Methylphenidate Use Linked to Chromosome Damage

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Study Shows Ritalin, Concerta Pose Cancer Risk Factor

A study released Thursday, (February 24, 2005) links Ritalin to an increased cancer risk and other health problems. In a small but startling study, researchers found that 1 out of every 12 children using methylphenidate experienced a threefold increase in levels of chromosome abnormalities, occurrences associated with increased risks of cancer and other adverse health effects.

These chromosome abnormalities occurred after just three months of using the drug methylphenidate, the generic name for a group of amphetamines that includes Ritalin, Concerta, Metadate CD and others. Methylphenidate is the most widely prescribed of a class of drugs used to treat ADHD.

Researchers at The University of Texas M.D. Anderson Cancer Center in Houston and the University of Texas Medical Branch at Galveston (UTMB) reported their detection of the chromosome abnormalities in the journal Cancer Letters. Their peer-reviewed paper is to be published in the next several months, but the journal editors made the study available online in the journal's "articles in press" section.

In this new study, researchers drew blood from children before they began taking methylphenidate for ADHD. Researchers drew blood three months later and compared results.

Most chromosome abnormalities found in the studied blood cells consisted of breaks. A higher frequency of chromosomal breaks and abnormalities are associated with an increased risk of cancer later in life.

"It was pretty surprising that all of the children taking methylphenidate showed an increase in chromosome abnormalities in a relatively short period of time," said lead author Randa A. El-Zein, M.D., Ph.D., an assistant professor of epidemiology at M.D. Anderson.

The researchers in this study because "there are surprisingly few studies" in either animals or human beings "on the potential for serious side effects," such as causing mutations and cancer even though methylphenidate has been approved for human use for over 50 years.

Researchers stress that the results of this study do not guarantee that a child will have cancer later in life. It does, however, mean that the child is exposed to an additional risk factor.

And with that, researchers also note the need for larger studies to confirm results and to answer questions not addressed by the study. A key question is whether the chromosome damage repairs itself after patients stop taking methylphenidate or whether the damage is permanent.

It is important to note that this is the third piece of news in as many weeks highlighting serious risks associated with ADHD medications. First, Strattera linked to liver damage. Then, Canadian officials pulled Adderall off the shelves because
Adderall has been linked to sudden death. Now, Ritalin is linked to conditions in the body that indicate cancer risk factors.

The bottom line is that ADHD drugs are drugs. The body does not know the difference between a prescribed “legal” drug and a street drug - of which these are close cousins. For the sake of your body and your health (or your child’s body and health), seek out healthy alternatives to drugs.

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