Methylphenidate use among medical students at Ben-Gurion University of the Negev

Cohen, Yael; Wilkof-Segev, Renana; Shlafman, Nurit; Novack, Victor; Ifergane, Gal

doi:10.4103/0976-3147.158749

Cited by 27 publications

(17 citation statements)

References 13 publications

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“…Emanuel et al 13 in 2013 reported that 11.0% of medical students from four medical schools in the Chicago area indicated use of cognitive enhancers of which 41.0% used methylphenidate. In 2015, Cohen et al 14 reported that among Israeli medical students, 13.5% indicated methylphenidate use during the past year. Approximately 10.0% of students reported ever being diagnosed with ADHD.…”

Section: Introductionmentioning

confidence: 99%

Non-medical use of methylphenidate among medical students of the University of the Free State

Jain

Chang

Koto

et al. 2017

South African Journal of Psychiatry

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BackgroundFaced with demanding training programmes, medical students may be more prone to use methylphenidate for non-medical purposes in order to improve concentration, alertness and academic performance.AimThe study aimed to investigate the prevalence of the non-medical use of methylphenidate and knowledge of this drug among undergraduate medical students of the University of the Free State.MethodsThis was a cross-sectional study. A self-administered, anonymous questionnaire was distributed during lectures to all students in the five year groups of the undergraduate medical programme.ResultsOf the 643 undergraduate medical students, 541 completed the questionnaire (response rate: 84.1%). Approximately 11.0% of surveyed students were using methylphenidate at the time of the study, of which the majority (67.9%) used it for academic purposes and 70.6% received it from a medical health professional. Less than a third of users had been diagnosed with Attention-Deficit/Hyperactivity Disorder. Methylphenidate users’ median knowledge was greater than non-users, and methylphenidate knowledge increased from first-year and second-year students to third-year to fifth-year students. Median knowledge scores per year group ranged from 52.0% to 60.0%.ConclusionMethylphenidate is mainly used for non-medical purposes by medical students. Students generally have a low level of knowledge on methylphenidate. Specific information on methylphenidate should be included in lectures on stress management and study methods during the course of the medical curriculum.

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Section: Introductionmentioning

confidence: 99%

Non-medical use of methylphenidate among medical students of the University of the Free State

Jain

Chang

Koto

et al. 2017

South African Journal of Psychiatry

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“…A eficácia do metilfenidato para seus usos off label varia de limitada a moderada. A maioria desses usos relativamente novos ainda está sendo estudada e implementada na prática clínica (Burgard et al, 2013;Cohen et al, 2015).…”

Section: Indicações Terapêuticas Do Metilfenidato E As Consequências Do Uso Prolongadounclassified

O uso indiscriminado e off label da Ritalina

Galucio

Correa

Ferreira

et al. 2021

RSD

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O cloridato de metilfenidato [(dl-treo-metil-2-fenil-2- (2-piperidil) acetato], conhecido como Ritalina é um psicofármaco usado geralmente por pessoas com Transtorno de Déficit de Atenção e Hiperatividade (TDAH) e com narcolepsia, para o seu tratamento. Por se tratar de um medicamento que age no sistema nervoso liberando noradrenalina e dopamina nas fendas sinápticas, incidindo uma excitação nos receptores pós-sinápticos e altera as funções cognitivas do usuário, o uso off label para melhorar o desempenho cognitivo está sendo cada vez mais comum. Este tipo de medicamento deve ser usado de forma racional, bem como qualquer outra medicação, pois podem causar efeitos adversos e dependência. Em vista do exposto, este estudo objetivou avaliar, por meio da literatura, a forma correta de uso do metilfenidato, o uso indiscriminado, off label e os problemas de saúde que o uso prolongado pode desencadear no usuário, assim como a importância da atenção farmacêutica para um tratamento eficaz com metilfenidato. Para isso, foi realizada uma revisão integrativa da literatura e os artigos para esta revisão foram coletados nos seguintes portais de pesquisa: SciELO, BVS e Lilacs. Após a coleta, foram selecionados 21 estudos para compor os resultados. Foi possível perceber que o uso indiscriminado do cloridrato de metilfenidato tem sido realizado com frequência por muitas pessoas, principalmente por estudantes, podendo levar a complicações sérias e o aparecimento de efeitos adversos graves, principalmente eventos cardiovasculares como taquicardia e hipertensão, transtornos psiquiátricos como depressão, psicose e dependência química, bem como do sistema neurológico como discinesia, contrações musculares involuntárias e espasmos, entre outros.

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“…Other stimuli included weak parental influence [10], economic uncertainty, peer pressure, and stress [11]. In 2015, another study among Israeli medical students reported that 13.5% admitted to methylphenidate use during the past year [12]. Approximately 10.0% of students reported ever being diagnosed with ADHD.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Methylphenidate Misuse in Medical Colleges in Pakistan: A Cross-sectional Study

Javed

Ahmed

Saeed

et al. 2019

Cureus

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ObjectiveTo determine the prevalence of nontherapeutic use of methylphenidate as well as to ascertain any benefits, side effects, and other factors associated with this use.Materials and MethodsA cross-sectional study was conducted in medical colleges in Pakistan using a self-constructed, validated questionnaire. The sample size was calculated using Open Source Statistics for Epidemiological Health software (OpenEpi web-based open-source program, MIT license), and it was determined to be 400. The type of sampling was cluster sampling. Cronbach's alpha was used to assess the internal consistency of the questionnaire, and it was found to be 0.80.ResultsOut of the 400 participants, 197 (49%) were male and 203 (51%) were female. The mean age of the participants was 21.02 (±1.54) years. Most of the participants (84%) reported they usually studied 1-3 hours a day, and 149 participants (37%) reported a score ranging from 70 to 80% in exams. Methylphenidate was admitted to be used by 37 participants. Out of these 37 participants, only 10 participants believed they had attention deficit hyperactivity disorder (ADHD). Participants revealed they used the drug to either cope with the anxiety related to their scores or merely as a personal, recreational choice. Methylphenidate was mostly acquired from peers (68%), and peer pressure was found to be a major factor in its misuse.ConclusionsMost of the methylphenidate misuse is linked to student underperformance in examinations and an underlying dissatisfaction. The problem is more aggravated when the social influence exerted by other students is taken into account. The side effects of drug usage are found to outweigh the benefits that have been reported.

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Methylphenidate use among medical students at Ben-Gurion University of the Negev

Cited by 27 publications

References 13 publications

Non-medical use of methylphenidate among medical students of the University of the Free State

Non-medical use of methylphenidate among medical students of the University of the Free State

O uso indiscriminado e off label da Ritalina

Prevalence of Methylphenidate Misuse in Medical Colleges in Pakistan: A Cross-sectional Study

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