General fitness, health and nutrition · Public discussion

Re: The Cult of Methylphenidate: clinical update

Started by Eric Wilk · · Last activity · 2 posts · 286 views

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General fitness, health and nutrition
Published
29 September 2003
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30 September 2003
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Eric Wilk
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  1. jake cited:

    Quoted message said:

    Methylphenidate is an amphetamine-like addictive drug that mimics the
    biochemical properties of cocaine.

    So? I hate this argument -- it's simply a scare tactic. It's neither
    addictive nor dangerous at prescribed dosages.

    Quoted message said:

    This expansion of prescribing is linked directly to incentives and
    inducements include: direct funding by drug companies for specific
    trials to be completed, funding drug prescribers to attend overseas
    conferences, free product distribution in the clinic and funding
    so-called `parent support' groups to distribute product
    publicity that postulates the supposed biological basis of ADHD.

    So, in other words, the big, bad corporations are *advertising* their
    products? Who knew?

    Quoted message said:

    There is no evidence to support the biological basis for ADD/ADHD.
    Therefore MPH prescription cannot be justified, especially when the
    dangers of addiction for amphetamine-like substances have been
    highlighted in DSM-IV.

    Is their any specific biological evidence for borderline personality
    syndrome? OCD? No -- it's a set of symptoms, just like any other
    psychological disorder. The fact that we don't understand it down to a
    molecular level (yet) doesn't mean it doesn't exist. We don't really
    know the details of manic depression, either, but MAOI's and SSRI's work.

    Quoted message said:

    DSM can be seen as a system of social control, used to define people
    as `socially abnormal' via labelling of their behaviour
    as `deviant''. There is scant scientific evidence, however,
    to support the diagnosis of conditions such as ADHD/ADD. Recent
    studies confirm that the diagnosis is unreliable (Anderson & Baldwin,
    in press b) and probably reflects practitioner exceptions, not
    evidence-based clinical practice.

    There are no quantitative tests for most psychological conditions, so, of
    course, there won't be any black-and-white way of determining every
    case. It is, however, a major psychological disorder, characterized by a
    specific set of symptoms. Just because there's no clear-cut line between
    what might be a milder form of ADD and what might just be laziness is not
    a rationale to dispose of the disorder, altogether.

    Quoted message said:

    The tensions between individual health autonomy and the needs of the
    state to intervene for the common good have been explored elsewhere
    (Labonte,1998). The pharmaceutical industry has created a masterful
    illusion of a drug that `acts selectively' to promote individual
    behaviour change in individuals diagnosed with ADHD/ADD.
    Unsurprisingly, however, people who do not have the condition report
    the same drug effects after talking MPH.

    Well, yeah -- no [censored]. It's a stimulant. Nobody ever said the drug
    works specifically on ADD patients -- the only reason someone might be
    obliged to think that would be because they're ignorant.

    Quoted message said:

    This illusion about selective effects is perpetrated by MPH cultists,
    who disregard the scientific conclusions of the highest
    authority pronouncement that ADHD is neither a biological brain
    dysfunction, nor a condition ameliorated by drug treatment (NIH,
    1998).

    I never knew there was a Ritalin cult. I also have never seen these
    "scientific conclusions" from this "highest authority" proving ADHD is
    not a "biological brain dysfunction" -- this is silly -- of course it
    is. It's biological and goes on in the brain. Oh, and it *is*
    ameliorated by drug treatment with stimulants, however on a short-term
    basis.

    Quoted message said:

    Many social agents such as teachers, psychologists and
    medical practitioners support this evident cult of methylphenidate.
    As MPH advocates parade their stereotypes about non-existent
    conditions and mythical `biochemical imbalance, three-year olds
    are subjected to forced drugging with addictive mind-altering
    substances that cause irreversible physiological damage in the
    still-developing central nervous system (CNS).

    I'd like to see someone prove that ADD has nothing to do with a
    biochemical imbalance. Just because it's hard to quantify doesn't
    disprove its existence. I think anyone giving Ritalin to a three-year
    old is sick.

    Quoted message said:

    There are no scientific clinical outcome data to support the
    continued prescription of MPH to minors.

    Yes, there is -- the fact that it works.

    -- Eric

  2. Eric Wilk <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    jake cited:

    Quoted message said:

    Methylphenidate is an amphetamine-like addictive drug that mimics the
    biochemical properties of cocaine.

    So? I hate this argument -- it's simply a scare tactic. It's neither
    addictive nor dangerous at prescribed dosages.

    They seem to forget, or conveniently ignore, the fact that caffeine
    also shares many of the same properties as cocaine and amphetamines.
    In my estimation it is also truly addictive even at small doses (like
    cocaine and unlike Ritalin).

    Quoted message said:


    Quoted message said:

    This expansion of prescribing is linked directly to incentives and
    inducements include: direct funding by drug companies for specific
    trials to be completed, funding drug prescribers to attend overseas
    conferences, free product distribution in the clinic and funding
    so-called `parent support' groups to distribute product
    publicity that postulates the supposed biological basis of ADHD.

    So, in other words, the big, bad corporations are *advertising* their
    products? Who knew?

    This information is also out of date as well. Docs haven't been flown
    around the world for drug conferences at drug company expense for
    decades.

    Quoted message said:
    Quoted message said:

    There is no evidence to support the biological basis for ADD/ADHD.
    Therefore MPH prescription cannot be justified, especially when the
    dangers of addiction for amphetamine-like substances have been
    highlighted in DSM-IV.

    Is their any specific biological evidence for borderline personality
    syndrome? OCD? No -- it's a set of symptoms, just like any other
    psychological disorder. The fact that we don't understand it down to a
    molecular level (yet) doesn't mean it doesn't exist. We don't really
    know the details of manic depression, either, but MAOI's and SSRI's work.

    Or Hypertention or pain? Wouldn't it be interesting if these guys were
    in some sort of accident and met a surgeon who demanded the same level
    of proofe that pain was real and that they were having it as they
    demand for ADD?

    Quoted message said:


    Well, yeah -- no [censored]. It's a stimulant. Nobody ever said the drug
    works specifically on ADD patients -- the only reason someone might be
    obliged to think that would be because they're ignorant.

    Also it is an old technique - when you can't denunk what they say then
    debunk things they didn't say and hope no one notices.

    Quoted message said:
    Quoted message said:

    There are no scientific clinical outcome data to support the
    continued prescription of MPH to minors.

    Yes, there is -- the fact that it works.

    Yeah, this is where he blows it and is exposed as a bald faced liar.
    They can argue the grey areas of biochemistry all they want but when
    it comes to clinical outcomes there is ample evidence.

    Do a pub med search on Manuzzo and Beiderman.

    --
    CBI, MD

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