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FRED A. BAUGHMAN JR., MD RESPONDS TO NOVARTIS PRESS RELEASE OF 7/23/01


  To:
 
  July 26, 2001
  Regina Moran
  Novartis Pharmaceutical Corporation
  regina.moran@pharma.novartis.com
 
  From:
 
  Fred A. Baughman Jr., MD
  1303 Hidden Mountain Dr.
  El Cajon, CA
  92019
  www.adhdfraud.com
 
  Ladies and Gentlemen,
 
  As per your Press Release of July 23, 2001 (attached), plaintiffs in
  Florida have announced dismissal of the  ADHD/Ritalin, class action law
  suit against defendants, Novartis Pharmaceuticals Corporation,
  (manufacturer of Ritalin) the American Psychiatric Association (APA) and
  Children and Adults with Attention-Deficit/Hyperactivity Disorder
  (CHADD.  The lawsuit had claimed the defendants had conspired to promote
  the diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD).
  Novartis’ General Counsel, Dorothy Watson, said:
 
  This action supports Novartis' position that this lawsuit and others
  like it are an unmerited attempt to promote an agenda that contradicts
  scientific and medical consensus.
 
  On May 18, a Texas judge, U. S. District Judge Hilda G. Tagle dismissed
  a similar class action suit, finding that the plaintiffs there had
  failed to state their claims of fraud and conspiracy with sufficient
  particularity.
 
  The first class action suit of this type was dismissed in California on
  April 23.  In addition to dismissing the suit, the California court also
  ordered that the plaintiffs pay the legal fees for defendants, Novartis,
  APA and CHADD.
 
  Similar suits have been filed in New Jersey and Puerto Rico. The
  defendants (Novartis, APA, CHADD) have filed motions to dismiss those
  cases and rulings are pending.
 
  In your press release of July 23, you (Novartis) state:
 
  Contrary to the position advanced in the lawsuits, ADHD is a real and
  serious disorder. It is a well-established and valid diagnosis
  recognized by the leading medical authorities in the U.S. including the
  American Medical Association, American Psychiatric Association, American
  Academy of  Pediatrics (AAP), the U.S. Food and Drug Aministration (FDA)
  and the U.S. Surgeon General… Ritalin and similar treatments are among
  the most widely studied therapies available.  We're heartened that an
  overwhelming body of scientific evidence cannot just be litigated away
  by lawyers and anti- psychiatry advocates.  Ritalin is a mild central
  nervous system stimulant that helps to address the neurochemical
  problems underlying Attention-Deficit/Hyperactivity Disorder (ADHD).
 
  You speak of "the neurochemical problems underlying
  Attention-Deficit/Hyperactivity Disorder," when absolutely no physical
  or chemical abnormality has yet been identified in children said to meet
  the DSM-IV, DSM-III-R, or DSM-III versions/editions of ADHD.
 
  As an adult and child neurologist it is my duty to know whether or not
  patients have a disease, and whether or not previously rendered
  diagnoses, such as ADHD, are proven diseases--then to articulate the
  answer clearly to persons seeking my professional opinion on the
  matter.  As a published researcher, discoverer of real diseases, Fellow
  of the American Academy of Neurology, member of the AMA, member of the
  Child Neurology Society, I have been unable to validate/demonstrate, a
  disease/objective physical abnormality—any disease/objective physical
  abnormality--in children said to have ADHD.  Finding no objective
  physical abnormality (including chemical) means they have no disease;
  that they are physically, medically, neurologically normal.
 
  That the class action suits has failed, thus far, does nothing to
  validate ADHD as a disease.  Although judges and courts are duty-bound
  to see that the true science is aired, not junk science, this has yet to
  be done where ADHD is concerned.  The medical/scientific record, speaks
  resoundingly on the issue: nowhere does proof exist in the
  peer-reviewed, medical/scientific literature, that the criteria in the
  American Psychiatric Association’s (APA) Diagnostic and Statistical
  Manual (DSM) IV., or the American Academy of Pediatrics (AAP) diagnostic
  Guidelines [1],  as diagnostic of ADHD, identifies a bona fide disease,
  having a confirmatory, objective, physical abnormality.
 
  Nor is the validation of disease, either in practice or research a
  matter of  "consensus."  Nor does stating that ADHD is a "real and
  serious disorder," establish that it is a disease/physical abnormality.
 
