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Doctor insights on: Use Of Methylphenidate In Stroke Patients

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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

Methylphenidate (Definition)

Is the generic name of ritalin (methylphenidate). It is a ...Read more


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How does methylphenidate work in an ADHD patient?

How does methylphenidate work in an ADHD patient?

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

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Can stroke or seizure from ritalin (methylphenidate) cause permanent damage? How long after would damage be seen?

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

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How does methylphenidate work for ADHD patient? What's the chemical reason in the brain?

How does methylphenidate work for ADHD patient?  What's the chemical reason in the brain?

Dopamine: It blocks the Dopamine reuptake (prevents the break down of dopamine) in the frontal lobe, which in turn increase Dopamine in the frontal lobe ( executive center of the brain). ...Read more

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Bilateral hand tingling and dizziness from ritalin (methylphenidate). Could this be a sign of stroke?

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

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Are strokes more common in patients with cancer?

Are strokes more common in patients with cancer?

Cancer stroke: There is higher risk for stroke in cancer pt due to relative hypercouglable state of cancer. Depending on chemo agent they can increase risk for strokes. Don't get caught too much on this. Talk to doctors and oncologists about your particular cancer and treatments. ...Read more

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How should a concussion affect a stroke patient?

How should a concussion affect a stroke patient?

It may worsen the sy: Any injury to the head, if severe enough, can worsen the deficits cased by the stroke. ...Read more

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How can you reverse the process of contraction in a stroke patient?

How can you reverse the process of contraction in a stroke patient?

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

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Is it ok for a stroke patient be treated for cancer at the same time?

Is it ok for a stroke patient be treated for cancer at the same time?

Yes: Having a prior stroke is not a contraindication to being evaluated and possibly being treated for cancer. ...Read more

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Can there be both gastro-bleeding and a stroke in one time at one patient?

Can there be both gastro-bleeding and a stroke in one time at one patient?

GI bleeding: Can be seen after stroke. It is a indicator of increased risk of death. ...Read more

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How quick after stroke should treatment start so that a patient can survive?

How quick after stroke should treatment start so that a patient can survive?

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

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Why are stroke patients sometimes given lipitor (atorvastatin)?What does it do to help ?

Why are stroke patients sometimes given lipitor (atorvastatin)?What does it do to help ?

Cholesterol: It is a medication that lowers elevated cholesterol which is a risk factor for stroke. ...Read more

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Help please! is an inability to swallow in a stroke patient a sign that the end is near?

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

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Is HBOT safe technique.Can it harm or degrade the patient health who is suffering from stroke?

Is HBOT safe technique.Can it harm or degrade the patient health who is suffering from stroke?

Relatively safe: About 2% can have ear trauma. There are other issues like sinus trauma, and pneumothoraces(collapsed lungs). Probably the most concerning adverse effect, are seizures, but they are rare, on the order of 1 seizure in every 10,000-100,000 treatments. ...Read more

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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

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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

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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

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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?

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

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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 : 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

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What is therapy for stroke patients called?

What is therapy for stroke patients called?

Stroke: Stroke rehabilitation program - can involve - physical, manipulative, speech etc.. ...Read more

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Is HBOT therapy advised for stroke patients?

Is HBOT therapy advised for stroke patients?

Hyper-baric oxygen: We use for ischemic limbs to prevent amputation, and find some utility in bad infections. Some research has been done in stroke, and occasional acute cases have responded, but oxygen treatment for stroke remains controversial and so far, not in main stream. ...Read more

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Can you tell me is coffee good for stroke patients?

Neutral: Don't think coffee represents a risk or harmful substance to stroke patients, but unlikely to assist rehab efforts unless there is a speech issue and Ritalin (methylphenidate) is not tolerated, but caffeine really has no role in stroke therapy, good or bad. ...Read more

Dr. Alan Ali
533 doctors shared insights

Ritalin (Definition)

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