Doctor insights on:
Use Of Methylphenidate In Stroke Patients
What is the maximum dose of ritalin (methylphenidate) ir which can be given to a patient if he needs much more than normal? How many mgs are a maximum?
I've heard 40-60mgs: I've heard that doses higher than 60 mgs per day can be harmful and are not recommended. If your symptoms are not controlled well by the meds you take at safe high doses, perhaps additional forms of treatment like cbt therapy might help. Young people can benefit so much from learning better self-management life skills. The best part is that they improve many things and have no health risks. Think. ...Read more
Does a psychatrist have a method to be sure that the patient taking ritalin (methylphenidate) has arrived to the better dosage other than the patient's own observations?
Blood levels: Yes, if necessary blood levels can be checked. ...Read more
Partial answer: Stimulants definitely increase dopamine, which is concentrated in a very old part of the brain called the mid-brain and, among other things, is involved in reward systems. There are strong connections between this part of the brain and the frontal cortex, which is where some problems associated with adhd seem to arise. Exactly why this works so well is still unknown. ...Read more
Can stroke or seizure from ritalin (methylphenidate) cause permanent damage? How long after would damage be seen?
YES: For stroke: acute damage presents either immediately or shortly thereafter. Damage would depend on the extend and damage caused by the stroke. Sometimes treatment (med ; occup therapy) can mitigate longterm damage. With seizure, usually no longterm damage (unless injury during seizure), but repeated generalized seizures can alter cognition. ...Read more
Bilateral hand tingling and dizziness from ritalin (methylphenidate). Could this be a sign of stroke?
FAST: The signs of stroke tend to be unilateral. Remember the mnemonic FAST: Facial drooping, Arm (single) numbness or weakness, Speech difficulties/slurring, Time to call 911. Since your symptoms are bilateral I would look for other reasons for them. ...Read more
I have taken a high dose of ritalin for adult add for many years. I have never had a negative side effect ~ it just works! I am now reading that other doctors are finding this does indeed work for some patients. What is the current thinking on your pan
Ritalin (methylphenidate): I agree. Works well long-term. Make sure you ask your doctor for lab work and ekg every annual checkup. ...Read more
Two aspects: There are two aspects to a contracture in someone with a stroke. One is spasticity which is an overactivity of muscle contraction. This can be dealt with quite effectively with injections of botulinum toxin. The second aspect is the contracture of the tendons and joints if the contracture has been long standing. If this is a predominant issue, techniques such as serial casting or even surgery ...Read more
GI bleeding: Can be seen after stroke. It is a indicator of increased risk of death. ...Read more
Soon: Survival after stroke depends on many factors, mostly on the size of stroke and complications (pneumonia, bleeding etc). Acute therapy for stroke (clot busting medication) should be given within first 4.5 hours of stroke onset. It can potentially help to halt the stroke and improve outcome. ...Read more
Cholesterol: It is a medication that lowers elevated cholesterol which is a risk factor for stroke. ...Read more
No: About 50% of stroke patients have swallowing problems right after a stroke. This usually improves with time with few patients having problems long term. ...Read more
What should I be careful of when performing a massage on a stroke patient with right side paralysis
Gentle: Just must make sure you do gentle passive range of motion and that they may not feel pain so if you are too rough you may break something. Gentle is the key. ...Read more
Is dabigatron suitable for a patient who has had a rriple bypass many years ago and has recently had a stroke?
Anticoagulant: When dabigatran is appropriate for an individual relates to a number of factors. It is a 'blood thinner' and used to minimize the risk of stroke in patients with atrial fibrillation and no valvular heart disease. There are other situaltions when it may be appropriate. You should discuss the question with the dr. That knows you best. ...Read more
What is a reasonable amount of time for cardio stationary rowing workout for a cardiac patient, at 26/28 strokes/minute?
Aerobics: We use 20 to 30 minute aerobic workouts. ...Read more
Is ceragem is ok for stroke
patient. if good. once cured will have to continue with ceragem theraphy for rest of the life?
No evidence: No reputable scientific research has proven the benefit of this modality is stroke patients. ...Read more
I'm a post -avr and thromboembolic stroke patient. I've been living with dizziness for seven yrs. I can't lead a normal life for this. Plz help. ?
See your doc:
If you have had a stroke this should be addressed. Your neurologist can work with your primary care md and your cardiologist to outline a plan for you.
Unfortunately, medicine cannot cure all ills, but i hope you get some relief. ...Read more
When patients have a symptom of headache for a stroke, is it the most severe headache (thunderclap.) or can it be a minor h/a that doesn't get worse?
Headache: Headaches are a very common complaint and most people get it now and then. A thunderclap headache however is most often associated with subarachnoid hemorrhage, it can also be from any process that acutely increases intracranial pressure. The key about headaches is whether or not they are very unusual for you (location, duration, severity). If its unusual or severe: seek medical attention. ...Read more
Is it common to wait more than a day to operate on a patient dianosed with a stroke? The patient was in good health a day prior to being diagnosed with a stroke and is only in his early 40's.
There really is't enough information in this question to answer it well. First, strokes are not usually treated surgically. If this 40+ year old person was about to have some non-neurological surgery, waiting would be sensible while the reason for the stroke was being investigated. Perhaps the person was given anticoagulants which would make any kind of surgery risky. If the patient were older and had developed a blockage in the carotid artery in the neck, surgery may be done to remove the blockage. After a completed stroke (not a tia) it has been customary to wait two weeks or more before operating because brain tissue is damaged by a stroke and the damaged tissue can bleed.
If this is not information for you please rephrase the question adding more details. ...Read more
Melas: Teens to 20s usually depending on age of first symptom or stroke. ...Read more
Stroke: Not necessarily in ICU , if unstable certainly patient goes to icu. ...Read more
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