  When, in my own private practice, I discovered and authored the second,
  confirmatory, description of the Glioma-Polyposis Syndrome [2] in 1969,
  the original description of the Curly Hair-Ankyloblepharon-Nail
  Dysplasia Syndrome (CHANDS) [3] in 1971, and the elucidation, with
  Toriello, et al [4], in 1979 of the autosomal recessive mode of
  transmission of CHANDS, there was no consensus required.  The only
  requirement was that a scientific, ethical, not bought, not paid-for
  journal editor confirmed my claims, including that none such pre-existed
  my reports in the world literature.  It can also be seen here that
  confirming a new disease, or a new finding about an existing disease,
  has nothing to do with the total volume, width, breadth or age of that
  literature.
 
  While academic professors of neurology, pathology, pediatrics and even
  psychiatry, are not heard confessing as much—the reason being that all
  of medical academia, not just psychiatry, are bought, paid for, and, are
  beholden, to the pharmaceutical industry--it would be a simple affair to
  subpoena and swear them, and put the "disease" vs. "no disease" question
  to them regarding ADHD, or any or all of "biological" psychiatry’s
  "diseases."   The question is simple:
 
  "What and where is the confirming, objective, demonstrable, diagnosable
  abnormality in ADHD (any psychiatric disorder)?" "You are telling me
  there is none!" "Witness excused."
 
  Why have the media and the courts refused to elicit, write, hear, the
  elements of science?  Why do they continue to validate junk science and
  the victimizing of normal children/individuals in the name of
  "medicine?"
 
  CHADD:
 
  Children and Adults with Attention Deficit Disorders (CHADD), was
  referred to in a DEA publication [5] by a spokesman for Ciba-Geigy (now
  Novartis) as being "essentially a conduit for providing information to
  the patient population."   Routinely, and without scientific proof,
  CHADD tells the US public that ADHD is a "neurobiologic disorder."  So
  doing, they leave no doubt that there is something abnormal about the
  brain/biology of the individual in question;  that they have a disease.
  The US public-at-large harbors this notion and there is no doubt that
  they came by it primarily through CHADD, acting as "essentially a
  conduit for providing information to the patient population," for
  Ciba-Geigy (now Novartis).
 
  CHADD or anyone else who tells the public that ADHD is a "neurobiologic
  disorder" or who otherwise imparts to patients, parents and the
  public, by way of informed consent, that it is a disease, is lying.  And
  this applies to the public information campaigns, today, of all of the
  plaintiffs and of all who support them, comprising their consensus of
  supporters in ADHD as a "real and serious disorder," a "neurobiological
  disorder," or a "neurobehavioral" disorder--the American Medical
  Association (AMA), the American Psychiatric Association (APA), the
  American Academy of  Pediatrics (AAP), the U.S. Food and Drug
  Aministration (FDA) and  U.S. Surgeon General, David Satcher.  All
  imply, or stated forthrightly,  that ADHD (and other psychiatric
  conditions/disorders as well) is a disease, due to
  abnormalities/chemical imbalances within the individual, when no such
  proof exists.
 
  AMERICAN MEDICAL ASSOCIATION (AMA)

  In 1998, with no proof that ADHD was a disease with a confirmatory,
  physical abnormality, and with the  ADHD "epidemic," having grown from
  150,000 in 1970, to approximately five million in 1997, the AMA,
  Council on Scientific Affairs [6] concluded:

  "…there is little evidence of widespread overdiagnosis or misdiagnosis
  of ADHD or of widespread overprescription of methylphenidate."
 
  Writing in JAMA [7], I responded:

  "Once children are labeled with ADHD, they are no longer treated as
  normal.  Once methylphenidate hydrochloride or any psychotropic drug
  courses through their brain and body, they are for the first time,
  physically, neurologically, and biologically abnormal."
 
  AMERICAN PSYCHIATRIC ASSOCIATION (APA)
 
  Writing in the Journal of the American Medical Association (JAMA), in
  1995, APA spokesmen, Marzuk and Barchas [8] stated:

  "Perhaps the most significant conceptual shift (from DSM-III-R, 1987, to
  DSM-IV, 1994) was the elimination of the rubric organic mental
  disorders, which had suggested improperly that most psychiatric
  disorders…had no organic basis."

