Sunday, March 9, 2008

Ritalin Cocaine for Kids? Risks & Benefits

Ritalin (Methylphenidate) – Overview

According to the Department of Justice Drug Enforcement Agency (DEA)
Drug and Chemical Evaluation Section, 1995

Ritalin is a schedule II drug classified in the same category as cocaine, heroin, opium and morphine.

Ritalin & cocaine are used interchangeably in scientific studies. The DEA has reported this and has also stated that it produces cocaine-like effects.

According to DEA Congressional testimony: “neither animals nor humans can tell the difference between cocaine, amphetamines or methylphenidate (Ritalin), when they are administered the same way in comparable doses. In short they produce effects that are nearly identical.”

In addition to Ritalin, other amphetamine or “speed” type drugs include Adderall, Dexedrine & Cylert.

“The data show that methylphenidate has a high abuse potential. It is associated with diversion and trafficking and is abused for its psychic effects. The extent of these activities is similar to other pharmaceutical Schedule II substances.”

“What are some consequences of methamphetamine and amphetamine use?

Effects of usage include addiction, psychotic behavior, and brain damage .6
• Withdrawal symptoms include depression, anxiety, fatigue, paranoia, aggression, and intense cravings. 7
• Chronic use can cause violent behavior, anxiety, confusion, insomnia, auditory hallucinations, mood disturbances, delusions, and paranoia. 8
• Damage to the brain cause by meth usage is similar to Alzheimer's disease, stroke, and epilepsy.9 “

Ritalin is More Potent Than Cocaine

- Ritalin has a more potent effect on the brain than cocaine.
- Using brain imaging, scientists have found that: in pill form, Ritalin, occupies more of the neural transporters responsible for the 'high' experienced by addicts than smoked or injected cocaine.
- Ritalin has the same pharmacological profile as cocaine
- Even in pill form Ritalin had a greater potency in the brain than cocaine.
- The notion that Ritalin is a weak stimulant is completely incorrect,' said Volkow. A normal dose administered to children blocked 70 per cent of the dopamine transporters. 'The data clearly show the notion that Ritalin is a weak stimulant is completely incorrect,' said Volkow. Cocaine is known to block around 50 per cent of these transporters, leaving a surfeit of dopamine in the system, which is responsible for the hit addicts crave. But now it is known that Ritalin blocks 20 percent more of these auto-receptors.
“'I've been almost obsessed about trying to understand [Ritalin] with imaging,' said Volkow. 'As a psychiatrist I sometimes feel embarrassed [about the lack of knowledge] because this is by far the drug we prescribe most frequently to children.”
To View Full article: http://www.guardian.co.uk/uk/2001/sep/09/health.medicalscience


Long-term effects of Ritalin Have Not Been Studied

The conventional view is that 40+ years of Ritalin use suggests that it is pretty safe stuff. However, 40 years later Ritalin and other stimulants have not been studied for their long-term safety and effectiveness.
According to the Canadian Medical Association the average drug trial for Ritalin is just 3.3 weeks. In contrast, children diagnosed with ADD/ADHD may be taking the medication for years, even decades. Yet the impact of such long term use is not known, which begs the question, why haven’t any long term studies been conducted given Ritalin has been around for over 40 years. For young children, whose brains are still developing, long-term use may lead to permanent neurological changes, stunt kids’ growth and increase the risk of addiction & drug abuse.

Benefits of Ritalin Treatment
Claims that Ritalin appears to help with concentration
Studies indicate improvement is in classroom manageability rather than academic performance. No Scientific evidence that Ritalin is effective (Children’s hospital of Eastern Ontario & Univ. Ottawa meta-analysis Study, 62 studies). A meta-analysis of 62 studies of Ritalin treatment involved close to 3,000 participants for Attention Deficit Disorder. A team of Canadian researchers said it found very little scientific evidence that the drug lives up to its reputation and discovered that studies have played down the negative side-effects and role of placebos. The meta-analysis study included studies conducted over an 18 year span.

Ritalin: Six Common Side Effects

Loss of appetite, weight loss
Growth problems
Trouble falling asleep
Dizziness
Irritability, sadness, moodiness, or agitation 1-2 hours after administering the medication.
Sadness, irritability, or worsening of ADHD symptoms as the drug wears off.

