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What is Ritalin?
Ritalin is a central-neurological system stimulant. Methylphenidate alters the brain and nerves' chemical balance, which helps with increased activity and control of impulses.
Ritalin can treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and Narcolepsy.
Ritalin is recommended as part of an overall treatment plan for ADHD which could include therapy or counselling.
Warnings
Ritalin could be a trigger for addiction. Inform your doctor if you have any history of addiction to drugs or alcohol dependence. Ensure you keep the medication away from where others can't access it.
The misuse of Ritalin could lead to addiction, overdose, or even death. Inform your doctor if you have experienced problems with drug or alcohol misuse.
Stimulants can cause heart attacks, strokes, and sudden death in patients with excessive blood pressure, heart diseases, or heart defects.
Do not take Ritalin if you've used any MAO antagonist within the last 14 days, like linezolid, isocarboxazid or methylene blue injections, phenelzine rasagiline, selegiline or tranylcypromine.
Ritalin could trigger the development of a new or worsening form of psychosis (unusual behaviour or thoughts), particularly when you've had a history of depression, mental illness and bipolar disorder.
You could suffer from blood circulation issues that could cause pain, numbness or discolouration of your toes and fingers.
Get your doctor's attention immediately If you notice symptoms of heart issues, including chest pains and feeling lightheaded or breathless; symptoms of psychosis such as paranoia, anger or new behavioural problems, as well as hearing or seeing signs that aren't real; signs of circulation issues Unidentified injuries on your toes or fingers.
Before you Take this Drug
It is best not to take Ritalin If you're allergic to methylphenidate or suffer from it.
- Glaucoma;
- Extremely high blood pressure or a heart condition;
- Hyperactive thyroid
- A family or personal experience of the tics (the muscle that twitches) or Tourette's syndrome or
- Intense anxiety or tension, or (stimulant medications can aggravate these symptoms).
Stimulants can cause stroke, heart attack and sudden deaths in specific individuals. Tell your doctor If you suffer from any of the following:
- Heart problems or a congenital heart defect;
- High blood pressure or
- A blood clot or sudden loss of a loved one.
Do not take Ritalin if you've used an MAO inhibitor within the last 14 days. A dangerous drug interaction may occur. MAO inhibitors include isocarboxazid linezolid, Methylene blue injection phenelzine, and tranylcypromine.
Inform your physician if you are also taking opioids, herbal products or medications to treat mental illness, depression, Parkinson's disease, migraine headaches, serious infections, and preventing nausea or vomiting. The interaction between methylphenidate and methylphenidate may result in a severe illness known as serotonin syndrome.
Discuss with your doctor if or someone else in your family has been diagnosed with:
- Depression bipolar disorder, mental illness psychosis, depression, or suicidal thoughts or behaviours;
- Blood circulation issues in the hands and feet or
- Alcoholism or drug dependence.
To ensure that Ritalin is appropriate for you, ask your doctor that you have the following:
- Issues with the oesophagus stomach problems with the oesophagus, stomach, or intestines;
- Seizures, epilepsy, or an abnormal brain wave test (EEG).
Dependency on this medication during pregnancy could result in an unplanned birth or low birth weight. Inform your doctor if you are pregnant or planning to be pregnant. If you are expecting and are a registry member, your name could be added to an e-registry for pregnant women to monitor how methylphenidate affects the baby. The baby.
Consult a physician to determine if breastfeeding is okay when taking Ritalin. If you're breastfeeding, consult your physician when you observe signs of the baby, such as disturbances, sleep issues and feeding issues, or a decrease in weight growth.
Ritalin is not a prescription drug for anyone under six years old.
How to Take Ritalin?
Use Ritalin exactly as directed by your physician. Follow the directions on your prescription label, and go through all medication guides and instructions sheets. Your doctor may alter your dosage.
Methylphenidate could be habit-forming. Intoxication can result in addiction, overdose or even death. Keep the medication in a place where other people cannot access it. Offering or selling Ritalin is a violation of the law.