  Notice that these authors have assumed, but not proven, that "most
  psychiatric disorders" have an organic basis, making it improper for
  anyone to suggest otherwise.  They would shift the burden of proof to
  those who doubt and question, hardly in keeping with science.  What they
  and the American Psychiatric Association (APA), with it’s DSM-IV, have
  done, was to absolve psychiatry of every physician’s obligation to make
  a fundamental, patient-by-patient, "organic"/  "not organic," "disease"/
  "no disease" determination.  They have absolved themselves, and, anyone
  wishing to join them in such diagnosing (in this case, the AMA, AAP,
  FDA, and Surgeon General Satcher) of having to demonstrate an
  abnormality—pathology, by way of proving that  psychiatric "disorders"/
  "diseases" are actual diseases.

  In fact, the essential first step in all diagnosis, even in the
  diagnosis of psychiatric disorders, is to make the fundamental "Is it a
  disease or isn’t it?" determination.  This determination is usually made
  by physicians other than psychiatrists; usually by those referring
  patients to the psychiatrist (or psychologist, or other mental health
  professional).  What psychiatrists do from that point on, is nothing,
  more or less, than, semantic classification, based upon subjective
  symptoms, alone, in patients already-proven to have no disease.  The
  absence of organic disease, over time, stands as the strongest evidence
  that a patient’s symptoms are psychogenic.
 
  Pearlman [9], a psychiatrist, wrote:
 
  "I take issue with…Pincus’ (DSM-IV Task Force ) assertion that the
  elimination of the term ‘organic’ in DSM-IV has served a useful purpose
  for psychiatry…elimination of the term ‘organic’ conveys the impression
  that psychiatry wishes to conceal the nonorganic character of many
  behavioral problems that were, in previous DSM publications, clearly
  differentiated from known central nervous system diseases."
 
  Pincus, of the American Psychiatric Association’s DSM Task Force, has
  chosen not respond to my queries on psychiatry’s claims, implications,
  allegations that it diagnoses and treats real diseases/organic
  diseases/neurological diseases.
 
  FOOD AND DRUG ADMINISTRATION (FDA)

  Leber [10] of the FDA responded to my "disease" vs. "no disease"
  question, as follows:

  " …as yet no distinctive pathophysiology for the disorder has been
  delineated."

  Nonetheless, in the 1993 Physician’s Desk Reference under Ritalin in the
  paragraph on "indications" it says that Attention Deficit Disorder is a
  behavioral syndrome characterized by the following group of
  developmentally inappropriate symptoms:  moderate to severe
  distractibility, short attention span, hyperactivity, emotional
  lability, and impulsivity.  Under special diagnostic considerations, it
  says, "Stimulants are not intended for use in the (normal) child who
  exhibits symptoms secondary to environmental factors.  They—the
  manufacturer and the FDA, those jointly responsible for the wording of
  the product insert, are saying that Ritalin is not for normal children,
  having symptoms secondary to environmental factors, but that it is for
  ADD children, children it alleges are intrinsically abnormal, diseased,
  even though no proof of such an abnormality existed then or now.  Even
  later versions of the insert clearly lead the reader to believe they are
  reading of children with brain/neurological abnormalities, actual
  diseases.
 
  NOVARTIS (formerly, CIBA-GEIGY)

  On September 1l, 1996, as if unfamiliar with the concept of scientific
  proof, Joyce Moscaritola, MD, Medical Affairs Vice President, Ciba-Geigy
  wrote to me:

  "A comprehensive computer search of the literature yielded several
  articles which discuss the various hypotheses for the etiology (cause)
  of ADHD."

  None of the 4 articles she sent or any in the world’s literature to the
  present day, cite proof that ADHD is a disease, that children meeting
  DSM-IV criteria for that psychiatric/psychological diagnosis, are other
  than physically and medically normal.

  CHADD
 
  On December 5, 1997, I wrote and faxed James M. Swanson, Ph.D., a member
  of CHADD’s Professional Advisory Board, and author of a
  "soon…forthcoming" Lancet article [11]:

  "please send me a copy or reprint of the article referred to by Dr.
  Jensen in his letter to me of October 12, 1997 (enclosed).  Can you cite
  final, confirmatory proof that ADHD is a disease/medical syndrome with a
  definite, discernible (patient by patient) physical or chemical
  abnormality/ marker?"

  Getting no response from Swanson, I re-sent my original letter (that of
  December 5, 1997) on January 12, 1998, this time by registered mail.  In
  so doing, I learned that the address I had been using was correct and
  that the registered letter had been received and signed for.  But still,
  no response to my scientific, collegial inquiry.

