Ritalin (Methylphenidate) (MPH) is a prescription stimulant commonly used to treat Attention-deficit hyperactivity disorder, or ADHD, and Attention-deficit disorder, or ADD. It is also one of the primary drugs used to treat the daytime drowsiness symptoms of narcolepsy and chronic fatigue syndrome. The drug is seeing early use to treat cancer-related fatigue.
Brand names of drugs that contain methylphenidate include instant-release racemic methylphenidate Ritalin, Ritalina, Rilatine, Attenta (in Australia), Methylin, Penid, and Rubifen; and the sustained release tablets Concerta, Metadate CD, Methylin ER, Ritalin LA, and Ritalin-SR. Focalin is a preparation containing only dextro-methylphenidate, rather than the usual racemic dextro- and levo-methylphenidate mixture of other formulations. A newer way of taking methylphenidate is by using a transdermal patch (under the brand name Daytrana), similar to those used for hormone replacement therapy (HRT), nicotine release and pain relief (Fentanyl).
Methylphenidate is a central nervous system (CNS) stimulant indicated in the treatment of attention-deficit hyperactivity disorder and narcolepsy. When prescribed at the correct dosage, methylphenidate is usually well tolerated by patients.
In individuals with cancer, methylphenidate is commonly used to counteract opioid-induced somnolence, to increase the analgesic effects of opioids, to treat depression, and to improve cognitive function.
Posted by Paloma on 25th Jul 2013
Nicole- please don't call it a brain dciefiency - it's just a *difference*. Not everybody has the same levels of everything in their systems. We can concentrate and focus just fine when we're involved in something that really interests us. We just tend to not want to bother with the boring things, but the problem is with our modern society that says everybody needs to focus on that boring stuff the majority of the time. We rebel against being a part of the herd and doing what we're told, we think outside the box and want to be happy and to find joy in our lives. That's not a dciefiency- that's a gift.If we were allowed to play all day, and to learn new things while we are playing, and to do work that engages us and uses our gifts- then we would have happy lives that aren't filled with anxiety and depression because then our lives wouldn't be full of trying to live up to other people's expectations (or what we think their expectations are). How boring it must be to be the status quo! I'd much rather bask in my wild ideas and endless tangents. We are the innovators and the world-changers- we constantly wonder why and why not and ask the questions other people don't think to ask.ADD/ADHD meds can help us function in this modern society we have and be productive in more tangible ways (because aren't we all judged by how productive and efficient we are?). This shortage is only because of bureaucracy and red tape what was intended to stop meth abuse/production didn't have a way out when more people were diagnosed and then they began medication or people already on it had dosages increased. If you have to put in paperwork to get the supplies you need to produce the meds and you base your future numbers on the exact same numbers you currently have, then what will you do when suddenly those numbers need a larger supply- and oh, oops! There's all the new people who are now needing some too, and oh no, now their dosages are being increased Now there's not enough to get through the winter! So you file more paperwork to get more supplies from the entity that controls them, which is a longer wait and results in them not giving you as much as you asked for So heck, while we twiddle our thumbs wondering when we'll get some more supplies to get our meds back into production, why don't we go ahead and price gauge the supply that's left in stock so we can make some money off this down time? Sounds great! Let's double the price! No, wait, let's quadruple it! Yay for us! We get to stay in business!Speaking of tangents Don't knock what you haven't tried (and tried vigilantly for long periods of time). Natural supplements CAN work for some people but maybe not for others. Some meds work for some people but not for others. Diet and lifestyle changes are good things that can help the other things you are doing to take care of yourself- whether you're on meds or supplements or nothing. Meditation, counseling, hiring a coach, having a support system- these can all help you. There is no single guaranteed treatment plan that works exactly the same for everyone, so it is up to you to give everything a chance to find what works best. Things happen in life that we have to deal with, like medication shortages that are out of our control, being laid off and losing health insurance so we can't afford counseling and maybe not even the cheapest meds. But there are other options out there that may help you no matter what your circumstances are. YOU have to do the work to find them. Ask for help if you need it, and keep asking until you find the one who can help you.Never rely 100% on one thing to get you through (the magic pill ). With the shortages, we can see how destructive that reliance can be. Our reactions to the shortages and fears about the what ifs if we can't get our meds can be many times worse than the actual experience of going without our medication. Stop the negative cycle and find the positive things to focus on. Give yourself more time to do the harder things, get more sleep, make time to make yourself relax and shift gears into a better state of mind (meditate).And please, folks, never NEVER take more than what the doctor has prescribed. First, that can be dangerous and might just be your impulsivity coming back out because the different medication doesn't work for you. Second, when you run out of meds because you took too many too fast, you may find yourself cut off from meds for the rest of the month (or longer) because the doctor doesn't want to write you a new prescription just in case you are abusing it. If it doesn't feel like it's working, it's probably not, so why take more? Call the doctor for advice.And if you are a woman who has estrogen peaks (especially if you are mid-30s and older) or periods of time where your estrogen is too high (you wouldn't know it without a blood test), that will affect your insulin and blood glucose levels which in turn can prevent your medication from doing it's job. Taking more pills during these times probably won't do a darned thing for your focus and attention, but could do bad things for the rest of your body (especially your heart).The medication shortage won't last forever, but don't freak out through it and let your life fall to pieces. Even if you have to tell your boss you are having a hard time because you are off your meds or on a lower dose, or went to a different one that doesn't work as well- then tell your boss. Lean on the people you can trust- that's what they're there for. Find more people you can trust, and ask them for help. And remember to find a way to show them your appreciation or pay them back in kind.It's easy to freak out, but why freak out when the help you need may be standing right in front of you? Keep your stress levels down, reduce your obligations, and find the people who can help you figure out some ways to make it easier to get through. And be sure to say No to the ones who are asking too much of you.
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