Methylphenidate increases cigarette smoking in participants with ADHD

Rationale Methylphenidate (Ritalin®) is commonly prescribed for behavioral problems associated with attention deficit/hyperactivity disorder (ADHD). The results of previous studies suggest that methylphenidate increases cigarette smoking in participants without psychiatric diagnoses. Whether methylp...

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Veröffentlicht in:Psychopharmacologia 2011-11, Vol.218 (2), p.381-390
Hauptverfasser: Vansickel, Andrea R., Stoops, William W., Glaser, Paul E. A., Poole, Megan M., Rush, Craig R.
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container_issue 2
container_start_page 381
container_title Psychopharmacologia
container_volume 218
creator Vansickel, Andrea R.
Stoops, William W.
Glaser, Paul E. A.
Poole, Megan M.
Rush, Craig R.
description Rationale Methylphenidate (Ritalin®) is commonly prescribed for behavioral problems associated with attention deficit/hyperactivity disorder (ADHD). The results of previous studies suggest that methylphenidate increases cigarette smoking in participants without psychiatric diagnoses. Whether methylphenidate increases cigarette smoking in participants diagnosed with ADHD is unknown. Objective In this within-subjects, repeated measures experiment, the acute effects of a range of doses of methylphenidate (10, 20, and 40 mg) and placebo were assessed in nine cigarette smokers who were not attempting to quit and met diagnostic criteria for ADHD but no other Axis I psychiatric disorders other than nicotine dependence. Methods Each dose of methylphenidate was tested once while placebo was tested twice. One hour after ingesting drug, participants were allowed to smoke ad libitum for 4 h. Measures of smoking included total cigarettes smoked, total puffs, and carbon monoxide levels. Snacks and decaffeinated drinks were available ad libitum; caloric intake during the 4-h smoking session was calculated. Results Methylphenidate increased the total number of cigarettes smoked, total number of puffs, and carbon monoxide levels. Methylphenidate decreased the number of food items consumed and caloric intake. Conclusions The results of this experiment suggest that acutely administered methylphenidate increases cigarette smoking in participants with ADHD, which is concordant with findings from previous studies that tested healthy young adults. These data indicate that clinicians may need to consider non-stimulant options or counsel their patients before starting methylphenidate when managing ADHD-diagnosed individuals who smoke.
doi_str_mv 10.1007/s00213-011-2328-y
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A. ; Poole, Megan M. ; Rush, Craig R.</creator><creatorcontrib>Vansickel, Andrea R. ; Stoops, William W. ; Glaser, Paul E. A. ; Poole, Megan M. ; Rush, Craig R.</creatorcontrib><description>Rationale Methylphenidate (Ritalin®) is commonly prescribed for behavioral problems associated with attention deficit/hyperactivity disorder (ADHD). The results of previous studies suggest that methylphenidate increases cigarette smoking in participants without psychiatric diagnoses. Whether methylphenidate increases cigarette smoking in participants diagnosed with ADHD is unknown. Objective In this within-subjects, repeated measures experiment, the acute effects of a range of doses of methylphenidate (10, 20, and 40 mg) and placebo were assessed in nine cigarette smokers who were not attempting to quit and met diagnostic criteria for ADHD but no other Axis I psychiatric disorders other than nicotine dependence. Methods Each dose of methylphenidate was tested once while placebo was tested twice. One hour after ingesting drug, participants were allowed to smoke ad libitum for 4 h. Measures of smoking included total cigarettes smoked, total puffs, and carbon monoxide levels. Snacks and decaffeinated drinks were available ad libitum; caloric intake during the 4-h smoking session was calculated. Results Methylphenidate increased the total number of cigarettes smoked, total number of puffs, and carbon monoxide levels. Methylphenidate decreased the number of food items consumed and caloric intake. Conclusions The results of this experiment suggest that acutely administered methylphenidate increases cigarette smoking in participants with ADHD, which is concordant with findings from previous studies that tested healthy young adults. These data indicate that clinicians may need to consider non-stimulant options or counsel their patients before starting methylphenidate when managing ADHD-diagnosed individuals who smoke.