New research announced this week suggests that a commonly prescribed treatment for attention deficit/hyperactivity disorder (ADHD) — methylphenidate (Ritalin) — may cause changes in a person’s brain similar to that of cocaine.
The physical brain changes noted by researchers were found in mice, not humans, and occurred in brain neurons in reward regions of mouse brains. In some cases, the researchers found that these effects overlapped with those of cocaine.
Both methylphenidate and cocaine are in the class of drugs known as psychostimulants.
While methylphenidate is widely prescribed, this study highlights the need for more research into its long-term effects on the brain.
“Studies to date suggest that prescribed use of methylphenidate in patients with ADHD does not increase their risk for subsequent addiction,” noted the U.S. National Institute on Drug Abuse (NIDA) Director Dr. Nora Volkow, whose agency funded the study.
“However non-medical use of methylphenidate and other stimulant medications, can lead to addiction as well as a variety of other health consequences.
“This study highlights the fact that we know very little about how methylphenidate affects the structure of and communication between brain cells.”
The researchers exposed mice to two weeks of daily injections of cocaine or methylphenidate, after which reward areas of the brain were examined for changes in dendritic spine formation — related to the formation of synapses and the communication between nerve cells; and the expression of a protein (delta Fos B) which has been implicated in the long term actions of addictive drugs.
Both drugs increased dendritic spine formation, and the expression of delta Fos B; however the precise pattern of their effects was distinct. It differed in the types of spines affected, the cells that were affected, and the brain regions. In some cases there was overlap between the two drugs, and in some cases, methylphenidate produced greater effects than cocaine — for example, on protein expression in certain regions.
“Methylphenidate, which is thought to be a fairly innocuous compound, can have structural and biochemical effects in some regions of the brain that can be even greater than those of cocaine,” stated Dr.Yong Kim, lead author of the study.
“Further studies are needed to determine the behavioral implications of these changes and to understand the mechanisms by which these drugs affect synapse formation.”
Previous studies have shown that children treated with stimulants for ADHD early in life have no greater risk of drug addiction as adults.
The findings are published in the Proceedings of the National Academy of Sciences.
Source: National Institute on Drug Abuse