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Home » Keywords » methylphenidate

Items Tagged with 'methylphenidate'

ARTICLES

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Clinical Update

How to Select a Stimulant for Adult ADHD

March 1, 2025
Greg Malzberg, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Gregory Malzberg, MD. Attending Psychiatrist & Assistant Clinical Professor, Mount Sinai West, New York, NY. Creator, PsychoFarm.

Dr. Malzberg has no financial relationships with companies related to this material.

We have 30 stimulant formulations, but do all deserve prizes? We find a few with niche advantages, and three that rise to the top.



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Research Update

How Safe Is Methylphenidate?

October 1, 2024
Earth Hasassri, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Earth Hasassri, MD. Dr. Hasassri has no financial relationships with companies related to this material.

Most of us use methylphenidate (MPH) routinely in patients across a wide range of ages and even diagnoses. But what are the long-term side effects of MPH? This research update gives you a current understanding of the potential risks with helpful guidance on how to proceed with care.


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Research Update

Stimulants in Preschool-Age Children

October 1, 2024
Earth Hasassri, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Earth Hasassri, MD. Dr. Hasassri has no financial relationships with companies related to this material.

We are understandably hesitant to treat young children with medication for ADHD. Does it work? Will there be worse or different side effects? This research update will help you weigh the risks and benefits of pursuing stimulant treatment for ADHD in our smallest patients.


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Clinical Update

Boost or Bust: Navigating the Risks of Prescription Stimulants

October 1, 2024
David Stiffler, MD and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

David Stiffler, MD. Clinical Associate Professor of Psychiatry and Medical Director of the Steven A. Cohen Military Family Center at NYU Grossman School of Medicine, New York, NY.

Noah Capurso, MD, MHS. Associate Professor of Psychiatry, Yale University, and Editor-in-Chief, The Carlat Addiction Treatment Report.

Drs. Stiffler and Capurso have no financial relationships with companies related to this material.

Prescription stimulants, while effective for treating ADHD, are widely taken without a prescription, particularly by young adults for cognitive enhancement, weight loss, and recreational purposes. This misuse poses serious risks, from developing stimulant use disorder to experiencing severe cardiovascular and psychiatric effects. In this article, you'll learn about the prevalence and patterns of stimulant misuse, its associated dangers, and tips on how to manage it in clinical practice.


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Clinical Update

The Antipsychotic-Stimulant Combo

September 1, 2023
Avneet Soin, MD., Chris Aiken, MD, and Deepti Anbarasan, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Avneet Soin, MD. Psychiatry resident, NYU Grossman School of Medicine. Deepti Anbarasan, MD. Associate Professor, Psychiatry & Neurology, New York University, New York.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

Deepti Anbarasan, MD. Associate Professor, Psychiatry & Neurology, New York University, New York

Dr. Soin, Dr. Anbarasan, and Dr. Aiken have no financial relationships with companies related to this material.

As antipsychotic indications have spread, more patients are taking them in combination with their opposite: a stimulant. We look at the risks, search for scenarios where it might make sense, and come up with an action plan for this paradoxical pairing.


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Clinical Update

Stimulant Dosing Limits

August 7, 2023
Chris Aiken, MD and Kelvin Quiñones-Laracuente, MD, PhD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC. 

Kelvin Quiñones-Laracuente, MD, PhD. Psychiatry resident, NYU Langone Medical Center.

Drs. Aiken and Quiñones-Laracuente have no financial relationships with companies related to this material.

Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.


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Research Update

Does Treatment of ADHD Help Caregiver Stress?

April 1, 2023
Muruga Loganathan, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Muruga Loganathan, MD. Dr. Loganathan has no financial relationships with companies related to this material.

Parents suffer significant stress, doing their best to support and care for their ADHD kids. Does that stress dissipate at all when the ADHD is alleviated? This controlled trial looked at stress levels of parents whose kids were taking delayed release/extended release methylphenidate versus those taking placebo. 


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Methylphenidate Improves Mood and Boredom in Children with ADHD

March 24, 2022
Pavan Madan, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Pavan Madan, MD. Dr. Madan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Kids with ADHD often complain that they are bored. But what does that really mean? And many are also depressed. Does treating the ADHD help these symptoms? We looked a study that tries to break this down and give us a way forward, while offering some new insights on the relationships between ADHD, mood and boredom - important and useful symptoms to track.
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How to Treat ADHD in Bipolar Disorder

November 5, 2021
Chris Aiken, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MD. Editor-in-Chief of TCPR. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Are stimulants risky in bipolar disorder? And which is safer – methylphenidate or amphetamine? Chris Aiken, MD, lays out a practical approach to the overlap of bipolar disorder and ADHD.
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Stimulants and Creativity

February 3, 2021
Sean Ransom, PhD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Sean Ransom, PhD. Assistant Clinical Professor, Department of Psychiatry at the LSU Health Sciences Center - New Orleans, and Clinical Director, Cognitive Behavioral Therapy Center of New Orleans. Dr. Ransom has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Does ADHD bring creative strengths? Can stimulants dampen creative thought? New research suggests they can, but the effect varies by patient.
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