</description><identifier>ISSN: 0033-3158</identifier><identifier>EISSN: 1432-2072</identifier><identifier>DOI: 10.1007/s00213-011-2328-y</identifier><identifier>PMID: 21590284</identifier><identifier>CODEN: PSYPAG</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Acute effects ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Attention Deficit Disorder with Hyperactivity - drug therapy ; Attention deficit hyperactivity disorder ; Beverages ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Carbon monoxide ; Carbon Monoxide - analysis ; Central Nervous System Stimulants - administration &amp; dosage ; Central Nervous System Stimulants - pharmacology ; Cigarette smoking ; Cigarettes ; Data processing ; Dose-Response Relationship, Drug ; Double-Blind Method ; Drug dependence ; Drug therapy ; Drugs ; Eating - drug effects ; Energy Intake - drug effects ; Female ; Food ; Health aspects ; Humans ; Hyperactivity ; Male ; Medical sciences ; Mental disorders ; Methylphenidate ; Methylphenidate - administration &amp; dosage ; Methylphenidate - pharmacology ; Methylphenidate hydrochloride ; Neuropharmacology ; Neurosciences ; Original Investigation ; Pharmacology. 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A.</creatorcontrib><creatorcontrib>Poole, Megan M.</creatorcontrib><creatorcontrib>Rush, Craig R.</creatorcontrib><title>Methylphenidate increases cigarette smoking in participants with ADHD</title><title>Psychopharmacologia</title><addtitle>Psychopharmacology</addtitle><addtitle>Psychopharmacology (Berl)</addtitle><description>Rationale Methylphenidate (Ritalin®) is commonly prescribed for behavioral problems associated with attention deficit/hyperactivity disorder (ADHD). The results of previous studies suggest that methylphenidate increases cigarette smoking in participants without psychiatric diagnoses. Whether methylphenidate increases cigarette smoking in participants diagnosed with ADHD is unknown. Objective In this within-subjects, repeated measures experiment, the acute effects of a range of doses of methylphenidate (10, 20, and 40 mg) and placebo were assessed in nine cigarette smokers who were not attempting to quit and met diagnostic criteria for ADHD but no other Axis I psychiatric disorders other than nicotine dependence. Methods Each dose of methylphenidate was tested once while placebo was tested twice. One hour after ingesting drug, participants were allowed to smoke ad libitum for 4 h. Measures of smoking included total cigarettes smoked, total puffs, and carbon monoxide levels. Snacks and decaffeinated drinks were available ad libitum; caloric intake during the 4-h smoking session was calculated. Results Methylphenidate increased the total number of cigarettes smoked, total number of puffs, and carbon monoxide levels. Methylphenidate decreased the number of food items consumed and caloric intake. Conclusions The results of this experiment suggest that acutely administered methylphenidate increases cigarette smoking in participants with ADHD, which is concordant with findings from previous studies that tested healthy young adults. These data indicate that clinicians may need to consider non-stimulant options or counsel their patients before starting methylphenidate when managing ADHD-diagnosed individuals who smoke.</description><subject>Acute effects</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Attention Deficit Disorder with Hyperactivity - drug therapy</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Beverages</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Carbon monoxide</subject><subject>Carbon Monoxide - analysis</subject><subject>Central Nervous System Stimulants - administration &amp; dosage</subject><subject>Central Nervous System Stimulants - pharmacology</subject><subject>Cigarette smoking</subject><subject>Cigarettes</subject><subject>Data processing</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>Drug dependence</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Eating - drug effects</subject><subject>Energy Intake - drug effects</subject><subject>Female</subject><subject>Food</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Methylphenidate</subject><subject>Methylphenidate - administration &amp; dosage</subject><subject>Methylphenidate - pharmacology</subject><subject>Methylphenidate hydrochloride</subject><subject>Neuropharmacology</subject><subject>Neurosciences</subject><subject>Original Investigation</subject><subject>Pharmacology. 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Psychiatry</subject><subject>Psychopharmacology</subject><subject>Smoke</subject><subject>Smokers</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Tobacco smoking</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>User statistics</subject><subject>Young Adult</subject><issn>0033-3158</issn><issn>1432-2072</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1v1DAQhi0EokvhB3BBEQhxShl_beIL0qotFKmIC5wt76yddUmcYGdb7b_HUZaWotY-WJp55p0Zv4S8pnBCAaqPCYBRXgKlJeOsLvdPyIIKzkoGFXtKFgCcl5zK-oi8SOkK8hG1eE6OGJUKWC0W5PybHbf7dtja4DdmtIUPGK1JNhXoGxPtmGOp63_50ORcMZg4evSDCWMqbvy4LVZnF2cvyTNn2mRfHd5j8vPz-Y_Ti_Ly-5evp6vLEqWqxhJhbRhfi7o2Ah13EpaCV1xunGWOGa6EBFULAFTC4Rop0rwIgmKAtGKSH5NPs-6wW3d2gzaM0bR6iL4zca974_X9TPBb3fTXmtNaCcazwIeDQOx_72wadecT2rY1wfa7pBVbKshziEy-_Y-86ncx5O10rRTPwyyrDL2boca0Vvvg-twVJ0m94lLIqlJqmvrkASrfje089sE6n-P3CuhcgLFPKVp3uyEFPTmvZ-d1dl5Pzut9rnnz79fcVvy1OgPvD4BJaFoXTUCf7jixVFxWE8dmLuVUaGy8W_zx7n8AH7jEpA</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Vansickel, Andrea R.