Rhabdomyolysis episode at University of Iowa signals a public health crisis

On January 26, 2011, it was reported that 13 University of Iowa football players were affected so severely by rhabdomyolysis that they were hospitalized.  Occurrences of rhabdomyolysis—muscle breakdown—are so rare that it suggests an additional causal factor, such as a drug.

Drugs known as 'statins,' widely used to lower cholesterol, are known in rare cases to cause rhabdomyolysis.  It seems more likely, however, that amphetamines, prescribed for so-called ADHD, was the critical variable in the University of Iowa football players. ADHD is said to effect 10% of college and professional athletes and is the justification for the use of such drugs.  Narcolepsy is the only clincally proven disease for which amphetamines are prescribed.  Amphetamines have long been known to cause rhabdomyolysis – with or without exercise.  Amphetamines include Ritalin, Adderall, Concerta, and others.

In 2007, seven University of South Carolina swimmers — four men and three women had a similar episode of rhabdomyolysis, also requiring hospitalization.  Seven of 41 team members or 17%, were effected.

In March, 2009 the National Collegiate Athletic Association wrote: "In recent years, the number of student athletes testing positive for these stimulant medications has increased 3 fold, and in many cases there has been inadequate documentation submitted in support of the request for a medical exception (i.e., ADHD) to the NCAA banned drug policy."  

Obviously athletes are not the only persons on US campuses with easy access to amphetamines.  A study conducted by Professor Alan DeSantis of the University of Kentucky found 34% of undergraduates had taken ADHD drugs, illegally--without prescription.  Among juniors and seniors, use of amphetamines jumped to 50-60%, while, among juniors and seniors who were also members of fraternities and sororities, the number rose to 80%.  Easy access for students to illegal drugs is big business for a pharmaceutical industry that looks the other way for profit.  Might this be the real reason three persons were fired by the University of Iowa Medical Center, and charged with "breach of medical record confidentiality"? 

And it's not just a record number of college students being "diagnosed" and fed a daily diet of amphetamines-for-life.  But in 2007, an astounding 5.4 million US school children, according to the CDC, were labeled ADHD and drugged with amphetamines for a disease with no medical proof of existence.  On November 10, 2008, Supriya Sharma, Director General of Health Canada, wrote:  "For mental/psychiatric disorders in general, including depression, anxiety, schizophrenia and ADHD, there are no confirmatory gross, microscopic or chemical abnormalities that have been validated for objective physical diagnosis." 

The episode of rhabdomyolysis at the University of Iowa, and the one at the U. of South Carolina, signal a public health crisis. The players themselves surrendered no First Amendment rights in joining the IU football team and should be free to share details of their cases with no threat of retribution.  A complete record of all drugs the 13 were on, legal and illegal, should be made public today.

Source:

Fred A. Baughman Jr., MD

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