Re: Another use for Ritalin

"Rich Shewmaker" <[email hidden]> wrote in message
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"Marciosos7 Probertiosos7" <[email hidden]> wrote in

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news:[email hidden]...

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"Rich Shewmaker" <[email hidden]> wrote in message
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"Marciosos7 Probertiosos7" <[email hidden]> wrote in

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> 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

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> cancer patient.
>
> Marechal R, Berghmans T, Sculier P.
>
> Department of Internal Medicine, Institut Jules Bordet, Centre des

tumeurs

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> de l'Universite Libre de Bruxelles, Brussels, Belgium.
>
> In a 56-year-old man with metastatic small-cell lung cancer, a

persistent

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

potential

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

system

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

attention

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

mg.

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It

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was
> rapidly efficient and well tolerated. This report suggests a

potential

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> 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

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factor in motor vehicle accidents and assaults.

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

but

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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

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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

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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

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THE ER!

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

is

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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.