</creator><creator>Stoops, William W.</creator><creator>Glaser, Paul E. 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Drug treatments</topic><topic>Pharmacology/Toxicology</topic><topic>Psychiatry</topic><topic>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer</topic><topic>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychopharmacology</topic><topic>Smoke</topic><topic>Smokers</topic><topic>Smoking</topic><topic>Smoking - epidemiology</topic><topic>Tobacco smoking</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>User statistics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vansickel, Andrea R.</creatorcontrib><creatorcontrib>Stoops, William W.</creatorcontrib><creatorcontrib>Glaser, Paul E. 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A.</au><au>Poole, Megan M.</au><au>Rush, Craig R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Methylphenidate increases cigarette smoking in participants with ADHD</atitle><jtitle>Psychopharmacologia</jtitle><stitle>Psychopharmacology</stitle><addtitle>Psychopharmacology (Berl)</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>218</volume><issue>2</issue><spage>381</spage><epage>390</epage><pages>381-390</pages><issn>0033-3158</issn><eissn>1432-2072</eissn><coden>PSYPAG</coden><abstract>Rationale Methylphenidate (Ritalin®) is commonly prescribed for behavioral problems associated with attention deficit/hyperactivity disorder (ADHD). The results of previous studies suggest that methylphenidate increases cigarette smoking in participants without psychiatric diagnoses. Whether methylphenidate increases cigarette smoking in participants diagnosed with ADHD is unknown. Objective In this within-subjects, repeated measures experiment, the acute effects of a range of doses of methylphenidate (10, 20, and 40 mg) and placebo were assessed in nine cigarette smokers who were not attempting to quit and met diagnostic criteria for ADHD but no other Axis I psychiatric disorders other than nicotine dependence. Methods Each dose of methylphenidate was tested once while placebo was tested twice. One hour after ingesting drug, participants were allowed to smoke ad libitum for 4 h. Measures of smoking included total cigarettes smoked, total puffs, and carbon monoxide levels. Snacks and decaffeinated drinks were available ad libitum; caloric intake during the 4-h smoking session was calculated. Results Methylphenidate increased the total number of cigarettes smoked, total number of puffs, and carbon monoxide levels. Methylphenidate decreased the number of food items consumed and caloric intake. Conclusions The results of this experiment suggest that acutely administered methylphenidate increases cigarette smoking in participants with ADHD, which is concordant with findings from previous studies that tested healthy young adults. These data indicate that clinicians may need to consider non-stimulant options or counsel their patients before starting methylphenidate when managing ADHD-diagnosed individuals who smoke.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21590284</pmid><doi>10.1007/s00213-011-2328-y</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Acute effects
Addictive behaviors
Adult
Adult and adolescent clinical studies
Attention Deficit Disorder with Hyperactivity - drug therapy
Attention deficit hyperactivity disorder
Beverages
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Carbon monoxide
Carbon Monoxide - analysis
Central Nervous System Stimulants - administration & dosage
Central Nervous System Stimulants - pharmacology
Cigarette smoking
Cigarettes
Data processing
Dose-Response Relationship, Drug
Double-Blind Method
Drug dependence
Drug therapy
Drugs
Eating - drug effects
Energy Intake - drug effects
Female
Food
Health aspects
Humans
Hyperactivity
Male
Medical sciences
Mental disorders
Methylphenidate
Methylphenidate - administration & dosage
Methylphenidate - pharmacology
Methylphenidate hydrochloride
Neuropharmacology
Neurosciences
Original Investigation
Pharmacology. Drug treatments
Pharmacology/Toxicology
Psychiatry
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychopharmacology
Smoke
Smokers
Smoking
Smoking - epidemiology
Tobacco smoking
Tobacco, tobacco smoking
Toxicology
User statistics
Young Adult
title Methylphenidate increases cigarette smoking in participants with ADHD
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