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According to most estimates, more than 75 percent of Ritalin prescriptions are for children. Ritalin (methylphenidate) is an amphetamine-like prescription stimulant commonly used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children and adults. Were you fully aware of all the a€?warnings,a€? a€?drug dependency risks,a€? a€?precautions,a€? and a€?adverse reactionsa€? related to the use of RITALIN?
Ritalin is a a€?Schedule II Substancea€? which means it has a a€?high potential for abusea€? and a€?may lead to severe psychological or physical dependence,a€? and so the federal government sets limits on the amount that may be manufactured each year. The Food and Drug Administration (FDA) requires the following a€?black boxa€? warning on all methylphenidate drugs, including Ritalin, which means that medical studies indicate Ritalin carries a significant risk of serious, or even life-threatening, adverse effects.
RITALIN-SR IS A FEDERALLY CONTROLLED SUBSTANCE (CII) BECAUSE IT CAN BE ABUSED OR LEAD TO DEPENDENCE. TELL YOUR DOCTOR IF YOU OR YOUR CHILD HAVE (OR HAVE A FAMILY HISTORY OF) EVER ABUSED OR BEEN DEPENDENT ON ALCOHOL, PRESCRIPTION MEDICINES OR STREET DRUGS. ABOVE: FDA black box warning label means that medical studies indicate the drug carries a significant risk of serious or even life-threatening adverse effects.
You have high blood pressure or any form of heart disease, are very nervous or have severe insomnia, have a history of addiction to drugs or alcohol. In a recent drug-safety announcement, the FDA announced that drugs containing methylphenidate (Ritalin, Concerta, Daytrana, Focalin, Metadate, Methylin, Quillivant) must including warnings about the risk of priapism. The FDA included an even stronger warning about atomoxetine (Strattera): a€?Priapism appears to be more common in patients taking atomoxetine than in patients taking methylphenidate products.
The safety warning also raised concerns about links between priapism and amphetamine drugs, which include Adderall, Dexedrine, ProCentra and Vyvanse.
The last dose of the drug every day should be taken several hours before bedtime to prevent insomnia. Nervousness usually goes away and appetite often returns so that weight loss is rarely dangerous. If high blood pressure, rapid pulse, paranoia, or tolerance becomes a problem, the drug is usually stopped. Nothing can be done about the addiction except to remember not to stop taking any type of methylphenidate abruptly. It is possible to build up a tolerance to methylphenidate, which means the person using the drug needs to take larger doses to achieve the same effect.
Withdrawal symptoms can include tiredness, panic attacks, crankiness, extreme hunger, depression and nightmares. Abrupt cessation of stimulant drugs such as Ritalin can cause extreme fatigue and severe, even suicidal, depression in adult patients.
A review of 20-years-of scientific literature on using stimulant medications, including Ritalin, to treat children with ADD and ADHD found a consensus: there is no documented long-term benefit (academic achievement or pro-social behavior) in using psychoactive drugs.
Ritalin SR delivers methylphenidate into the blood more slowly and continuous over a 6-8 hour period.
Emergency room visits by children ages 10-14 involving Ritalin intoxication or overdoses have now reached the same level as those for cocainea€”indicating escalating abuse of the addictive drug.
Street names for Ritalin include: rits, rids, west coast, jif, mph, diet coke, kiddie coke, kiddie cocaine, vitamin R, R-ball, poor man's cocaine, skippy, skittles, smarties and the smart drug. National Institutes of Health, US Department of Health and Human Services; NIH Publication No. Ongoing research shows early-life use of Ritalin (methylphenidate) has complex effects that endure later into life. The same damage can be seen in Alzheimer's disease where the hippocampus is one of the first areas of the brain to suffer damage and so memory problems and disorientation appear among the first symptoms.
All these questions need proper scientific answers, but for now much of the discussion is taking place furtively, among an increasing number of Americans who are performing daily experiments on their own brains (or their children's brains).
The use of methylphenidate (RITALIN) and clonidine (KAPVAY, CATAPRES) in combination continues to be controversial. In small doses amphetamines can banish tiredness and make the user feel alert and refreshed.
Although Vyvanse is referred to as a€?pro-druga€? of dextroamphetamine, it is still an amphetamine, meaning that Vyvanse is easily abused and can cause insomnia, agitation, anxiety and sometimes psychotic symptoms like seeing things or becoming paranoid.
