The Toronto Star, Boom Section, May. 20, 2003.

Paying attention to Ritalin  
Attention deficit drug lurking in the study halls
Available by prescription only — or black marke
t


Charles Mitchell
 

When Asif is ready to study for a test, he finds a quiet spot in the library, arranges his textbooks and highlighters, drinks a cup of coffee and then takes the prescription medicine Ritalin.

The second-year political science and economics major at the University of Toronto now routinely uses 10 mg of the medication before he studies, believing it improves his ability to stay awake, work hard and remember what he studies.

The amphetamine, normally prescribed for the treatment of attention deficit hyperactivity disorder (ADHD), has become popular among his friends as a study aid, and some students say they've used it for years. Asif says he was initially reluctant to take it, but this past semester, when he found himself too far behind on his history reading to catch up, he decided to try the tablets.

"I was in a desperate situation, so I was, like, `What the hell, I might as well take it and see what happens,'" says the 20-year-old, who spoke on condition that his real name not be used.

"I took it and it did miracles. I studied a lot. I did a lot of readings, a lot of work and I remembered all of (what I studied)."

Some of Asif's friends snort the drug by crushing it into a fine powder, then sniffing it. He prefers to swallow the pill.

First introduced in 1956, Ritalin (generic name methylphenidate) is prescribed mainly to children and adolescents with ADHD, and is produced domestically by the Quebec-based pharmaceutical firm Novartis. According to a report by health information company IMS Health Canada, Canadian pharmacists dispensed 934,000 prescriptions for Ritalin last year.

The drug has garnered illicit fans, especially among undergraduate students, because of its potential to increase alertness, improve attention span and enhance concentration.

In Canada, methylphenidate dispensing is highly controlled, and obtaining a prescription requires an ADHD diagnosis.

The drug, which stimulates the central nervous system and can create a dependency if taken regularly, is not without dangers. Side effects can include agitation, sleeplessness, abnormal heartbeat and heightened blood pressure.

In March, 2000, Ritalin may have played a role in the drug cocktail overdose that took the life of a sophomore at Trinity College in Connecticut.

Asif, like other student users, does not have a prescription for Ritalin. On the streets, he says, the drug sells for about $5 a pill under such names as Vitamin R, R-Ball, or the Smart Drug. But he doesn't need to buy the product in back alleys. He can obtain it from friends, he says, who acquire it through black market channels via Pakistan, where the product is cheap and easier to procure.

Strict laws in Canada mean that even acquiring a prescription at a student health centre would prove challenging.

"It is prescribed for attention deficit disorder. When we prescribe Ritalin, a student has to have that diagnosis," says Dr. Sara Taman, health services director at the University of Toronto.

The use of amphetamines, mainly speed, has always occurred to some extent at universities, Taman says.

In the case of Ritalin, its use came to her attention recently through an international student.

"We had an American student who found it odd that we don't prescribe the drug unless he had that diagnosis on his chart," Taman says.

Ritalin abuse has become prevalent at many American colleges and received widespread media attention south of the border. A University of Wisconsin study found that one in five college students in the United States have used the tablets or a related drug without a doctor's prescription.

Although Taman doesn't think Ritalin abuse is commonplace at U of T, Asif says he knows at least 15 students at the university who use it.

Use of the drug as a study aid is general knowledge in his campus dormitory, he says.

In Canada, some of the first media reports of Ritalin misuse on campus surfaced in 1998 at McGill University in Montreal, where students seeking prescriptions still flock to health services.

"We hear from the students and have students constantly coming in asking for Ritalin as a study aid.

"So it's fairly widespread and growing," says Dr. Norman Hoffman, director of student mental health services at McGill.

However, it's not just university students. Hoffman is concerned about a growing number of teenagers abusing the medication.

In 1996, the U.S. Drug Enforcement Administration warned about teenage misuse of Ritalin, which is on the agency's list of top 10 stolen prescription drugs.

The Partnership for a Drug-Free America reported that in 2002, some 2.1 million teenagers across the United States used Ritalin or a related drug without a prescription.

Now Canadian experts are hearing of similar misuse.

"I can recall a couple of times, when questioned along those lines, a couple of teens have indicated that there was something like this going on," says Dr. Molly Malone, a child psychologist who works at the Hospital for Sick Children and who routinely treats adolescents with ADHD.

The phasing-out of Grade 13 in Ontario, with the attendant pressure on students to achieve high marks to win a coveted place in squeezed university programs, may have encouraged Ritalin experimentation in high schools.

"Students are looking for anything that will help," Taman says.

"The pressure on them is high. Possibly now (with the so-called double cohort) it may be more of an issue," she adds.

The pressure is high for Asif, too, though he is well into his university years. The prospect of going to graduate school hinges on strong marks, but it remains to be seen if Ritalin will make the final grade, or improve his.

"If it really helps to improve my grades, I don't know," he says. "But does it help me to study?

"Yeah, it helps me to study."

Copyright 2003. All rights reserved.

 

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