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.See 2 more doctor answers
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.
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.See 1 more doctor answer
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.
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).See 3 more doctor answers
Bilateral hand tingling and dizziness from ritalin (methylphenidate). Could this be a sign of stroke?
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.See 2 more doctor answers
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.See 1 more doctor answer
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 surgerySee 1 more doctor answer
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.
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.See 1 more doctor answer
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.
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