  Next, Swanson appeared as a substitute speaker at a meeting I was
  attending in San Diego, that of the American Society for Adolescent
  Psychiatry, March 5-8, 1998.  He spoke, among other things, of the MRI
  brain scan research of Castellanos, et al [12,13], and  Filipek, et al
  [14], alleged to show brain atrophy in subjects with ADHD, but not in
  controls.

  I spoke from the audience, pointing out that 93% of the subjects in the
  Castellanos [12,13] studies had been on chronic stimulant therapy, and
  inquired as to the stimulant status of those in the Filipek [141]
  study.   Swanson acknowledged that Filipek et al, also utilized ADHD
  subjects who had been on chronic stimulant therapy—an acknowledgment
  nowhere to be found in a review of this research either in the 
  Lancet article [11] or in the more recent Report of the Council of
  Scientific Affairs of the American Medical Association [6].

  Here, we had strong, replicated evidence that chronic stimulant therapy
  (methylphenidate, amphetamine) causes brain atrophy, not confirmation
  that ADHD was a brain disease as we were led to believe.
  Next--much to my surprise--came the answer to the AD/HD "disease"/ "no
  disease" question.  Swanson  (from the tape recording of the session):

  "I would like to have an objective diagnosis for the disorder (ADHD).
  Right now  psychiatric diagnosis is completely subjective…We would like
  to have biological tests—a dream of psychiatry for many years… I think
  we will validate it.  I do not think these drugs are dangerous or
  addictive when used this way."

  "I think we will validate it," he said.  At long last—an open, honest,
  truly scientific appraisal from one within the ADHD industry!  What
  Swanson neglected to say was how he describes ADHD, today, in obtaining
  informed consent from the parents of children he treats with stimulants
  and from those of children in their research studies using positron
  emission tomography (PET) scans, spinal taps and indwelling venous
  catheters, from which to draw blood drug levels.  I have written him
  requesting copies.  I am still waiting.

  On May 13, 1998, F. Xavier Castellanos, another member of CHADD’s
  Professional Advisory Board, wrote to me:
 
  "…I have noted your critiques of the diagnostic validity of ADHD.  I
  agree that we have not yet met the burden of demonstrating the specific
  pathophysiology that we believe underlies this condition.  However, my
  colleagues and I are certainly motivated by the belief that it will be
  possible in the near future to do so."
 
  Swanson (CHADD) thinks "we will validate it!"  Meanwhile, Castellanos
  (CHADD) and his colleagues are "… motivated by the belief that it will
  be possible in the near future to do so."  Neither has Swanson,
  Castellanos, or Peter S. Jensen (also of CHADD’s Professional Advisory
  Board), or anyone, anywhere, yet validated ADHD as a disease with a
  confirmatory, diagnosable, objective, physical abnormality.  Absent such
  an abnormality, individuals said to have it are normal and cannot,
  legally, be put on Schedule II, controlled, psychostimulants.  The FDA
  knows that! The DEA know that!  The International Narcotics Control
  Board knows that!
 
  SURGEON GENERAL, DAVID SATCHER, M.D.
 
  In a press release, February 11, 2000, I asked Surgeon General David
  Satcher  to resign over his report on mental health which I described as
  an "infomercial for biopsychiatry and the pharmaceutical cartel."   I
  wrote saying  that psychiatrists and psychologists who use interviews
  and psychometric tests to tell patients they have a real, organic
  diseases,  "biologically-based" brain diseases, are "charlatans"  (At
  the US Congress’ Hearing on Behavioral Drugs in Our Schools, September
  29, 2000, I testified in rebuttal to APA, AACAP,  representative, David
  Fassler, MD: "Anyone calling any psychiatric condition a disease is
  committing a fraud").
 
  I wrote to Dr. Satcher:
 
  "… you (have) put the considerable weight of your office behind
  representing the scientifically unproven 'disorders' of the
  pychiatric/pharmaceutical cartel to be actual diseases…The fact that
  psychiatrists do not perform physical examinations or neurological
  examinations by which disease of the brain and nervous system is
  determined, makes their claims of diagnosing and treating
  'biologically-based brain diseases' not only unbelievable but a fraud.
  There is no physical or chemical abnormality to be found in life, or at
  autopsy, in 'depression,' 'bipolar disorder,' 'Attention Deficit
  Hyperactivity Disorder '(ADHD), or any other 'mental illness.'"
 