Your dosage requirements can change if you change to a different brand strength, strength, or type of this medication. Make sure you are using only the medication the doctor has prescribed.
Ritalin instant-release (IR) tablets are generally used two to three times every day. The tablets are taken 30 to 45 mins before eating.
Ritalin LA extended-release capsules are taken every day in the morning.
You can consume Ritalin LA capsules with or without food. However, you should take them in the same manner each time.
Take it Ritalin LA extended-release capsule in its entirety. If you cannot take the capsule, open it up and mix the medicine into soft foods like pudding, applesauce or even yoghurt. Take the mixture in a single swallow without chewing.
Inform your doctor if you have an upcoming procedure.
Your treatment could also comprise counselling or other forms of treatment.
Your doctor will monitor your performance frequently. At times your doctor might reduce Ritalin therapy for a time to monitor ADHD symptoms. Your blood pressure and your heart could also be monitored regularly.
Close the container tightly to room temperature, far from heat, moisture and light. Store your medicine in a safe place that is secure and where nobody can access it incorrectly.
Do not store any medicine left over. Consult your pharmacist for a take-back program. You can also mix leftover medication with litter for cats or grounds from coffee in a plastic bag that is sealed and then throw it in the garbage.
Details on Dosage
Usual Adult Dose for Attention Deficit Disorder:
RELEASE IMMEDIATELY (IR) (IR) 20-30 mg taken orally in 3 or 2 divided doses, with a minimum of 30 to 45 minutes before meals.
Maximum dose: 60 mg/day.
Extended-release (ER) 8 hours ER orally-dispensible tablet (e.g., Ritalin SR) can be used if the titrated 8-hour IR dose is in line with the available 8-hour ER tablet; available in tablet 20 mg. Maximum dosage 60 mg/day
Usual Adult Dose for Narcolepsy:
IMMEDIATE-RELEASE (IR) Dosage 20-30 mg daily in 3 or 2 divided doses, with a minimum of 30 to 45 minutes prior to meals.
Maximum dose: 60 mg/day.
Extended-release (ER) 8 hours ER orally-dispensible tablet (e.g., Ritalin SR) can be used if the titrated 8-hour IR dose is equivalent to the available 8-hour ER tablet. Available as 20 mg tablets. Maximum dosage 60 mg/day.
Usual Pediatric Dose for Attention Deficit Disorder:
Age 6 or over:
Instant-RELEASE (IR): Initial dosage 5 mg two times a day (before the breakfast meal and after lunch)
Increase the dose gradually, by increments of 5 to 10 mg per week. Individualize dosage according to the requirements and the response of the patient
Maximum dose: 60 mg/day
Extended Release (ER) 8 hours ER orally-dispensible tablet (e.g., Ritalin SR) is a tablet that can be used when the titrated 8-hour dose of IR is equivalent to the 8-hour ER tablet; sold as tablet 20 mg; maximum dosage 60 mg/day.
Each day (50 50% Ir/ER 50%) oral capsule (e.g., Ritalin LA):
Age: 6 to 12 years of age (methylphenidate-naive):
Initial Dose: 20 milligrams taken orally at least once per day in the morning. It can begin at 10 mg orally every day if a lower dosage is appropriate.
Patients Currently Using Immediate-release (IR) or Sustained-release (SR) Methylphenidate:
Initial dosage: 10 mg orally daily. If you are currently taking IR dosage is five mg two times per day.
Initial dose: 20 mg taken orally every day if the IR dosage is 10, twice every day, or SR dosage is 20 mg twice a day.
Initial dose: 30 mg taken orally daily if your current IR dosage is 15, two times every day.
The initial dose is 40 mg daily. If you are currently taking IR dosage is 20 mg two times per day or the SR dose of 40 mg daily.
Initial dose: 60 mg taken orally every day. If you are currently taking IR dosage is 30 mg two times per day or an SR dose of 60 mg daily.
