June 15, 1988 EXTENSIONS OF REMARKS 14745 EXTENSIONS OF REMARKS RITALIN activity being present in many, but by no icit Disorder (314.00). Copies of these two ci means all such children. Second, we need to tations are enclosed. clarify that the FDA does not, in most cases, Clearly, additional work needs to be done HON. CASS BALLENGER conduct its own studies or even fund studies, in operationalizing and empirically validat OF NORTH CAROLINA and we have not conducted or funded any ing the constructs suggested by this diag IN THE HOUSE OF REPRESENTATIVES studies of ADD. However, we have surveyed nostic entity. However, from the standpoint Wednesday, June 15, 1988 the literature published since 1975, and we of selecting individuals for treatment, the have focused on approximately 50 papers re diagnostic category of ADD is adequately Mr. BALLENGER. Mr. Speaker, Ritalin porting on adequate and well-controlled reliable and valid, and is widely accepted in methylphenidate hydrochloride-is a drug pre studies of children with this diagnosis, or the medical community (both pyschiatric scribed for children who suffer the symptoms some equivalent diagnosis
e This "bullet" symbol identifies statements or insertions which are not spoken by a Member of the Senate on the floor. Matter set in this typeface indicates words inserted or appended, rather than spoken, by a Member of the House on the floor. 14746 EXTENSIONS OF REMARKS June 15, 1988 Question 5: Are there any side effects as pirical data. Thus clinicians' attempts to sociated with the use of Ritalin? If so, how place children into diagnostic categories of [In percent] many complaints have you recevived and ADD with hyperactivity ADD, without hy what should be done? No peractivity, or an ADD residual type may Yes No re- RESPONSE not be reliable. Therefore, prescription of sponse As is true of all effective pharmacological pharmacological treatment for ADD with agents, Ritalin has a number of adverse hyperactivity may not be made solely upon l. Would you support an increase in your Social diagnostic category. A discussion of the dif Security taxes to pay for a new long-term health events associated with its use. These events care program? ...... 38 61 are listed in the currently approved labeling ficulty in making the diagnosis of hyperac 2. Some are proposing a federal public works program
19-059 0-89-44 (Pt. 10) 14748 EXTENSIONS OF REMARKS June 15, 1988 remain true to his vision of a just, compas forces: weak oil prices, increased exports ment, AFL-CIO, I am writing to ask your as sionate, and peaceful world. from China, increased exports from Colom sistance in defeating any amendments to I would like to join Peter's thousands of bia and a widespread belief that the market the Treasury, General Government and friends and fans in conveying my deepest ad would remain stagnant. The authors pegged Postal Service Appropriations bill which the total decrease in revenue earned on U.S. would restrict the health benefits coverage miration for him on the occasion of his 50th coal sales between 1985 and 1987 at $1.5 bil of federal and postal employees. birthday celebration. I look forward to hearing lion, discounted $500 million for coal sold In the past year, the Federal Employees' more from him, both in song, in protest, and in under long-term contracts, and then divided Health Benefits Program