  Dr. Satcher has not resigned, answered me, nor has he published proof
  that ADHD or any psychiatric disorder/disease, is an actual disease
  having a confirming, objective physical/chemical abnormality within the
  brain or body of the individual.  No one has.
 
  AMERICAN ACADEMY OF PEDIATRICS (AAP)
 
  Leaving no doubt that US medicine, generally, has added this brand of
  "mental health" to it’s portfolio, the (1) American Academy of
  Pediatrics, in collaboration with the (2) American Psychiatric
  Association, the (3) American Academy of Child and Adolescent
  Psychiatry, the (4) American Academy of Neurology, the (5) American
  Academy of Family Practice and the (6) Child Neurology Society,
  published it’s year 2000,  "Clinical Practice Guideline, entitled,
  Diagnosis and Evaluation of the Child with
  Attention-Deficit/Hyperactivity Disorder" [1].  In it, as throughout
  virtually all industry-published materials, ADHD is referred to as "the
  most common neurobehavioral disorder of childhood.."  In a letter to the
  editor, published, in the May, 2001, journal PEDIATRICS [15], I wrote:
 
  The Clinical Practice Guideline opens:  "Attention-deficit/hyperactivity
  disorder is the most common neurobehavioral disorder of childhood."
  "Neurobehavioral," implies an abnormality of the brain; a disease.  And
  yet, no confirmatory, diagnostic, abnormality has been found.   With six
  million children said to have it, most of them on addictive, dangerous,
  stimulants, ambiguity as to the scientific status of ADHD is not
  acceptable. Goodwin [16], acknowledged the:   ‘…narrow definition of
  disease that requires the presence of a biological abnormality.’ Carey
  [17] testified at the 1998, Consensus Conference (CC):  " …What is now
  most often described as ADHD in the United States appears to be a set of
  normal behavioral variations… This discrepancy leaves the validity of
  the construct in doubt…" The Consensus Conference Panel [18] concluded:
  "…we do not have an independent, valid test for ADHD, and there are no
  data to indicate that ADHD is due to a brain malfunction."  In January,
  2000, Castellanos, [19], of CHADD, confessed: "Incontrovertible evidence
  is still lacking!"…..Carey [17] observed: "ADHD behaviors are assumed to
  be largely or entirely due to abnormal brain function.  The DSM-IV
  does not say so, but textbooks and journals do."  If not science, what
  are textbooks and journals to purvey?  Later in the conference, Carey
  [17] issued the plea:  " … we see…that the causes of these behaviors
  called ADHD are entirely speculative. And yet… parents and children are
  being told that these behaviors are due to a brain malfunction.  Can you
  not please strengthen the statement to discourage practitioners from
  making this statement when there is not adequate proof to support that
  at this time?" ……It is apparent that virtually all professionals of the
  extended ADHD ‘industry’ convey to parents, and to the public-at-large,
  that ADHD is a ‘disease’ and that children said to have it are
  ‘diseased’-‘abnormal.’  This is a perversion of the scientific record
  and a violation of the informed consent rights of all patients and of
  the public-at-large.  The wording of the AAP Guideline should be
  changed, forthwith, to reflect the scientific and medical facts of the
  matter.
 
  The authors of the "Guidelines" sought to block publication of my letter
  to the editor of PEDIATRICS, and had no response to it.
 
  AFTERWORD
 
  In a letter dated February 27, 2001, to the Special Committee on the Use
  of Prescription Drugs for Children of the Wisconsin State Legislature,
  Novartis’ Vice President, Greg Baird, not copying me, wrote:
 
  Dr. Fred Baughman, a phone participant, made a number of unfortunate and
  misleading statements about ADHD…Baughman’s charge that ADHD is not a
  valid medical disorder contradicts extensive published scientific
  evidence from a large and respected body of medical and scientific
  organizations including the AAP, the AMA, the NIH and the FDA.
  According to the AMA, ADHD is one of the best-researched disorders in
  medicine…Other well-respected  organizations have further validated this
  disorder (see attached).
 
  We see that the political and semantic stratagems are the same.  In the
  page attached, not one of the articles or documents alluded to, most of
  them addressed in the body of my letter, constitute proof that ADHD is a
  real, actual, bona fide disease, having an objective, demonstrable,
  diagnosable physical (including chemical) abnormality.
 
