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The future: Taking Modafinil, Ritalin, and Adderall to work and study better?


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Although long-term effects are unknown, some are arguing in favor of "legal speed" to increase productivity in work and school.

 

The dope on mental enhancement

11 November 2011 by Susan Watts New Scientist

 

....

So-called cognitive-enhancing drugs are usually prescribed to treat medical conditions, but they are also known for their ability to improve memory or focus. Many people buy them over the internet, which is risky because they don't know what they are getting. We also know next to nothing about their long-term effects on the brains of healthy people, particularly the young. But some scientists believe they could have a beneficial role to play in society, if properly regulated.

 

So who's taking what? The BBC's flagship current affairs show Newsnight and New Scientist ran an anonymous online questionnaire to find out. I also decided to try a cognitive enhancer for myself.

 

The questionnaire was completed by 761 people, with 38 per cent saying they had taken a cognitive-enhancing drug at least once. Of these, nearly 40 per cent said they had bought the drug online and 92 per cent said they would try it again.

 

Though not representative of society, the survey is an interesting, anecdotal snapshot of a world for which there is little data. The drugs people said they had taken included modafinil, normally prescribed for sleep disorders, and Ritalin and Adderall, taken for ADHD. The range of experiences is striking. One respondent wrote: "It helps me extend my concentration. I can study a topic for six hours, for example, that would have me bored to tears in two." Another wrote: "Did not help me do anything but feel anxious and excited, could not sit still even 15 hours later."

 

When asked about the drugs' potential impact on society, people reported concerns beyond safety, for example warning that the drugs might create a two-tier education system in which some can afford the drugs and others can't. They voiced wider concerns too, such as: "If society has come to the point that we have to take cognitive enhancers to function or perform to certain expected levels, then it is a society that has placed performance over happiness and health."

 

Laurie Pycroft, a student at the University of Oxford, talked to Newsnight about his experiences with modafinil. "I've taken it a few times, primarily for its ability to increase wakefulness and allow me to concentrate and stay awake for very extended periods of time. I don't take it very often but if I want to stay awake for 20 or 30 hours working on an essay it's very useful," he said.

 

Keen to learn more, I contacted Barbara Sahakian, a neuroscientist at the University of Cambridge. She and her team work with people who have conditions such as Alzheimer's and Parkinson's disease. One area of their research is testing whether cognitive-enhancing drugs such as modafinil help.

 

Sahakian thinks these drugs could play a wider role in society. Her most recent research showed that sleep-deprived surgeons performed better on modafinil. "I do think we've undervalued [the drugs]. As a society we could perhaps move forward if we all had a form of cognitive enhancement that was safe," she told me.

 

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It's human nature to want to push against our limitations, but what about the risks? Before sanctioning a drug as a cognitive enhancer for healthy people, regulators would require long-term safety studies so they could weigh up the risks and benefits. Pharmaceutical companies are not rushing to carry out such studies, but Sahakian is calling for such work to be done before someone comes to harm.

 

Some cognitive enhancers, such as Ritalin, are controlled drugs. Modafinil is not, so it is legal to buy it online, though it is illegal to supply it without a prescription. The UK government, through the Medicines and Healthcare products Regulatory Agency, told Newsnight that tackling the illegal sale and supply of medicines over the internet is a priority.

 

It's not just students who claim to find the drug beneficial. Anders Sandberg of the Future of Humanity Institute at the University of Oxford talks openly about using cognitive-enhancing drugs. He is about to start a study in Germany to compare the effects of a range of cognitive enhancers, including two hormones – ghrelin, which promotes hunger, and oxytocin, which is associated with empathy – to test their powers at what he calls "moral enhancement".

 

"Once we have figured out how morality works as an emotional and mental system there might be ways of improving it," he told me.

 

The bottom line is that cognitive-enhancing pills are a reality and people are using them. But how comfortable are we with the knowledge that some of our children's classmates might be taking such drugs to perform better at school, or that one candidate for a job interview might use modafinil to outshine the others? And who was the real me, the one on modafinil, or the one not? Perhaps we should start thinking these questions through, before a drug offering far more than a few percentage points of enhancement comes our way.

 

Susan Watts is the science editor of the BBC TV programme Newsnight

 

http://www.newscientist.com/article/dn21157-the-dope-on-mental-enhancement.html?full=true

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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  • 1 month later...

This was a topic at isepp conference • I forget who spoke but it was very thought -provoking •

The drugs ~legal and other ~ are fairly straightforward • then the speaker got into the gray area -- caffeine„nicotine„and some other substances that are stimulating and common (he presented it much better)

 

A slippery slope

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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  • 3 weeks later...

Two comments:

 

I've seen this all over the web. Pundits, unrelated paid members of the commentariat from all perspectives, speaking out in favor of easy-to-get alerting stimulants.

 

Secondly, the future? Sounds a lot like the present to me. (All of the blog posts/articles I've seen make the argument that everyone is already doing it, and will continue to, so why continue to constrain the belt on the supply?)

 

Alex

 

ps - I've never taken Rx stimulants and haven't had near the time to look at them in the same detail that I've looked into the specific meds of my ruining. However, so far there are no magic beans. In the end, the piper gets his pay. No reason to think differently on stimulants until there is reason to think differently.

"Well my ship's been split to splinters and it's sinking fast
I'm drowning in the poison, got no future, got no past
But my heart is not weary, it's light and it's free
I've got nothing but affection for all those who sailed with me.

Everybody's moving, if they ain't already there
Everybody's got to move somewhere
Stick with me baby, stick with me anyhow
Things should start to get interesting right about now."

- Zimmerman

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Well, this is how my 15 years of "psych med" fun started. I wanted a prescription of Ritalin when I felt it gave me the cognitive power to get routine tasks done that I wasn't getting accomplished.

 

It was wonderful until I developed depression which led to a prescription of Prozac. The combination caused suicidal ideation which started the wonderful merry go around.

 

CS

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Temazepam on a PRN basis approximately twice a month - 2014 to 2016

Beginning in 2017 - Consumption increased to about two times per week

April 2017 - Increased to taking it full time for insomnia

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