Most people may not know that Strattera (atomoxetine) appears to cause unsatisfactory sexual function (decreased libido, ejaculatory problems and impotence).
Accutane (isotretinoin) has a long history of controversy over birth defects, depression and suicide, and other serious medical problems. Doctors sounded a warning in the British Medical Journal over a rise in ADHD diagnoses, saying some children may be needlessly taking powerful drugs intended to correct a poorly understood disorder. The analysis found Ritalin and other drugs were meant to be used only for a€?severea€? ADHD symptoms, which according to research data only occur among about 14 percent of children with the condition. Placebo-controlled studies and double-blind trials proved that young, university students experienced significantly less stress from tests, stayed more clear-headed and composed, and kept a more stable mood when taking the active ingredients in Flavay Plus®.
Researchers found that Flavay® worked as well as the commonly prescribed stimulant medications, including Ritalin, on thirty children and adults diagnosed with attention disorders. By reading this site, the reader acknowledges their personal responsibility in choices for mental health for themselves and their children, and agrees that the AYCNP or anyone associated with this site, bears no responsibility for one's personal decisions in choices for mental health.


How parents and educators can help children to overcome ADHD and childhood depression, naturally. A good question and answer book on ADHD, not imaginative, it is factual, with very good information, helpful for parents. No Child Left Different skillfully considers psychiatry issues and children from a panel of professionals. ADHD medication does help about 40-70% of those who use the drugs, according to the most commonly quoted statistics. On the other hand, about 90% experience serious side effects the first 6 months of use, which tapers off to about 15% after 2 years.
Additionally, it is possibly that a good part of the efficacy of the drug is a result of the intervention and extra attention that has been given to the child.
However, there are many other forms of intervention that can help (the medications most commonly used are stimulant medicines.) Not everyone agrees with the labeling system that classifies children as ADHD. What does make a difference with children as far as grades goes is watching R-rated and violent movies, time spent with video games and time and intensity of television.
A study conducted in the Bronx indicates that children who do not watch R-rated movies get significantly better grades than children who do watch violent and R-rated movies. At times, there have been a very serious side effects with medicines for ADHD, such as deaths associated with heart failure for children who have undetected heart problems.
In this case, the most frequently cited reasons were the development of side effects - reported by 49% of parents - and continued problems at home or school despite medication - reported by 48%.
Such side effects are what lead many families to discontinue their child's medication therapy. It is thought that within six months, only about half of children on medications for ADHD will continue to have serious side effects. There would appear to be a tolerance that develops in children who are on medications for ADHD. Washington: Advanced imaging research has answered a 40-year-old question about methylphenidate (Ritalin), which is taken daily by 4 million to 6 million children in the United States: how does it work? Taken orally in pill form, methylphenidate rarely produces a high and has not been reported to be addictive. The positive affect medication contributes to a child's mental state is temporary, and usually, within 2 years, the positive affect on the mood of a child will no longer be noticeable. The bold warning label appears on the manufacturer's wholesale packaging and is the strongest alert the FDA can require.
However, the government classifies the psychoactive drug with cocaine and morphine because it is highly addictive.
Methylphenidate (Ritalin) was first synthesized in 1944 in an (unsuccessful) attempt to create a stimulant that would not induce addiction or tolerance. It's a serious problem: priapism is a persistent, usually painful, erection that lasts for more than four hours and occurs without sexual stimulation. FDA Drug Safety Communication: FDA warns of rare risk of long-lasting erections in males taking methylphenidate ADHD medications and has approved label changes. Over time, the body might come to depend on methylphenidate drugs just to function normally. Some people experience a pattern of a€?binge crasha€? characterized by using continuously for several days without sleep, followed by a period of heavy sleeping. Withdrawal symptoms are psychological and stopping suddenly can cause extreme fatigue and severe, even suicidal, depression in adult patients. Talking back to Ritalin: what doctors aren't telling you about stimulants and ADHD, revised ed.
Changes in hippocampal volume and shape across time distinguish dementia of the Alzheimer type from healthy aging.
A study published in Biological Psychiatry suggests that exposure of Ritalin in youth may later disrupt development of brain cells in the hippocampus, region of the brain critical to memory, spatial navigation, and behavioral inhibition and resulting in memory problems, disorientation and depression in adulthood.
