Cognition Enhancer Research

oschobero writes to tell us the Economist has a look at pharmaceutical research as it applies to cognition enhancers. While the research is obviously focused on things like Alzheimer's, Parkinson's, and schizophrenia, the resulting drugs may also have a benefit to healthy minds. "Provigil and Ritalin really do enhance cognition in healthy people. Provigil, for example, adds the ability to remember an extra digit or so to an individual's working memory (most people can hold seven random digits in their memory, but have difficulty with eight). It also improves people's performance in tests of their ability to plan. Because of such positive effects on normal people, says the report, there is growing use of these drugs to stave off fatigue, help shift-workers, boost exam performance and aid recovery from the effects of long-distance flights."

Comments

Re:Withdrawal and Other Downsides?

[grammar fascist]

I can answer these questions on the average for Adderall and Dexedrine (dextroamphetamines) and Ritalin (methylphenidate).

What happens to your cognition once you stop taking it, after you've gotten used to taking it? Do you get a tolerance, so you not only need higher doses for a smarts boost, but you also just return to your base performance after getting used to it?

Tolerance is rarely an issue with the low doses given to treat ADHD. A couple of back-of-the-envelope calculations suggest that an average dose of Adderall (20mg) is about 1/10 an average "first hit" of meth or cocaine. Prescription medications are also designed to metabolize much more slowly than recreational drugs.

Tolerance mainly results from neurons being overexcited and altering receptor sites in response. (This is in fact how caffeine tolerance develops.) People who take these medications under a doctor's care are generally not overstimulated. In fact, with ADHD, because medication corrects understimulation it's usually not an issue at all.

I would be more worried about tolerance if the general population started on them, though.

What's the withdrawal like?

Usually a little mentally fuzzier than before medication and maybe a bit crankier. It lasts about half an hour to an hour. People report that Ritalin and Dexedrine have "rougher edges" than Adderall, which makes sense since Adderall is a mixture of amphetamine salts that metabolize at different rates.

I suspect that maybe the many kids given Ritalin while growing up learn to depend on it for their baseline. When they outgrow their "hyperactivity" (AKA "childhood"), they quit the drugs, and sink into an unfamiliar dullness in which they can't think at their previous baseline without the artificial stimulation.

If they don't outgrow ADHD and they need medication to function, they shouldn't stop.

However, often the medication does have a lasting effect, though not one that people with "OMG DRUGGIES!!!" in mind would predict. It can train your mind to mimic the patterns it gets used to while on medication. People will often lower their dosage over time, and some quit altogether. I'm not aware of anyone needing more until they're a prescription crack-head. Both anecdotal evidence and the literature (peer-reviewed studies) support this.

It also tends to train behavior. While on medication, functional behavior is much easier, and people who learn to function effectively while on medication have an easier time off of it than they did before medication.

Again, I wouldn't apply this to the general population, just to people who use medication to treat neurological problems.

And how much do they just get burned out from the steady drugging?

They only do if the dose is too high. The beautiful thing about stimulants at these dosages is that their cognitive effects don't last into the next day, except for the gradual effects I mentioned.