Another use for Ritalin

Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a lung
cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des tumeurs
de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a persistent
hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be potential
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]

"Marciosos7 Probertiosos7" wrote
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Did the study say whether the patient was able to get off the drugs when
he was given a chance?

"Marciosos7 Probertiosos7" wrote in message
.net...
Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a lung
cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des tumeurs
de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a persistent
hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be potential
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]




Stand by for Jan to accuse you again of "pushing drugs."

--Rich

"Roger Schlafly" wrote in message
t...
"Marciosos7 Probertiosos7" wrote
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of
attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Did the study say whether the patient was able to get off the drugs when
he was given a chance?

You have read the article and now can read the abstract.

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in
message
.net...
Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a
lung
cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des
tumeurs
de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a
persistent
hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be potential
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of
attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]




Stand by for Jan to accuse you again of "pushing drugs."

Question: Who is brighter in this area, atlASS, Jan or Roger?

"Marciosos7 Probertiosos7" wrote in message
.net...

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in
message
.net...
Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a
lung
cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des
tumeurs
de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a
persistent
hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be
potential
causative factors. Methylphenidate (MTP), a mild central nervous
system
(CNS) stimulant that is most commonly used for the treatment of
attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg.
It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]




Stand by for Jan to accuse you again of "pushing drugs."

Question: Who is brighter in this area, atlASS, Jan or Roger?




Here's my experience in incountering addictive drugs, in order of their
impact on the emergency room:

1. Alcohol. Shows up both as acute intoxication as well as a precipitating
factor in motor vehicle accidents and assaults.

2. Tobacco. Emphysema and COPD account for fewer ER visits than alcohol, but
cigarettes are probably responsible for more preventable disease and death
than booze.

3. (In Hawaii) Methamphetimine. Known locally as "Ice," this drug destroys
lives at a horrific rate. ER visits are usually psychiatric in nature, but
there are occasional acute cardiac events and sometimes deaths.

4. Heroin. Less addictive than tobacco or ice, but occasional overdoses and
sometimes death occur.

5. Other narcotics. Pill abusers seldom show up in the ER except as "drug
seekers."

6. Cannabis. I've seen two ER visits in 25 years from pakalolo. Both were
anxiety attacks.

7. Everything else. When I was in New Jersey, Phencyclidine, known there by
its street name "boat" caused many disruptive ER visits. "Crack" cocaine
caused problems, including an occasional fatality from cardiac arrhythmia.
I've seen a couple of ER cases from Quaalude, and one from LSD.

So what's the point of all this? I'VE NEVER SEEN A RITALIN ADDICT SHOW UP IN
THE ER!

I'm not saying that no ritalin addiction occurs, but considering that it is
not an uncommon drug, the fact that ritalin addiction does not present in
the ER indicates that it is probably rare, or at least seldom acute or
severe enough to precipitate major health problems.

--Rich

He had metastatic lung cancer - doubtful if he had the chance.
Anth

"Roger Schlafly" wrote in message
t...
"Marciosos7 Probertiosos7" wrote
causative factors. Methylphenidate (MTP), a mild central nervous system
(CNS) stimulant that is most commonly used for the treatment of
attention
deficit hyperactivity disorder, was started at a daily dose of 10 mg. It
was
rapidly efficient and well tolerated. This report suggests a potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Did the study say whether the patient was able to get off the drugs when
he was given a chance?

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in
message
.net...

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in
message
.net...
Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a
lung
cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des
tumeurs
de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a
persistent
hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be
potential
causative factors. Methylphenidate (MTP), a mild central nervous
system
(CNS) stimulant that is most commonly used for the treatment of
attention
deficit hyperactivity disorder, was started at a daily dose of 10
mg.
It
was
rapidly efficient and well tolerated. This report suggests a
potential
advantage of MTP in the treatment of intractable hiccup in cancer
patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]




Stand by for Jan to accuse you again of "pushing drugs."

Question: Who is brighter in this area, atlASS, Jan or Roger?