  CONCLUSION
 
  Neither the defendants; Novartis, the American Psychiatric Association and CHADD,
  nor the organizations, agencies and agents that they cite; the American Medical
  Association,  American Academy of Pediatrics, the Food and Drug Administration
  and the Surgeon General of the US (or anyone else), has proof with which
  to support their fraudulent representations to the public that ADHD is a
  disease/abnormality; that children (and adults) with it are
  diseased/abnormal, and are in need of medical treatment--Ritalin.
 
  BIBLIOGRAPHY
 
  1. American Academy of Pediatrics, Committee on Quality Improvement and
  Subcommittee on   Attention-Deficit/Hyperactivity Disorder. Clinical
  practice; diagnosis and evaluation of the child with
  attention-deficit/hyperactivity disorder. Pediatrics.  2000;
  105:1158-1170.
  2. Baughman FA, List CF, Williams JR, Muldoon JP, Segarra JM, Volkel
  JS.  The Glioma-Polyposis Syndrome.  N Engl J Med. 1969;281:1345-1346
  3. Baughman FA.  CHANDS: the curly hair-ankyloblepharon-nail dysplasia
  syndrome.  Birth Defects: Original Article Series.  1971;7:100-102.
  4. Toriello HV, Lindstrom JA, Waterman, DF, Baughman FA.  Re-evaluation
  of CHANDS.  Journal of Medical Genetics.  1979;16:316-317.
  5. Background Paper on Methylphenidate, Drug Enforcement Administration
  (DEA), US Department of Justice, October, 1995.
  6. Goldman LS, Genel M, Bezman RJ, Slanetz PJ, for the Council on
  Scientific Affairs, American Medical Association.  JAMA. 1998;
  279:1100-1107.
  7. Baughman FA, Jr. Treatment of Attention-Deficit/Hyperactivity
  Disorder (letter). JAMA. 2000; 281:1490.
  8. Marzuk PM, Barchas JD.  Psychiatry. In Contempo,1995.  JAMA. 1995;
  273:1715-1716.
  9. Pearlman T. Clinical Psychiatric News.  December, 1994 (letters).
  10. Leber, P. personal correspondence.  December 22, 1994.
  11. Swanson JM, Sergeant JA, Taylor E, Sonuga-Barke EJS, Jensen PS,
  Cantwell DP. Attention-deficit hyperactivity disorder and hyperkinetic
  disorder.  Lancet. 1998;351:429-433.
  12. Castellanos FX, Giedd JN, March WL, et al.  Quantitative brain
  magnetic resonance imaging in attention-deficit hyperactivity disorder.
  Arch Gen Psychiatry.  1996;53:607-616.
  13. Castellanos FX, et al.  Cerebellum in attention-deficit
  hyperactivity disorder.  Neurology. 1998; 50:1087-1093.
  14. Filipek PA, Semrud-Clikeman M, Steingard RJ, Renshaw PF, Kennedy DN,
  Biederman J.  Volumetric MRI analysis comparing subjects having
  attention-deficit hyperactivity disorder with normal controls.
  Neurology.  1997;48:589-601.
  15. Baughman FA, Jr. Diagnosis and Evaluation of the Child With
  Attention-Deficit/Hyperactivity Disorder (letter).  Pediatrics. 2001;
  May:1239
  16. Donald W. Goodwin, MD.  Is Alcoholism Hereditary? Ballantine Books,
  1988.
  17. Carey WB. Is ADHD a Valid Disorder? NIH, Consensus Development
  Conference on ADHD (Program and Abstracts), November 16, 1998:33-36.
  18. Final Statement of the Panel of the NIH, Consensus Development
  Conference on ADHD, Press Conference.  November 18, 1998.
  19. Castellanos FX. Quoted in "Making Sense of Ritalin" by Pekkanen, J.
  Readers Digest, January, 2000: 159-168.
  20. Baughman FA, Jr.  Questioning the Treatment for ADHD. Science.
  2001;291:595
                        ---------------------

