The following is a post I received from a friend who is a clinician at
UC Berkely.
Note the citation....
YA> VOLKOW et. al. 1995. IS METHYLPHENIDATE LIKE COCAINE?
YA> Studies on Their Pharmacokinetics and Distribution in the
YA> Human Brain. Archives of General Psychiatry. 52:456-463
YA>
YA> This paper provides a nice comparison of methylphenidate and
YA> cocaine. The first sentence states, "Cocaine which is one
YA> of the most reinforcing and addictive of the abused drugs,
YA> has pharmacological actions that are very similar to those
YA> of methylphenidate hydrochloride..." It's noted that
YA> "cocaine and methylphenidate substitute for each other on
YA> discriminative experiments..."
YA>
YA> The authors indicate that cocaine and methylphenidate have
YA> similar affinities for the dopamine transporter. This is
YA> interesting because cocaine's addictiveness is related to
YA> it's ability to inhibit the dopamine transporter. But
YA> methylphenidate doesn't have the same addiction profile as
YA> cocaine. While humans will repeatedly self-administer
YA> cocaine, they do so much less frequently with
YA> methylphenidate.
YA>
YA> The authors inject radiolabeled cocaine or methylphenidate
YA> into humans and baboons and take PET scans of their brains.
YA> They ask the the humans to rate on a scale of 0-10 how high
YA> they are (0 is sober, 10 is stoned-out-of-your-mind). Then
YA> they see if there is a corellation between the subjective
YA> stonyness rating and the drug activity noted on the scans.
YA>
YA> From the scans it's found that methylphenidate and cocaine
YA> take a similar amount of time to reach peak concentration in
YA> the brain, but the cocaine stays at peak levels for less
YA> than 5 minutes, while methylphenidate stays at peak levels
YA> for up to 20 minutes..
YA>
YA> Now combining this data with the subjective stonyness
YA> ratings reveals that the high is correlated to the *change*
YA> in drug concentration. So the faster the dopamine levels
YA> change in the synapse, the better the high.
YA>
YA> To simplify this, when you take cocaine you shoot your
YA> dopamine levels up from 0-10. 40 minutes later you are back
YA> down to around 4. You can take more cocaine and knock your
YA> dopamine back up to 10 (a change of 6).
YA>
YA> With methylphenidate you shoot up from 0 to 10, but then
YA> after 40 minutes, your dopamine is still at 8 or 9. If you
YA> take more you can restore levels to 10, but this is only a
YA> change of 1 or 2. Remember, it's the rate of increase, the
YA> change in dopamine levels that causes the high.
YA>
YA> So you are both right. Ritalin and Cocaine are very
YA> similar. They also have some differences that turn out to
YA> be significant when it comes to addiction and abuse.
So, Jane, see, there is a difference!
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