Here's my experience in incountering addictive drugs, in order of their
impact on the emergency room:

1. Alcohol. Shows up both as acute intoxication as well as a
precipitating
factor in motor vehicle accidents and assaults.

2. Tobacco. Emphysema and COPD account for fewer ER visits than alcohol,
but
cigarettes are probably responsible for more preventable disease and death
than booze.

3. (In Hawaii) Methamphetimine. Known locally as "Ice," this drug destroys
lives at a horrific rate. ER visits are usually psychiatric in nature, but
there are occasional acute cardiac events and sometimes deaths.

4. Heroin. Less addictive than tobacco or ice, but occasional overdoses
and
sometimes death occur.

5. Other narcotics. Pill abusers seldom show up in the ER except as "drug
seekers."

6. Cannabis. I've seen two ER visits in 25 years from pakalolo. Both were
anxiety attacks.

7. Everything else. When I was in New Jersey, Phencyclidine, known there
by
its street name "boat" caused many disruptive ER visits. "Crack" cocaine
caused problems, including an occasional fatality from cardiac arrhythmia.
I've seen a couple of ER cases from Quaalude, and one from LSD.

So what's the point of all this? I'VE NEVER SEEN A RITALIN ADDICT SHOW UP
IN
THE ER!

I'm not saying that no ritalin addiction occurs, but considering that it
is
not an uncommon drug, the fact that ritalin addiction does not present in
the ER indicates that it is probably rare, or at least seldom acute or
severe enough to precipitate major health problems.


Careful, Jan will accuse you of being a liar.

"nknisley" wrote in message
...
Marciosos7 Probertiosos8 wrote:

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in

message

. cv.net...

"Rich Shewmaker" wrote in message
...

"Marciosos7 Probertiosos7" wrote in

message

y.cv.net...

Support Care Cancer. 2003 Feb;11(2):126-8. Epub 2002 Dec 07. Related
Articles, Links


Successful treatment of intractable hiccup with methylphenidate in a

lung

cancer patient.

Marechal R, Berghmans T, Sculier P.

Department of Internal Medicine, Institut Jules Bordet, Centre des

tumeurs

de l'Universite Libre de Bruxelles, Brussels, Belgium.

In a 56-year-old man with metastatic small-cell lung cancer, a

persistent

hiccup was refractory to classic treatments. Hyponatremia, neoplasic
mediastinal involvement and liver metastases were though to be

potential

causative factors. Methylphenidate (MTP), a mild central nervous

system

(CNS) stimulant that is most commonly used for the treatment of

attention

deficit hyperactivity disorder, was started at a daily dose of 10

mg.

It

was

rapidly efficient and well tolerated. This report suggests a

potential

advantage of MTP in the treatment of intractable hiccup in cancer

patients.

Publication Types:
Case Reports

PMID: 12560943 [PubMed - indexed for MEDLINE]




Stand by for Jan to accuse you again of "pushing drugs."

Question: Who is brighter in this area, atlASS, Jan or Roger?




Here's my experience in incountering addictive drugs, in order of their
impact on the emergency room:

1. Alcohol. Shows up both as acute intoxication as well as a

precipitating

factor in motor vehicle accidents and assaults.

2. Tobacco. Emphysema and COPD account for fewer ER visits than alcohol,

but

cigarettes are probably responsible for more preventable disease and
death
than booze.

3. (In Hawaii) Methamphetimine. Known locally as "Ice," this drug
destroys
lives at a horrific rate. ER visits are usually psychiatric in nature,
but
there are occasional acute cardiac events and sometimes deaths.

4. Heroin. Less addictive than tobacco or ice, but occasional overdoses

and

sometimes death occur.

5. Other narcotics. Pill abusers seldom show up in the ER except as
"drug
seekers."

6. Cannabis. I've seen two ER visits in 25 years from pakalolo. Both
were
anxiety attacks.

7. Everything else. When I was in New Jersey, Phencyclidine, known there

by

its street name "boat" caused many disruptive ER visits. "Crack" cocaine
caused problems, including an occasional fatality from cardiac
arrhythmia.
I've seen a couple of ER cases from Quaalude, and one from LSD.

