5 doctors weighed in:

Can ritalin or Adderall help with chronic pain? I've had chronic pain for over 5 years, lately, probably the past 2 years, i've noticed that i've been extremely fatigued during the day, i fall asleep at work, and my memory is completely shot. I haven't i

5 doctors weighed in
Dr. Heidi Fowler
Psychiatry
2 doctors agree

In brief: This

This is a complex issue.
Central nervous system stimulants (CNS) such as Ritalin (methylphenidate) (methyphenidate) and Adderall (dextroamphetamine with amphetamine) are not considered pain medications. However, many medications in the United States are prescribed as "off label" which means they are used for a purpose other than that which the fda approved it for. Depression often goes hand in hand with chronic, severe pain. A drug like Ritalin (methylphenidate) can be used in treatment refractory depression. When depression improves, there is often an improvement in pain level as well. Dextroamphetamines may be added with narcotic pain relievers to reduce the side effect of drowsiness and it is reported that adding a Dextroamphetamine to a narcotic may lead to more potent pain relief. I am not aware of CNS stimulants being treated as solo medications for pain. It should be noted, that medications that fall into these class can be addictive. Thus, the decision to add a CNS stimulant to your treatment plan should be made with an experienced physician.

In brief: This

This is a complex issue.
Central nervous system stimulants (CNS) such as Ritalin (methylphenidate) (methyphenidate) and Adderall (dextroamphetamine with amphetamine) are not considered pain medications. However, many medications in the United States are prescribed as "off label" which means they are used for a purpose other than that which the fda approved it for. Depression often goes hand in hand with chronic, severe pain. A drug like Ritalin (methylphenidate) can be used in treatment refractory depression. When depression improves, there is often an improvement in pain level as well. Dextroamphetamines may be added with narcotic pain relievers to reduce the side effect of drowsiness and it is reported that adding a Dextroamphetamine to a narcotic may lead to more potent pain relief. I am not aware of CNS stimulants being treated as solo medications for pain. It should be noted, that medications that fall into these class can be addictive. Thus, the decision to add a CNS stimulant to your treatment plan should be made with an experienced physician.
Dr. Heidi Fowler
Dr. Heidi Fowler
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1 comment
Dr. Jane Steiner
Very good answer to a very complex issue.
Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Mental Health

Biological such as genetics or illicit substances, psychological such as self-esteem issues, social such as losses & traumas & stress.

In brief: Mental Health

Biological such as genetics or illicit substances, psychological such as self-esteem issues, social such as losses & traumas & stress.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Tetanus shot

If not on medication, in moderation is ok.
Just look after your injury.

In brief: Tetanus shot

If not on medication, in moderation is ok.
Just look after your injury.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Depression

Psychotherapy plus medications plus relaxation/meditation/yoga/tai chi.

In brief: Depression

Psychotherapy plus medications plus relaxation/meditation/yoga/tai chi.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Caffeine

Not likely, but diet/exercise/life-style changes can.

In brief: Caffeine

Not likely, but diet/exercise/life-style changes can.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Child vomit

Vomiting with low grade fever for 5 days warrants exam by his/her pediatrician.

In brief: Child vomit

Vomiting with low grade fever for 5 days warrants exam by his/her pediatrician.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Migraine

Not sure what medicines your husband had been on, or what type of headache or medical problems he might have.
Recommend consultation with a neurologist.

In brief: Migraine

Not sure what medicines your husband had been on, or what type of headache or medical problems he might have.
Recommend consultation with a neurologist.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Topamax (topiramate)

Although the dose of topamax (topiramate) is low, it is best to discuss with your prescribing doc.
Before u make any changes to your meds.

In brief: Topamax (topiramate)

Although the dose of topamax (topiramate) is low, it is best to discuss with your prescribing doc.
Before u make any changes to your meds.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry
1 doctor agrees

In brief: Stimulants

The short answer is no.
But, stimulants can be used off label to help low energy, under supervision by a psychiatrist.

In brief: Stimulants

The short answer is no.
But, stimulants can be used off label to help low energy, under supervision by a psychiatrist.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Pregnant

Cannot tell exactly, but surely over three months.
Best to consult your ob/gyn.

In brief: Pregnant

Cannot tell exactly, but surely over three months.
Best to consult your ob/gyn.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Alcohol with meds.

Definitely not, due to effect on blood pressure & stomach.
Would not advise it.

In brief: Alcohol with meds.

Definitely not, due to effect on blood pressure & stomach.
Would not advise it.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Weed

It is easy for anyone to say no, but the truth is, consistent use has damaging effect in the long run.

In brief: Weed

It is easy for anyone to say no, but the truth is, consistent use has damaging effect in the long run.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Hypochondriac

Focus on treating anxiety & building confidence & self-esteem.

In brief: Hypochondriac

Focus on treating anxiety & building confidence & self-esteem.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Child Psych.

Best start is to ask your child's pediatrician.

In brief: Child Psych.

Best start is to ask your child's pediatrician.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Alan Ali
Psychiatry

In brief: Lyrica (pregabalin)

Also called pregabalin, is an anticonvulsant drug used for neuropathic pain & to treat the pain in fibromyalgia, also off-label to treat migraines & generalized anxiety disorders.

In brief: Lyrica (pregabalin)

Also called pregabalin, is an anticonvulsant drug used for neuropathic pain & to treat the pain in fibromyalgia, also off-label to treat migraines & generalized anxiety disorders.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Infant & sleep

Any other symptoms such as excess colic or poor sleep at night?.
Best to talk with the pediatrician if other concerns exist.

In brief: Infant & sleep

Any other symptoms such as excess colic or poor sleep at night?.
Best to talk with the pediatrician if other concerns exist.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Lithium

Known side effects, depending on the preparation (carbonate, citrate, lithobid, (lithium carbonate) etc.
) can include nausea, headaches, diarrhea, flu-like symptoms. Consult your prescribing doctor to monitor your lithium levels & electrolytes.

In brief: Lithium

Known side effects, depending on the preparation (carbonate, citrate, lithobid, (lithium carbonate) etc.
) can include nausea, headaches, diarrhea, flu-like symptoms. Consult your prescribing doctor to monitor your lithium levels & electrolytes.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Biopsy

Most likely, depending on the procedure & your tolerance for pain & other medical issues.
Your surgeon can discuss alternative sedation techniques with u.

In brief: Biopsy

Most likely, depending on the procedure & your tolerance for pain & other medical issues.
Your surgeon can discuss alternative sedation techniques with u.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Propranolol

Not unusual due to short half-life of propranolol.
Might want to discuss with your prescribing doc. The possibility of long-acting once a day preparation (inderal-la) if feasible.

In brief: Propranolol

Not unusual due to short half-life of propranolol.
Might want to discuss with your prescribing doc. The possibility of long-acting once a day preparation (inderal-la) if feasible.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Rash

No need for panic.
Best to have it looked at by your primary care doc. Who can refer you to a dermatologist if needed.

In brief: Rash

No need for panic.
Best to have it looked at by your primary care doc. Who can refer you to a dermatologist if needed.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Anxiety

Anxiety in & of itself should not affect muscle buildup or recovery, unless u r taking medications that might affect that.

In brief: Anxiety

Anxiety in & of itself should not affect muscle buildup or recovery, unless u r taking medications that might affect that.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry

In brief: Tequila & Headache

If sensitive to the impurities in the tequila, u can have such symptoms.

In brief: Tequila & Headache

If sensitive to the impurities in the tequila, u can have such symptoms.
Dr. Alan Ali
Dr. Alan Ali
Thank
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