But when given to children over long periods of time, they neither improve school achievement nor reduce behavior problems. One study found hyperactive children taking Ritalin offered less varied answers to open-ended questions. Both drugs can adversely affect an irregular heart rate or rhythm (cardiac arrhythmia) and this effect can be worsened when the drugs are combined. Eventually my grandmother told me she could tell from some of the things I said that I did have some degree of depression. Statements and excerpts from research literature are provided solely as a forum for commentary and specifically not as health or medical advice.
Anyone coming off medication should do so gradually rather than abruptly, and under a doctor's supervision.
She established Exploring Parenthood, a national support service for parents in the United Kingdom, before becoming the inaugural chief psychotherapist at the Royal Children's Hospital in Melbourne, Australia. Focus is on psychiatric drugs, causes of mental health disorders in children, media, ADHD, bipolar disorder.
So there are different ways of looking at mental health problems, especially with children.


They say that this was going to help me get better grades, but my grades have gotten worse since I started taking the medicine." Newark, NJ, 2008.
Studies indicate that grades in reading and math remain fairly constant with or without medicine.
It does not "cure" the problem, or address the underlying issues that are causing the disorder. Adderall being an amphetamine and Ritalin being something close to an amphetamine, but not a true amphetamine. Assessments lack "objective" procedures, that is, assessments are largely subjective, or, opinion based, rather than scientific or definite. Concerns about side effects and an assessment process that lacked "objective" procedures - were far and away the leading reasons that parents chose not to try medication with their child. In fact, over 90% of parents reported observing appetite loss and sleep difficulties, over 80% reported that their child had lost at least 5 pounds, and over 50% reported that their child was showing increased irritability. By 6 months, reported side effects had declined by approximately 50% and by the 2-year follow-up, the only side effect that continued to be reported by 15% of parents was appetite suppression. It might also be true, however, that, as in the case of Prozac, the effectiveness of the medication decreases in time as tolerance builds. However, injected as a liquid it sends a jolt that "addicts like very much," said Nora Volkow, MD, psychiatrist and imaging expert at Brookhaven National Laboratory, Upton, NY. It would seem that, like drug treatment for depression, about half of the children who are prescribed stimulants do experience some improvement. The number of those who experience such serious side effects usually tapers off gradually, to about 10% by the end of 2 years, about the same time period for the positive affect of stimulant drugs. Ritalin is very closely related to amphetamine: similar in chemical structure, metabolization and clinical effects. If the condition is not treated immediately, it can lead to scarring and permanent erectile dysfunction. Abuse of methylphenidate drugs may cause a sudden heart attack even in those with no signs of heart disease.
The person craves the drug and their psychological dependence makes them panic if access is denied, even temporarily. A a€?speed crasha€? always follows the high and may leave the person feeling nauseous, irritable, depressed and extremely exhausted.
Rotz specializes in the diagnosis and treatment of ADD and co-occurring conditions, including chronic disorganization. She lives near San Diego, California, where in addition to coaching she is involved in ADD support groups, education, and advocacy.
Prior to 1970 in the early 1960s, the use of medication in the treatment of ADHD was not common. We made good progress with exercise, he went to the gym and worked out all day with my husband. In the cases where grades do improve, it is usually a very slight difference, and that difference can be more accurately attributed to the extra attention from social workers, psychologists, the teacher's and parent's awareness, as well as programs that the child might become involved with, rather than any attributes of the medicine. In fact, most pharmaceutical treatment for mental illness, if not all, is symptom based, that is the medicine is addressing symptoms, not the disease, not the disorder itself.
What about parents who were willing to initiate such treatment but who discontinued it within 3 months? Thus, parents clearly observed a substantial decline in medication side effects for their child over time. Within two years time, a recent study indicated, only 15% of those on medications for ADHD will have serious side effects. While some children do benefit in the ability to concentrate in the short term, long term benefits of stimulant medication is disputable. This close connection is the chief reason Ritalin use raises concern among patients and others. Vicki Anderson is a psychology professor at the University of Melbourne and a clinical neuropsychologist at the Royal Children's Hospital in Melbourne. Sometimes I would take 2 capsules of each and sometimes 4 capsules of each since I had read online that some people like taking 4 of each better. If you have a question about a drug, or if you think you are experiencing a drug's side effect, consult with your doctor. An aspirin helps the headache to feel better, but it does not address what has caused the pain in the first place. We had meal times together the same time every day, and a fixed schedule every day." Newark, NJ educator, 2006). Medication prescribed for mental health disorders can be very accurately compared to an aspirin.



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03.02.2014 admin



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