Treatment for Intractable Hiccup:Methylphenidate

Successful treatment of intractable hiccup with methylphenidate in a lung cancer patient

R. Maréchal1, T. Berghmans1, 2, and J. P. Sculier1

(1) Department of Internal Medicine, Institut Jules Bordet, Centre des tumeurs de l'Université Libre de Bruxelles, Brussels, Belgium (2) Contact address: Department of Internal Medicine, Institut Jules Bordet, Rue Héger Bordet, 1, 1000 Bruxelles, Belgium

Abstract. In a 56-year-old man with metastatic small-cell lung cancer, a persistent hiccup was refractory to classic treatments. Hyponatremia, neoplasic mediastinal involvement and liver metastases were though to be potential causative factors.

Methylphenidate (MTP), a mild central nervous system (CNS) stimulant that is most commonly used for the treatment of attention deficit hyperactivity disorder, was started at a daily dose of 10 mg.

It was rapidly efficient and well tolerated.

This report suggests a potential advantage of MTP in the treatment of intractable hiccup in cancer patients.

J Supportive Care Cancer, 2/03


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