    July 23, 2001  Press Release, Novartis Pharmaceuticals Corporation
 
    Plaintiffs' Attorneys Walk Away from Ritalin Litigation in Florida
    Third Dismissal to Date of Suits Filed against Novartis, Makers of
    Ritalin (R) (methylphenidate HCl)
    ORLANDO, Fla., July 23 /PRNewswire/ -- Plaintiffs bringing class action
    litigation against Novartis Pharmaceuticals Corporation, manufacturer of
    Ritalin (R) (methylphenidate HCl), the American Psychiatric Association
    (APA) and Children and Adults with Attention-Deficit/Hyperactivity Disorder
    (CHADD) have notified the court that they are dismissing their case against
    the defendants. The lawsuit, filed in November 2000, claimed the defendants
    conspired to promote the diagnosis of Attention-Deficit/Hyperactivity
    Disorder (ADHD). The plaintiffs alerted the court of their intent to dismiss
    on July 5; their decision follows dismissals by the courts in similar
    lawsuits filed in California and Texas.
    ``We are extremely pleased with the plaintiffs' decision,'' said  Novartis
    General Counsel, Dorothy Watson. ``This action supports Novartis' position
    that this lawsuit and others like it are an unmerited attempt to  promote an
    agenda that contradicts scientific and medical consensus.''
    On May 18, a Texas judge dismissed a similar class action suit filed in that
    state. U. S. District Judge Hilda G. Tagle found that the plaintiffs in that
    class action failed to state their claims of fraud and conspiracy with  
    sufficient particularity. Additionally, she found that the plaintiffs' vague
    mentions of side effects in their complaint failed to state a legal claim.
    The plaintiffs had until June 20 to appeal the ruling; however, they did not
    do so.
    The first class action suit of this type was dismissed in California on
    April 23. U.S. District Judge Rudi Brewster dismissed the suit under
    California's anti-SLAPP statute -- a statute designed to weed out of the
    court system at their inception, lawsuits which are in reality political
    actions designed to intimidate defendants from exercising their First
    Amendment rights. Judge Brewster dismissed the suit stating that the
    defendants' speech is "protected under both the United States and
    California Constitutions" and that plaintiffs "failed to state a cause of
    action." In addition to dismissing the suit, the court also ordered that
    the plaintiffs pay the legal fees for Novartis, APA and CHADD. Similar suits
    have been filed in New Jersey and Puerto Rico. The defendants have  filed
    motions to dismiss those cases and rulings are pending.
    Contrary to the position advanced in the lawsuits, ADHD is a real and
    serious disorder. It is a well-established and valid diagnosis recognized by
    the leading medical authorities in the U.S. including the American Medical
    Association, American Psychiatric Association, American Academy of
    Pediatrics, the U.S. Food and Drug Administration and the U.S. Surgeon  
    General.
    Ritalin has been shown to be an effective and safe medication for more than
    45 years and has been scientifically evaluated in more than 200 studies
    involving over 6,000 school-aged children.
    "Ritalin and similar treatments are among the most widely studied therapies
    available," said Watson. "We're heartened that an overwhelming body of
    scientific evidence cannot just be litigated away by lawyers and anti-  
    psychiatry advocates."
    Ritalin is a mild central nervous system stimulant that helps to address the
    neurochemical problems underlying Attention-Deficit/Hyperactivity Disorder
    (ADHD).
    Novartis Pharmaceuticals Corporation researches, develops, manufactures and
    markets leading innovative prescription drugs used to treat a number of
    diseases and conditions, including central nervous system disorders, organ
    transplantation, cardiovascular diseases, dermatological diseases,
    respiratory disorders, cancer and arthritis. The company's mission is to
    improve people's lives by pioneering novel healthcare solutions.
    Located in East Hanover, New Jersey, Novartis Pharmaceuticals Corporation is
    an affiliate of the Novartis Group (NYSE: NVS
     ), a world
    leader in healthcare with core businesses in pharmaceuticals, consumer  
    health, generics, eye-care, and animal health. In 2000, the Group's ongoing
    businesses achieved sales of CHF 29.1 billion (USD 17.2 billion) and
    invested approximately CHF 4.0 billion (USD 2.4 billion) in R&D.
    Headquartered in Basel, Switzerland, Novartis employs about 67,600 people
    and operates in over 140 countries around the world. For further information
    please consult  .

    Todd Ringler
    Feinstein Kean Healthcare
    617-761-6791
    tringler@fkhealth.com  

    Regina Moran
    Novartis Pharmaceuticals Corporation
    973-781-5567
    regina.moran@pharma.novartis.com
     

    Cathy Yarbrough
    Novartis Pharmaceuticals Corporation
    973-781-5385
    cathy.yarbrough@pharma.novartis.com
     
    SOURCE: Novartis Pharmaceuticals Corporation


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