A case of suicide attempt with long-acting methylphenidate (Concerta)

The prescribed use of methylphenidate in the treatment of attention deficit hyperactivity disorder (ADHD) is widespread. The intranasal and parenteral abuse of methylphenidate (Ritalin) among teenagers is becoming increasingly more common, and deaths have been reported. Newer medical treatment options of longacting stimulants offer effective treatment with a lower risk of abuse potential. We describe a case of a 17-year-old girl who had attempted suicide by ingesting 270 mg of Concerta. During the third years of treatment with Concerta, parents of patient reported that the patient had a depressive mood in the last week, and had attempted suicide with five tablets of Concerta 54 mg. She was sent to a local hospital with a diagnosis of long-acting methylphenidate overdose. All of vital and laboratory findings were normal except heart rate, which was 132 beats/min. Since more than 3 h have elapsed after the time of ingestion, activated charcoal administration was not carried out at the hospital. She was only observed for 12 h at the emergency department and later discharged from the hospital. While long-acting stimulants offer lower risk of abuse, their greater availability increases the likelihood of ingestion of this nature. Education of clinicians and families to be aware of this risk should reduce the frequency of this complication of treatment. © Springer-Verlag 2010.

Yazar Ozdemir E.
Karaman M.G.
Yurteri N.
Erdogan A.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3879
Tek Biçim Adres 10.1007/s12402-010-0026-y
Konu Başlıkları Concerta
Methylphenidate
Ritalin
Suicide
Toxicity
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı ADHD Attention Deficit and Hyperactivity Disorders
Dergi Cilt Bilgisi 2
Dergi Sayısı 3
Sayfalar 103 - 105
Yayın Yılı 2010
Eser Adı
[dc.title]
A case of suicide attempt with long-acting methylphenidate (Concerta)
Yazar
[dc.contributor.author]
Ozdemir E.
Yazar
[dc.contributor.author]
Karaman M.G.
Yazar
[dc.contributor.author]
Yurteri N.
Yazar
[dc.contributor.author]
Erdogan A.
Yayın Yılı
[dc.date.issued]
2010
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
The prescribed use of methylphenidate in the treatment of attention deficit hyperactivity disorder (ADHD) is widespread. The intranasal and parenteral abuse of methylphenidate (Ritalin) among teenagers is becoming increasingly more common, and deaths have been reported. Newer medical treatment options of longacting stimulants offer effective treatment with a lower risk of abuse potential. We describe a case of a 17-year-old girl who had attempted suicide by ingesting 270 mg of Concerta. During the third years of treatment with Concerta, parents of patient reported that the patient had a depressive mood in the last week, and had attempted suicide with five tablets of Concerta 54 mg. She was sent to a local hospital with a diagnosis of long-acting methylphenidate overdose. All of vital and laboratory findings were normal except heart rate, which was 132 beats/min. Since more than 3 h have elapsed after the time of ingestion, activated charcoal administration was not carried out at the hospital. She was only observed for 12 h at the emergency department and later discharged from the hospital. While long-acting stimulants offer lower risk of abuse, their greater availability increases the likelihood of ingestion of this nature. Education of clinicians and families to be aware of this risk should reduce the frequency of this complication of treatment. © Springer-Verlag 2010.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Concerta
Konu Başlıkları
[dc.subject]
Methylphenidate
Konu Başlıkları
[dc.subject]
Ritalin
Konu Başlıkları
[dc.subject]
Suicide
Konu Başlıkları
[dc.subject]
Toxicity
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1866-6116
İlk Sayfa Sayısı
[dc.identifier.startpage]
103
Son Sayfa Sayısı
[dc.identifier.endpage]
105
Dergi Adı
[dc.relation.journal]
ADHD Attention Deficit and Hyperactivity Disorders
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
2
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s12402-010-0026-y
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3879
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
75
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
18 Mayıs 2024 21:19
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Tıklayınız
treatment Concerta methylphenidate hospital patient reported ingestion suicide attempted long-acting stimulants availability activated reduce elapsed frequency complication administration beats/min Springer-Verlag except charcoal should emergency increases discharged likelihood nature department greater observed Education clinicians families carried
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