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Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...
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Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...
Debate current medical affairs
For quite a while now, the media has been awash with stories of miracle foods that they believe can enhance your memory and concentration and therefore improve intelligence. Very controversially
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Forums » Off duty » News & media » Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

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Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 9:50 AM BST on bmj.com
Posts: 338
First: 23/12/2011
Last: 20/6/2013

For quite a while now, the media has been awash with stories of miracle foods that they believe can enhance your memory and concentration and therefore improve intelligence. Very controversially there was the fish oil tablet study done on schoolchildren a number of years ago.

But a recent Student BMJ article published this month looked at the possibility of doctors and medical students using cognitive enhancement drugs to help get through those tough and stressful times and hence try to stop the burnout discussed in this discussion:
http://doc2doc.bmj.com/forums/off-duty_news-media_nearly-half-of-doctors-struggling-burnout
The drugs mentioned include: Donepezil, Modafinil and Benzadrine (which was actually used by soldiers in the second world war)- most have quite bad side effects.

What are your opinions on the use of these drugs?
Do you think there is a place for them to be used by doctors and medical students?
Do you think there are better alternatives?

Personally I would not advocate their use- could easily start to be used as a method  for a get out clause instead of just trying to deal with the problem at hand  OR just using more traditional methods...But what do you think??

The article can be found here:
http://student.bmj.com/student/view-article.html?id=sbmj.e5105#ref2

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 10:13 AM BST on bmj.com
Posts: 2140
First: 12/3/2010
Last: 20/6/2013
Benzadrine is an amphetamine.
Modafinil is an analeptic, with a number of applications, inc. military.
 See: http://en.wikipedia.org/wiki/Modafinil#Military_and_law_enforcement
Donepezil is cholinesterase inhibitor, indicted for Altsheimers.
See: http://en.wikipedia.org/wiki/Donepezil
(Yes, I had to look up the othe two)

May I refer you to the song by Bert Jansch?
http://www.youtube.com/watch?v=VxedLNx6Q3I

"When things go wrong each day
You fix your mind to 'scape your misery,
Your troubled young life
Had made you turn
To a needle of death"

That was about heroin, but if you need drugs, more than caffeine, to get you through your life, then you need to change your life.   I strongly suggest that this misuse of medication would be a mistake.

John

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 10:18 AM BST on bmj.com
Posts: 338
First: 23/12/2011
Last: 20/6/2013
In Response to Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...:
Benzadrine is an amphetamine. Modafinil is an analeptic, with a number of applications, inc. military.  See: http://en.wikipedia.org/wiki/Modafinil#Military_and_law_enforcement Donepezil is cholinesterase inhibitor, indicted for Altsheimers. See: http://en.wikipedia.org/wiki/Donepezil (Yes, I had to look up the othe two) May I refer you to the song by Bert Jansch? http://www.youtube.com/watch?v=VxedLNx6Q3I "When things go wrong each day You fix your mind to 'scape your misery, Your troubled young life Had made you turn To a needle of death" That was about heroin, but if you need drugs, more than caffeine, to get you through your life, then you need to change your life.   I strongly suggest that this misuse of medication would be a mistake. John
Posted by John D


Agreed!!

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 11:33 AM BST on bmj.com
Posts: 1220
First: 19/4/2010
Last: 20/6/2013
Tom Simpson died on the Ventoux, trying to win the Tour de France by taking amphetamines, and brandy.  Ampetamine use was rife in the military since world war 1, and was common place in le Tour for decades.  How else would 'ordinary men' do such extra-ordinary things?  Tom Simpson was open about his use of amphetamines for performance enhancement, to the point of showing anyone who'd watch that he was taking them on the start line.  He collapsed half way up the Ventoux, struggle to his feet, got back on the bike, made it another 20 yards, collapsed again, and died, despite attempts to resucitate him.  His last words were "Put me back on the bike".

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 12:16 PM BST on bmj.com
Posts: 3059
First: 27/3/2012
Last: 13/6/2013
I personally do not think that cognitive enhancing drugs should be allowed to be used by doctors and medical students to cope with excess pressure. Instead they should be trying 'yoga' or other confidence enhancing & mind relaxing techniques.

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 22/8/2012 12:40 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
i think no benefit of cognitive enhancing drug for doctor.to cope with pressure and stress needs confidance and experienace

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 23/8/2012 5:14 PM BST on bmj.com
Posts: 2
First: 15/7/2011
Last: 23/8/2012
Good topic, with increasing relevance.

I find it hard to understand why the old performance enhancers, with their many adverse side effect are still being talked about.  I believe there are many nootropics being looked into now, can we shift attention to those?

Eg:  http://en.wikipedia.org/wiki/Racetam

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 23/8/2012 5:53 PM BST on bmj.com
Posts: 1302
First: 9/12/2011
Last: 12/6/2013
Sounds like another excuse for using drugs, Benzedrine is Speed!    It is long past due that med students stop crying about how hard it is to get through med school,   funny how Lawyers, Engineers, and Physicists never seem to wallow in tears about the toughness of their PH.D programs.   Some much harder in fact than med school.   Drink coffee,  study hard, and stop crying is the best advice.  DuaneF

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 23/8/2012 6:11 PM BST on bmj.com
Posts: 2140
First: 12/3/2010
Last: 20/6/2013
Nootropics,eh?
(Paging Dr.Odysseus!)

You might better look at this Wiki page: http://en.wikipedia.org/wiki/Nootropic

But also http://www.nootropics.com/ for a truely scary, evangelical promotion of a book that pushes these drugs in a haze of conjecture and semi-scientific hype.  It is not reassuring that one of the authors is Dr.Ward Dean, who also promotes "oral chelation" with EDTA for heart failure ( http://www.heart-disease-bypass-surgery.com/data/articles/1.htm ), and who has no papers about nootropics in PubMed among the 26,000 listed, another is John Morgenthaler, a "medical nutritionist" who runs a "nutritional supplement company", and Steven Fowkes, another of the same ilk, whose work on 'curing Alztheimer's' is  reviewed here: http://www.sciencebasedmedicine.org/index.php/steven-fowkes-how-to-cure-alzheimers-and-herpes/ with the verdict, "he does not seem to understand medicine and the errors that occur when you jump from speculation to therapy without clinical trials."

John

Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...

posted at 28/8/2012 9:36 AM BST on bmj.com
Posts: 1
First: 28/8/2012
Last: 28/8/2012
In Response to Re: Cognitive Enhancing drugs... a use for students and doctors to cope with pressure and stress??...:
i think no benefit of cognitive enhancing drug for doctor.to cope with pressure and stress needs confidance and experienace
Posted by neuromedicine



Agreed..
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