Marciosos7 Probertiosos8 said:"Rich Shewmaker" <[email hidden]> wrote in message "]news:[email hidden]...
Quoted message said:"Marciosos7 Probertiosos7" <[email hidden]> wrote in
message
Quoted message said:"]news:[email hidden]...
Quoted message said:"Rich Shewmaker" <[email hidden]> wrote in message "]news:[email hidden]...
>"Marciosos7 Probertiosos7" <[email hidden]> wrote in
message
>"]news:[email hidden]...
>
>>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
Quoted message said:>>causative factors. Methylphenidate (MTP), a mild central nervous
system
Quoted message said:>>(CNS) stimulant that is most commonly used for the treatment of
attention
>>deficit hyperactivity disorder, was started at a daily dose of 10
mg.
Quoted message said:It
Quoted message said:>was
>
>>rapidly efficient and well tolerated. This report suggests a
potential
Quoted message said:Quoted message said:>>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
Quoted message said:factor in motor vehicle accidents and assaults.
2. Tobacco. Emphysema and COPD account for fewer ER visits than alcohol,
but
Quoted message said: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
Quoted message said: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
Quoted message said: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
Quoted message said:THE ER!
I'm not saying that no ritalin addiction occurs, but considering that it
is
Quoted message said: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). dawninfo.samhsa.govdawninfo.samhsa.govOpen ↗
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) are:
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) are:
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 ...
26. aspirin ...
27. caffeine ...
28. 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:
29. Alcohol-in-combination
30. Cocaine
31. Heroin
32. Marijuana
33. Amphetamines
34. Methamphetamine
35. MDMA (Ecstasy)
36. Ketamine
37. LSD
38. PCP
39. Miscellaneous hallucinogens
40. Flunitrazepam (Rohypnol)
41. GHB
42. Inhalants
43. Combinations NTA
As you can see, methylphenidate is not listed.
Nancy Unique, like everyone else