So what's the point of all this? I'VE NEVER SEEN A RITALIN ADDICT SHOW
UP

IN

THE ER!

I'm not saying that no ritalin addiction occurs, but considering that it

is

not an uncommon drug, the fact that ritalin addiction does not present
in
the ER indicates that it is probably rare, or at least seldom acute or
severe enough to precipitate major health problems.

Careful, Jan will accuse you of being a liar.

IIRC, a few months back, I had an exchange of posts with Jan on the
subject of ER visits for methylphenidate abuse after she posted a claim
that ER admissions for methylphenidate abuse was growing at an alarming
rate.

As I told Jan then, the US federal government tracks US "ED mentions"
through DAWN (Drug Abuse Warning Network). http://dawninfo.samhsa.gov/

I gave Jan some of the info taken from the DAWN reports that indicated
that methylphenidate abuse was declining, not growing, but she didn't
seem to care that the DAWN figures contradicted her claim, ignoring them
while she continued to claim that methylphenidate was extremely dangerous.

Here's some of the info in DAWN's various reports WRT abuse of
methylphenidate.

- Methylphenidate results in well over a hundred thousand fewer ER
visits than cocaine each year and--to add some perspective--
tens-of-thousands fewer emergency room visits resulting from abuse than
the common over-the-counter medication acetaminophen (Tylenol and the
like).

The DAWN statistics for the number of emergency room mentions for
methylphenidate (Ritalin), cocaine, and acetaminophen (Tylenol and
similar medications) a

1997
Cocaine--161,087
Acetaminophen--35,448
Methylphenidate--2,474

1998
Cocaine--172,014
Acetaminophen--32,257
Methylphenidate--1,728

1999
Cocaine--168,763
Acetaminophen--28,258
Methylphenidate--1,478

2000
Cocaine--174,896
Acetaminophen--33,613
Methylphenidate--1,487

2001
Cocaine--193,034
Acetaminophen--30,888
Methylphenidate--1,279

DAWN reports that in 2002 the total number of US ED mentions for
methylphenidate was 1,235, continuing the decline seen in previous years.

Here's some other information from the DAWN reports:

- Of the "Top 150 ED (Emergency Department) drug abuse episodes by
frequency 2001", methylphenidate ranked 71st (.11%).

- The Top 25 from DAWN's list of "Top 150 drug mentions for 2001"
(plus, for comparison the rankings for aspirin, caffeine and
methylphenidate) a

1. alcohol-in-combination
2. cocaine
3. cannabis
4. heroin
5. narcotic analgesics-NOS
6. acetaminophen (Tylenol and similar name brand and generic drugs)
7. benzodiazepines-NOS
8. alprazolam
9. drug unknown
10. clonazepam
11. acetaminophen-hydrocodone
12. amphetamine
13. ibuprofen
14. methamphetamine
15. lorazepam
16. diazepam
17. carisoprodol
18. oxycodone
19. methadone
20. trazodone
21. paroxetine
22. zolpidem
23. diphenhydramine
24. barbiturates-NOS
25. acetaminophen-oxycodone
...
28. aspirin
...
58. caffeine
...
71. methylphenidate

DAWN also puts out a list of 15 "Major Substances of Abuse." It looks to
me as if the list has remained unchanged from 1995-2002, and lists these
drugs in order:

1. Alcohol-in-combination
2. Cocaine
3. Heroin
4. Marijuana
5. Amphetamines
6. Methamphetamine
7. MDMA (Ecstasy)
8. Ketamine
9. LSD
10. PCP
11. Miscellaneous hallucinogens
12. Flunitrazepam (Rohypnol)
13. GHB
14. Inhalants
15. Combinations NTA

As you can see, methylphenidate is not listed.

Jan is going to call you a liar.