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(Conrad 1975) that medicalization scholars warned us about more than thirty years ago. In his most recent book, Conrad (2007) explains that the medicalization process has shifted towards a consumer-driven model of health where doctors are no longer the ones pushing diagnoses on their patients. New players have entered this economy including parents, educators, insurers, and pharmaceutical companies who can each benefit from seeing an increase in the prescription of ADHD medications for young children. As the participation and influence of these parties in the treatment process increase, doctors must actively renegotiate their relationship to their patients and society at large. Joe Dumit (2012) describes this trend as ?octor disempowerment in which patients are taking advantage of the modern constraints placed on doctors to demand treatment for themselves (and their children). He writes: angioedema / Rapid / Incidence not known. Contact the editor with questions, comments and concerns. True to the terms of the deal, Teva Pharmaceuticals (which now owns Barr Laboratories) introduced generic Adderall XR on April 2, 2009, and Impax started shipping the generic version on October 2, 2009. 20 According to the press release by Shire, no payments were made by Shire as part of the settlement of the Adderall XR dispute. Nonetheless, there were a series of complex side deals between the parties involving value transfers and product acquisitions: as noted by C. Scott Hemphill, Shire agreed to pay Barr Laboratories a net amount of $102 million. 21 Shire agreed to compensate Duramed? subsidiary of Barr Laboratories?p to $165 million for product development for five products related to transvaginal ring technology, which Shire planned to apply to women's health products, as well as to seek regulatory approval to market Duramed's Seasonique (an oral contraceptive). Further, Shire sold the rights to its older Adderall immediate release (IR) product to Duramed for $63 million. 22. What If My Teen Is Not Ready for College? Pharmaceutical companies coined the expression off their meds to offer an alternative theory of causation

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