Tuesday, October 04, 2005

The Adderall Advantage




Here's a rather long excerpt from something that always interests me...college kids and amphetamines. This comes from the NY Times, and you can read it in its entirety here, if you have a subscription. If not, you can read below.

It was finals week at Columbia University and Angela needed a miracle. Like many of her classmates, Angela, a bleary-eyed junior, had already pulled a pair of all-nighters to get through a paper on "Finnegans Wake," a French test and an exam for her music humanities class. All that remained was a Latin American literature final, but as midnight approached, her stamina was beginning to fade. "This week is killing me," she said, taking a cigarette break in front of the school library. "At this point, I could use a little help."
Thanks to a friend, the tiny orange pill in her purse would provide the needed miracle. Angela, who asked that her last name not be published for fear of alarming her family and angering university officials, popped a 30-milligram tablet of Adderall into her mouth, washed it down with coffee and headed back to the library for another night of cramming. The next morning, she sailed through the exam confidently and scored an A. "I don't think I could keep a 3.9 average without this stuff," she said afterward.

At many colleges across the country, the ingredients for academic success now include a steady flow of analeptics, the class of prescription amphetamines that is used to treat attention deficit hyperactivity disorder.

Since Ritalin abuse first hit the radar screen several years ago, the reliance on prescription stimulants to enhance performance has risen, becoming almost as commonplace as No-Doz, Red Bull and maybe even caffeine. As many as 20 percent of college students have used Ritalin or Adderall to study, write papers and take exams, according to recent surveys focused on individual campuses. A study released this month by the National Center on Addiction and Substance Abuse at Columbia found that the number of teenagers who admit to abusing prescription medications tripled from 1992 to 2003, while in the general population such abuse had doubled.

Dr. Robert A. Winfield, director of University Health Service at the University of Michigan, Ann Arbor, sees a growing number of students who falsely claim to be A.D.H.D. so they can get a prescription. At least once a week, a jittery, frightened, sleep-deprived student who has taken too many tablets for too many days shows up at his office. "Things have really gotten out of hand in the last four to five years," he said. "Students have become convinced that this will help them achieve academic success."

On campus, the drugs are either sold or given away by people with prescriptions, or they are procured by students who have learned to navigate the psychiatric exams offered by campus health centers, which usually provide the drugs at a discount. Unlike Ritalin, two newer members of the family of analeptics - Adderall and Concerta - come in time-release forms and can keep a patient medicated an entire day.

Much like performance-enhancing drugs in professional sports, the spread of analeptics among college students is raising issues of competitiveness and fairness. But interviews and e-mail exchanges with two dozen Columbia students suggest that the prevailing ethos is that Adderall, the drug of choice these days, is a legitimate and even hip way to get through the rigors of a hectic academic and social life. "The culture here actually encourages people to use stimulants," said Barak Ben-Ezer, a computer science and economics major who prefers Red Bull, a caffeinated beverage, and cigarettes over prescription drugs. But pure recreational use of the drugs, which sometimes includes crushing and snorting a tablet, is generally frowned on, he and others said.

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