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Around SBN: Knicks Beat Lakers With Familiar Strategy

106 amphetamine exemptions were granted in 2008, up from 103 in 2007. Apparently either MLB players are uniquely prone to suffering from ADHD (the usage rate is eight times the general adult population), or quite a few of them are using the Ole Doctor's Note to circumvent the rules.

about 3 years ago Angels_ywc_album_tiny yeswecan 16 comments 0 recs  | 

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Have you ever seen the players in the dugout?

They’re either on amphetamines or ADHD. How else would you explain the urge to blow a bubble and stick it to your team mates hat without him knowing.

by Seik1177 on Jan 9, 2009 4:46 PM PST reply actions  

you'd think they'd invent new jokes with all that energy

the hot foot and pie-in-the-face gags are so old, it’s amazing they even think they’re funny anymore.

by yeswecan on Jan 9, 2009 4:52 PM PST up reply actions  

you missed the important part

In ’06 there were 28. From the article:

"The implication was that players, faced with the 2006 ban on amphetamine use, were making claims of attention deficit disorder so that they would be allowed to use stimulants like Ritalin and Adderall.

“In response, baseball said it would tighten guidelines on exemptions…”

Either baseball didn’t tighten guidelines, or there is a hugely disproportionate level of ADHD sufferers in a game that requires extraordinary levels of patience and level-headedness.

by yeswecan on Jan 11, 2009 2:28 PM PST up reply actions  

unless the players were freebasing or snorting their ritalin

there is no likely way that any of this has an affect on their performance other than focus. many over the counter stimulants have the active ingredients of the pill in paste form, preventing this kind of abuse. also consider that major leaguers are 8 times more likely to be medicated than diagnosed adults. ADD/ADHD are grossly under diagnosed, mostly because of a lack of access to healthcare. professional athletes probably have better healthcare than the average american, which is why this statistic may be deceiving.

by Of Angels and Angles on Jan 11, 2009 7:25 PM PST reply actions  

Wrong, repeatedly...

The active ingredient of Ritalin, methylphenidate, is NOT available over the counter anywhere. It’s a schedule II controlled drug here in the UK, and I should imagine, since the drug is a synthetic analogue of cocaine, the same is likely to be the case in the US. Your assertion that it has no beneficial effect on athletic performance is at odds with it’s appearance on the WADA prohibited list - it’s been on this list for years. Nevertheless, I suspect that major leaguers are somewhat less interested in Ritalin than they are in Adderall (another drug for ADHD) – mixed amphetamine salts – or as close as you can get to Greenies from your doctor.

As far as the adult ADHD is concerned there is some controversy as to whether or not it’s a valid condition – ADHD is a childhood issue. When it occurs in adults it is principally a carryover from childhood, and it carries over relatively infrequently, so the idea that there are new diagnoses is fairly suspicious to start off with. It’s almost unheard of.

You either oppose performance enhancing drugs or you don’t and this growth in TUEs is laughable. Like the growth in TUEs among srpinters – lots of ADHD there too, as well as a sudden epidemic of narcolepsy apparently – this demeans the sport.

TUE’s for ADHD should be the subject of 2nd opinions by psychiatrists appointed by MLB, otherwise they make a mockery of the rules.