Other Ritalin Side-Effects
Heart beat irregularities, rapid heart beat,
Increased blood pressure
Hallucinations, anxiety, irritability
Restlessness ,agitation Suicidal feelings, personality changes
Nausea/dizziness & muscle cramping
Lack of spontaneity Nervousness , Headaches ,
Upset stomach, Depression, Tics,

References:
ADDitude (ADDitude Magazine) http://www.helpguide.org/mental/adhd_medications.htm#references (Help Guide), http://www.umm.edu/patiented/articles/what_medications_attention-deficit_hyperactivity_disorder_000030_8.htm (University of Maryland Medical Center), http://www.usdoj.gov/dea/pubs/cngrtest/ct051600.htm (DEA), http://www.usdoj.gov/dea/concern/meth_factsheet.html#6 (DEA), http://www.guardian.co.uk/uk/2001/sep/09/health.medicalscience ,
http://www.pbs.org/wgbh/pages/frontline/shows/medicating/drugs/ (The Medicated Child PBS)

Saturday, March 8, 2008

Health Canada Advisories & Warnings on ADHD Drugs: Sept. 21/06

ADHD Drugs & "Uncommon Psychiatric Adverse Events"
OTTAWA - "Health Canada is informing Canadians that the prescribing and patient information for all drugs used for the management of ADHD (Attention Deficit Hyperactivity Disorder) is being revised to provide information about the potential for psychiatric adverse events, including rare reports of agitation and hallucinations in children..."
http://www.hc-sc.gc.ca/ahc-asc/media/advisories-avis/_2006/2006_91_e.html

Wednesday, March 5, 2008

Is Your Child's Brain Starving? Film



Lecture on how diet can contribute to ADHD (Attention Deficit Hyperactivity Disorder) by Dr. Michael R. Lyon, MD. Shot at Mount Royal College, Calgary, Alberta.
Dr. Lyon - "As the director of a medical & research centre, I have explored a variety of potential treatments to improve brain function in children and adults, without the use of drugs like Ritalin. Although I believe there is promise in certain herbal medicines and in non-drug treatments such as biofeedback, I have seen the most profound improvements in learning and behaviour through an intelligently applied nutritional program."
Dr. Michael R. Lyon, MD is Medical and Research Director of FunctionalMedicine.Ca
Gordon McDowell created the video.

Questions Parents Ought to be Asking Before Deciding to Medicate Their Kids:

1) Is the medication going to give their child the skills s/he needs to manage for the rest of their lives. And if they decide to stop the medication will the child be better or worse off.

2) Get a drug insert from the local pharmacist or purchase a “Physician’s Desk Reference”(PDR).

3) What are the Alternatives – the answer is there are many ranging from Educational Training & Intervention, Natural Medicine Treatments, Nutrition, Family Counselling, Parent coaching to help parents become more effective parents, teachers, guides, counsellors and advocates for their children

Questions Parents Ought to be Asking Before the Mental Health Experts Interview and Diagnose Their Child

1) What is the criteria for Normality? What are the expected Normal Behaviors and where has it been written and by whom. Who decides who is Normal and Abnormal? What is the official definition of Normal. What does normal really mean. Is an Olympic athlete normal, is a gifted artist, dancer normal? Is a child with special needs normal?Who might profit from the labeling?

2) Will you be allowed to get a second opinion or more importantly disagree with the label. Can you see the record and enter corrections. Will the record ever be destroyed or will the label follow the child throughout life.

3) What is the very worst thing that the Label will have the power to do to your child or you, if it fell in the hands of your enemies

4) Can you refuse the label and if you do what are the consequences/repercussions

5) What are the results of studies of long-term use of drugs like Ritalin, which has effects on the brain similar to those of cocaine? Where are those studies and how can we have access to them

6) Have any long-term studies been done to look at children from different environments

7) Is ADHD a physical disease with a confirmed physical or chemical abnormality that can be demonstrated within the patient?

8) How many children have they raised and with what outcome?

A Convenient Diagnosis

When Joshua Lourie was seven, he started acting out in class. His school sent him for a psychological assessment and he was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). ....,
Not unusual,
Dr. Sandra Fisman of the Ontario Psychiatric Association, surprisingly, doesn't disagree with Joshua's point of view. She says, "There is a fashion around the diagnosis of ADHD.".....
http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20070316/wfive_diagnosis_070317/20070317/

ADHD Drugs "Not Effective" Research Has Shown

A study obtained by the BBC's Panorama programme says drugs such as Ritalin and Concerta work no better than therapy after three years of treatment.
Treating children who have Attention Deficit Hyperactivity Disorder (ADHD) with drugs is not effective in the long-term, research has shown.
http://news.bbc.co.uk/2/hi/uk_news/7090011.stm