Expert: Dr. Kristina Conner - 12/15/2008

Question
Hi, I am in my mid-40s, and was diagnosed several years ago with ADD.  I tried Ritalin and Adderall, but the effects last a very short time.  I would like to try something natural.  

Can you recommend something that would not negatively interact with Prozac?  Thank you for your time.

Answer
Hello Wendy,
Thanks for your question.  There are many natural approaches that may be beneficial for ADD.  I think it it is helpful to think of this as a whole person condition, rather than just a behavorial or mental diagnosis.  The better overall health is, the better management will be of symptoms one would attribute to ADD.  
To improve overall health, diet and lifestyle changes are fundamental.  Ensuring high quality sleep, eliminating dependence on caffeine, nicotine, alcohol, and other non-essential chemicals that alter brain function, and managing stress is the first step.  A diet emphasizing whole organic foods, and low in processed/ fast foods, would be next.  Regular exercise, exposure to sun & fresh air, and a regular schedule are also critical.  After all of that is in place, then supplements are a reasonable addition.  Fish oil/ essential fatty acids, magnesium, B vitamins, and zinc are commonly low in people who have ADD, so that would be first.  More specific symptom relief, botanicals such as gingko, gotu kola, green tea, ginsengs, and supplements such as grape seed extract, theanine, and DMAE are often used.  Typically, a combination is used, although if you have concerns about interactions with prozac, it might be a better idea to add one supplement or herb at a time.  There may be interactions with some of these and prozac, so it is wise to use a resource such as drugdigest.org to check.  
Finally, I encourage you not to rely on supplements simply as an alternative to drug therapies--when one uses them in this way, they are rarely effective long-term.  It does take some bigger changes, but a whole person is much more effective & beneficial in so many other ways.  If possible, consult with a holistic or naturopathic doctor in your area; they would be able to guide you in choosing treatments that will work best for your life and needs.  
Good luck!
Dr Conner