate is not evenly distributed within the capsule.
@@dr.johnkruse6708 this is a very informative comment. Thank you for sharing your knowledge.
🎯 Key Takeaways for quick navigation:
00:00 🧬 *Introduction to Jornay and its uniqueness*
- Jornay is a special stimulant medication designed for nighttime use.
- It differs from other methylphenidate-based drugs in three key ways: bedtime dosing, steady release without immediate components, and dose-dependent duration of effect.
04:18 🌟 *Jornay's unique mode of action*
- Jornay consists of two layers: an outer delayed release layer and an inner sustained release layer.
- The medication is designed to release slowly, starting about 10 hours after ingestion and continuing throughout the day, providing consistent ADHD symptom relief.
- The delayed release mechanism is based on a combination of hydrophobic, hygroscopic, and pH-dependent components.
07:36 ⏰ *Duration of Jornay's effects and its benefits*
- Jornay's delayed release ensures that less than five percent of the total drug amount is released before the 10-hour mark.
- The medication is intended to be taken at night, providing symptom relief throughout the following day.
- It addresses the morning challenges faced by individuals with ADHD and aligns with their circadian rhythms, enhancing functioning during demanding morning hours.
12:11 🔄 *Potential drawbacks and alternatives to Jornay*
- Forgetting to take Jornay in the evening can lead to delayed and unwanted medication release the next day.
- Some individuals may need backup short-acting stimulants if they miss a dose of Jornay.
- Jornay may not be ideal for those seeking a day without medication due to its delayed release mechanism.
15:04 💊 *Rate limiting steps and dosage flexibility*
- The colon's limited absorption capacity results in a gradual and extended release of the medication.
- Increasing the Jornay dosage above a certain point extends the duration of its beneficial effects without causing a significant increase in peak blood levels.
- Different dosages (20, 40, 60, 80, 100 mg) offer flexibility in tailoring treatment to individual needs.
18:45 🤔 *Common side effects and considerations*
- Jornay shares common side effects with other methylphenidate products, including appetite suppression, jitteriness, dry mouth, and decreased appetite.
- Long-term use may result in growth suppression in children, but taking breaks during the summer can mitigate this effect.
- The presentation ends with an invitation for questions and a preview of the next week's topic, which is depression and a new antidepressant.
Made with HARPA AI
My daughter was on 25mg of quillivant and changed to 60mg of jornay. My doctor said that "jornay is dosed much higher because of the delivery system" But it doesn't seem like thats entirely accurate. From what i understand from your video, higher dosing just extends how long the medication released for. It seems like the blood level is still going to be much higher than it was with quillivant.
I would anticipate a higher blood level of methylphenidate from the 60 mg Jornay than from 25 mg Quillivant XR. But at some point with Jornay, when the ability of your colon to absorb it is maxed out, then the blood level won't rise higher, it will just stay longer at that high level.
👍
So, my child started taking this for the mornings, when methylphenidate usually works pretty well, and it seems like hes almost completely unmedicated? Could this be because of what you’re saying with how its absorbed slower?
The top three possible explanations I would offer would include yours, that it takes somewhat longer - but someone should notice effects within 2-3 hours. When switching between stimulants, many prescribers start low and intentionally choose a dose lower than they expect will be an effective just to avoid problems with overdosing. Or some people respond to methylphenidate but not to amphetamine products (but the reverse scenario is substantially more common).
Smile a little bit in the next video, buddy. Good information but is like a hostage video lol.
Thanks for the constructive feedback.😁