TRIPATE gradually in increments of 10 mg per week until you get the best response
Maximum dose: 60 mg/day.
Comments: All methylphenidate-based products are FDA approved for children aged six or over with one exception: The everyday 50 per cent IR/50% ER oral capsules (Ritalin LA) are approved for children aged 6-12 years age.
Usual Pediatric Dose for Narcolepsy:
Age 6 or over:
IMMEDIATE-RELEASE (IR) Dose for the initial dosage 5 mg taken orally every day, twice (before the breakfast meal and after lunch)
Increase the dose gradually, by increments of 5 to 10 mg/week; adjust the dose based on requirements and the response of the patient.
Maximum dose: 60 mg/day.
Extended-release (ER) 8 hours ER tablets for oral use (e.g., Ritalin SR) a tablet that can be used if titrated 8-hour dose for IR corresponds to an available 8-hour ER tablet; it is available in tablet 20 mg; the maximum dosage of 60 mg/day.
What Happens If I Miss a Dose?
You should take the medication as quickly as you can. However, do not take your missed dosage if you are nearing the time to take the next dose. Don't take two doses at a time.
What Happens If I Overdose?
For medical emergencies, seek emergency treatment or contact the Poison Help line at 1-800-222-1222. A high dose of methylphenidate may be fatal.
The symptoms of an overdose can consist of nausea, dry mouth, nausea, diarrhoea, anxiety, agitation as well as restlessness, tremor muscles, fast breathing and hallucinations. Dilation of the pupils, muscle discomfort or weakness as well as sweating, fever, headache or throbbing in your neck or ear and heartbeats that are fast or rapid and feeling lightheaded, being ill, having seizures (convulsions) or a coma.
Aviod this
- Do not drink alcohol.
- Avoid driving and other hazardous activities until you understand what effects this medication will have on your body. Your reaction could be affected.
Side Effects of Ritalin
Contact a medical professional immediately If you are experiencing symptoms of an allergy reaction Ritalin: hives or breathing difficulties and swelling of your lips, face or tongue.
See your doctor right away If you suffer from the following:
- Indications of heart issues, chest pain, breathing problems and feeling as if you could faint;
- Symptoms of psychosis, Hallucinations (seeing as or hearing objects that aren't real), New behaviour issues, aggression, hostility, paranoia
- Indications of circulation issues like numbness, ache or cold sensation, unidentified injuries or skin colour changes (pale red, pale blue appearance) on your fingers or toes;
- Penis erections that are painful or last for 4 hours or more.
You should seek medical attention immediately if you experience signs of serotonin disorder, for example, hallucinations, agitation, sweating, fever and shivering, rapid heart rate, muscle stiffness and twitching, loss of coordination, nausea, vomiting or diarrhoea.
Methylphenidate may affect the growth of children. The weight and height of your child could require a check regularly. Inform your doctor if your child's height or weight is not increasing at a regular rate.
Common Ritalin adverse effects could include:
- Sweating, high blood pressure;
- Mood fluctuations, mood changes, anxiety, feeling anxious or angry, difficulty sleeping;
- High heart rate, rapid heartbeats, or a fluttering chest;
- Loss of appetite, reduction in weight;
- Dry mouth, nausea, vomiting, stomach pain, indigestion; or
- Headache, dizziness.
This is not a comprehensive list of all side effects. Others could happen. Contact your doctor to seek medical advice on the effects. You can report any adverse reactions to the FDA at 1-800-FDA-1088.
Interaction with Other Drugs
Inform your doctor about any other medications you take, particularly:
- Is a blood thinner - warfarin, Coumadin, Jantoven;
- Blood pressure medicine;
- An antidepressant
- Seizure medication.
- Cold or allergy medicines with decongestants.
This list is not comprehensive. Other drugs can be incompatible with methylphenidate, such as medications that are prescribed and available over the counter, vitamins, and herbal products. The list of possible drug interactions is not exhaustive. They are listed here.