Research Articles, 2000-2003
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Pharmacokinetic considerations in the treatment of ADHD with methylphenidate.
Methylphenidate is a rapidly absorbed medication that readily penetrates the CNS, particularly the striatum.
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Differential effects of methylphenidate on attentional functions in ADHD.
Intensity-dimension attentional functions are best influenced by higher doses, executive functions by moderate doses, and selectivity-dimension functions by variable doses.
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Efficacy of methylphenidate for treating adult ADHD
MPH (ritalin) is efficacious for treating adult ADHD and in circular logic, according to the authors, this means adult ADHD is a valid diagnosis because Ritalin remediates its symptoms.
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Different dosages of methylphenidate in treating adults with ADHD
Improvements in ADHD symptoms on methylphenidate were reported, with no difference due to dosage (10 mg x2 vs 15 mg x3)
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Daily methylphenidate use slows the growth of children
Height differences between treated children and sibling controls after 2 y treatment across broad range of doses (10-80 mg per day) suggest grow-suppressive effects of methylphenidate is greater than suspected.
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ERPs of methylphenidate in children with and without ADHD.
P300a amplitudes are lower in non-medicated ADHD patients than in healthy children during a continuous performance task; but not for methylphenidate-treated hyperactive children.
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Neurofeedback treatment for ADHD in children: a comparison with methylphenidate.
Both neurofeedback and methylphenidate were associated with comparable improvements on two attentional tests as were behaviors related to the disorder
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Methylphenidate enhances both intracortical inhibition and facilitation in healthy adults.
MPH enhances both intracortical inhibition and facilitation, which suggests it acts on the motor cortex using a neurotransmitter in addition to dopamine.
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PET Study Of Methylphenidate in Adults with ADHD
Methylphenidate modulates brain regions associated with motor function to achieve a reduction in ADHD symptoms.
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Methylphenidate and substance abuse: a review of pharmacology, animal, and clinical studies.
Although intravenous methylphenidate has some abuse potential, there is little potential for oral MPH abuse, though longitudinal studies are needed.
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Ritalin revisited: does it really help in neurological injury?
Methylphenidate may augment activity of injured neuronal tissue in the comatose patient, with similar action in stroke and TBI.
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Emergence of tics in children with ADHD treated with stimulant medications.
7.8% of 555 ADHD subjects treated with stimulants developed tics (8.3% treated with methylphenidate, 6.3% with dextroamphetamine, and 7.7% with pemoline). Subjects who developed tics were generally younger.
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An open study of methylphenidate in bipolar depression.
Methylphenidate was effective and relatively safe for depressed bipolar subjects.
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What's all the fuss about Ritalin?
ADHD is sometimes overdiagnosed but is possibly more often underdiagnosed. Pediatricians should play a proactive role in the screening, diagnosis, and treatment of ADHD.
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Methylphenidate: its pharmacology and uses.
The mechanism of action and efficacy of methylphenidate is reviewed in clinical conditions.
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Deficient intracortical inhibition in drug-naive children with ADHD is enhanced by methylphenidate.
Motor system excitability was evaluated in ADHD children using transcranial magnetic stimulation (TMS); ADHD-children had reduced intracortical inhibition compared to controls.
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