Methylphenidate (Ritalin)
What are the street names/slang terms for
it? Kibbles
and bits, Pineapple
What is it?
Ritalin, the trade name for
methylphenidate, is a medication prescribed for children with an abnormally
high level of activity or with attention-deficit hyperactivity disorder (ADHD)
and is also occasionally prescribed for treating narcolepsy. It stimulates the
central nervous system, with effects similar to but less potent than
amphetamines and more potent than caffeine. Ritalin has a notably calming
effect on hyperactive children and a "focusing" effect on those with ADHD. When
taken as prescribed, Ritalin is a valuable medicine. Further, research funded
by the National Institute of Mental Health has shown that people with ADHD do
not get addicted to their stimulant medications at treatment dosages. Because
of its stimulant properties, however, in recent years, there have been reports
of its abuse by people for whom it is not a medication. At their December 1996
meeting, members of NIDA's Community Epidemiology Work Group (CEWG) noted
that:
- Some stimulant users mix
Ritalin (or "West Coast") with heroin, or with both cocaine and heroin for a
more potent effect.
- Middle and high school
students crush and inhale the drug or take the pill orally.
- Some adults have been
admitted to treatment programs for abusing the drug from their children's
prescriptions.
- According to reports by
youth treatment providers, some adolescents continue to abuse the drug, which
is most easily available through diverted prescriptions. Drug abuse treatment
staffs in Boston also report an increase in abuse among adults.
What does it look like? Ritalin is in pill or
tablet form.
How is it used? Many non-medical users
crush the tablets and either snort the resulting powder, or dissolve it in
water and "cook" it for intravenous injection.
What are its short-term effects? Ritalin (methylphenidate)
is a central nervous system stimulant, similar to amphetamines in the nature
and duration of its effects. It is believed that it works by activating the
brain stem arousal system and cortex. Pharmacologically, it works on the
neurotransmitter dopamine, and in that respect resembles the stimulant
characteristics of cocaine. Short-term effects can include nervousness and
insomnia, loss of appetite, nausea and vomiting, dizziness,palpitations,
headaches, changes in heart rate and blood pressure (usually elevation of both,
but occasionally depression), skin rashes and itching, abdominal pain, weight
loss, and digestive problems, toxic psychosis, psychotic episodes, drug
dependence syndrome,and severe depression upon withdrawal.
What are its long-term effects? High doses of stimulants
produce a predictable set of symptoms that include loss of appetite (may cause
serious malnutrition), tremors and muscle twitching, fevers, convulsions, and
headaches (may be severe), irregular heartbeat and respirations (may be
profound and life threatening), anxiety, restlessness, paranoia,
hallucinations, and delusions, excessive repetition of movements and
meaningless tasks, and formicaton (sensation of bugs or worms crawling under
the skin).
What is its federal classification? Ritalin is a Schedule II
drug.
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