[Methylphenidate (Ritalin) in the treatment of acute drug poisoning (discussion)]

Based on data in the literature and his own clinical experience the author submits a historical reminiscence of the nowadays already obsolete indication of methylfenidat in the treatment of acute drug intoxications. Methylfenidat, being a central stimulant, reduces and alleviates quantitative disorders of consciousness or prevents a relapse of unconsciousness in acute drug intoxications. Even when large doses are administered by the parenteral route, it is very safe. The author recommends therefore to workers in anaesthesiology and resuscitation departments to test methylfenidate in this indication and include it again in the comprehensive treatment of acute drug intoxications. A prerequisite is the registration of RITALIN amp. à 20 mg of Ciba Geigy (British branch) in Czech Republic.