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Life's A Twitch! Celebrating 15 years.
1998 - 2018
Life's A Twitch! Celebrating 15 years.

 

Question 100: Dear Dr. Dunc, My husband was diagnosed with ADHD a few years ago by a medical doctor here. He tried Adderall for a while, but now watches his diet more, is aware of the benefits and drawbacks of caffeine, is more aware of his stress level, sees a counselor, etc. He does have some tics which you talk about in your section on Tourette's, and he does take Clonodine on occasion if he becomes angry and his blood pressure rises. His doctor thought at one point he might have one of the explosive disorders. He wants to take a B complex/ multivitamin supplement, but it was mentioned by his doctor a few years ago that a certain B vitamin was bad for someone with his conditions. Is it true that one of the B vitamins might be bad for someone with his conditions, and if so is it B1, B2, B6 or B12 that he should stay away from when buying a B complex/ multivitamin supplement? Sincerely, B.D., CA, USA.


I'm not familiar with any research in this area, however one paper that has been published on a topic close to this is below. In this paper, the vitamin B6 is mentioned but from the abstract the theory suggests that B6 is not
'bad' -- rather, a magnesium deficiency is to 'blame'.

It is worth knowing that hypotheses (and this paper only suggests a hypothesis) need supportive research before they can be considered to be anything other than simple guesses, though. I'm not saying that there isn't
anything to this: I'm saying that I would need to see objective, experimental data on it before rendering an opinion.

One last thing -- you mentioned that your husband 'on occasion' takes the antihypertensive Clonidine (Catapres). Irregular use of Clonidine can create serious fluctuations in blood pressure; physicians strongly recommend that this medication be used consistently, or not at all. I would suggest that any use of Clonidine be discussed with and monitored by your husband's physician.

I hope this helps!
Dr. Dunc.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Med Hypotheses. 2002 Jan;58(1):47-60.


The central role of magnesium deficiency in Tourette's syndrome: causal relationships between magnesium deficiency, altered biochemical pathways and symptoms relating to Tourette's syndrome and several reported comorbid conditions.

Grimaldi BL.

BonnieGr@aol.com

Prior studies have suggested a common etiology involved in Tourette's syndrome and several comorbid conditions and symptomatology. Reportedly, current medications used in Tourette's syndrome have intolerable side-effects or are ineffective for many patients. After thoroughly researching the literature, I hypothesize (emphasis added by Dr. Dunc.) that magnesium deficiency may be the central precipitating event and common pathway for the subsequent
biochemical effects on substance P, kynurenine, NMDA receptors, and vitamin B6 that may result in the symptomatology of Tourette's syndrome and several
reported comorbid conditions. These comorbid conditions and symptomatology include allergy, asthma, autism, attention deficit hyperactivity disorder,
obsessive compulsive disorder, coprolalia, copropraxia, anxiety, depression, restless leg syndrome, migraine, self-injurious behavior, autoimmunity, rage, bruxism, seizure, heart arrhythmia, heightened sensitivity to sensory stimuli, and an exaggerated startle response. Common possible environmental and genetic factors are discussed, as well as biochemical mechanisms. Clinical studies to determine the medical efficacy for a comprehensive magnesium treatment option for Tourette's syndrome need to be conducted to
make this relatively safe, low side-effect treatment option available to doctors and their patients. Copyright 2002 Harcourt Publishers Ltd.

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Last updated on March 25, 2022

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