I see red people

by The Limey on Jan 12, 2009 2:08 PM PST up reply actions  

i very much disagree

i misspoke when i asserted ritalin was available over the counter in the states. as methylphenidate is actually more powerful than most cocaine found on the street, it requires prescription. but again, unless these individuals were crushing it and freebasing it or snorting it, it is not going to yield the affects you are likely envisioning. your assertion that ADHD carries over from childhood “infrequently” is naive. while sometimes 50 and 60 percent of individuals are growing out of the disorder in mid adolescence (see shaw et al. 2007), there are still plenty of individuals who live with ADD and ADHD well into adulthood. hell, many of the players in the MLB are still kids for whatever that’s worth. it is also very possible that individuals are not even diagnosed until adulthood. they may not have had access to medical care for plenty of reasons until that point. multisite studies done in 2007 centered out of children’s hospital of cincinatti have shown that ADHD likely affects between 8 and 9 percent of children. only about 4 percent are currently receiving any kind of treatment- behaviorally or pharmaceutically. i can’t speak for the UK specifically, but typically psychiatry is much more conservative across the pond. i only liken myself to an authority on this topic because it was the subject of my senior thesis a little more than a year ago and i also work in a psychiatry lab studying ADHD. i by no means support the abuse of methylphenidate and similar drugs in professional sports, but i do think it’s a slippery slope to jump to conclusions regarding many players that may have struggled with ADHD and other behavioral conduct disorders their whole lives. and since your WADA list also has insulin as a prohibited substance, does that prevent diabetics from being athletes for the same reason? most of the backlash against drugs prescribed for ADHD are the result of fear mongering paid for by scientology and the religious right (scary, i know!).

by Of Angels and Angles on Jan 13, 2009 12:16 AM PST up reply actions  

Whilst, I'd be happy to discuss the merits of methylphenidate with you..

…(a 9 year stint in the Medical Dept at a certain relevant Swiss pharmaceutical manufacturer gives me a little insight on the subject), and the pros and cons of epidemiological methodologies, it’s kind of missing the point. And, while we might enjoy it, we’ll bore everyone else to tears.

I, personally, have absolutely no issue with medication for ADHD (or indeed any medicine for a condition in which it is indicated / licensed). I have discussed the condition with HCPs and adult patients and I understand the burden it causes. But, on the other hand, I do care passionately about the corruption of sports through drug abuse, and my bullshit-sensitive cynicism alarm is running at high volume when I see that a 3-fold increase in TUEs for amphetamines or related drugs in the year that they are banned by baseball – particularly when that suggests a prevalence in baseball at odds with the general population. It’s all too similar to the 6 athletes who got nailed for modafanil use in 2003 (which was on the cusp of being banned at the time, I think) and all provided medical evidence of narcolepsy.

Your assertion that these drugs are not performance enhancing is slightly at odds with the fact that they were endemic in dugouts for 30 years – were they taking them for recreation? If I took drugs recreationally at work, my boss might have a word or two to say about it. There’s no way they were tolerated in baseball without conferring a sporting benefit.

I’m happy to give them the benefit of the doubt on their diagnosis – just so long as they take a trial of atomoxetine, rather than an amphetamine or a methylphenidate based preparation. It has excellent evidence in adult ADHD, it’s not a stimulant and it’s not on the banned list. Then we’ll see who carries on with their therapy.

And I stand by the need for independent 2nd opinions in ANY case of TUE.

I see red people

by The Limey on Jan 13, 2009 9:59 AM PST up reply actions  

That's a whole other can of worms...

…cheating athletes, however, definitely are.

I see red people

by The Limey on Jan 13, 2009 10:12 AM PST up reply actions  

It isn't....Tom Cruise told me and I believe him

excuse me, I have to run. My spaceship just landed.

"People ask me what I do in winter when there's no baseball. I'll tell you what I do. I stare out the window and wait for spring".
Rogers Hornsby

by ladybug on Jan 13, 2009 4:27 PM PST up reply actions  

Then what is your anme or term for the condition a person experiences

that is commonly diagnosed as “ADHD”?

I assure you, having a 54 year old wife wife and 26 year old son son both exhibiting such symptoms for as long as I have known them, that the condition itself is certainly real.

by Stirrups on Jan 19, 2009 4:17 PM PST up reply actions  

it sounds like we mostly agree on this issue

yay! all i am saying is that if the drugs are taken as prescribed, it should only even the playing field for individuals who are in fact affected by ADHD. abusing the stuff, i agree, is completely wrong and shouldn’t be tolerated by MLB. from what i understand, more and more pharm companies are making these drugs with safeguards, making it really hard to abuse them. i also totally agree with you on the 2nd opinion business- players should have nothing to hide if they are in fact diagnosed with ADHD.

by Of Angels and Angles on Jan 13, 2009 2:48 PM PST up reply actions  

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