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Mental Disorders
Ritalin

Ritalin is a stimulant. The purpose is to help the brain be more selective in the way it filters and responds to various stimuli. Ritalin is used to treat Narcolepsy, Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder.

Important information :
Use caution when driving, operating machinery, or performing other hazardous activities. Methylphenidate may cause dizziness, drowsiness, blurred vision, or impair your ability to concentrate. If you experience dizziness, drowsiness, blurred vision, or impaired concentration, avoid these activities. Do not crush, chew, or break the sustained- or extended-release formulations of methylphenidate (Ritalin SR, Ritalin LA, Metadate ER, Metadate CD, Methylin ER, Concerta). Swallow these whole with water or another beverage. They are specially formulated to release medication slowly in the body. Alternatively, the Ritalin LA and Metadate CD capsules may be opened and the contents sprinkled onto a tablespoon of applesauce (not warm), and the mixture swallowed immediately. Do not save the mixture for later use. The capsule contents should be swallowed whole and not crushed or chewed.


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Ritalin SIDE EFFECTS:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Fast heartbeat; increased blood pressure
Chest pain; fever; joint pain; skin rash or hives; uncontrolled movements of the body
Black, tarry stools; blood in urine or stools; blurred vision or other changes in vision ; convulsions (seizures); muscle cramps; pinpoint red spots on skin; uncontrolled vocal outbursts and/or tics (uncontrolled and repeated body movements); unusual bleeding or bruising

With long-term use or at high doses
Changes in mood; confusion; delusions (false beliefs); depersonalization (feeling that self or surroundings are not real); hallucinations (seeing, hearing, or feeling things that are not there); weight loss

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

Loss of appetite; nervousness; trouble in sleeping
Dizziness; drowsiness; headache; nausea; stomach pain

After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this period of time check with your doctor if you notice any of the following side effects:
Mental depression (severe); unusual behavior; unusual tiredness or weakness
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

HOW TO USE Ritalin:

Proper Use of Ritalin

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much is taken, it may become habit-forming.
Take this medicine with or after a meal or a snack.
To help prevent trouble in sleeping, take the last dose of the short-acting tablets before 6 p.m., unless otherwise directed by your doctor.
If you think this medicine is not working properly after you have taken it for several weeks, do not increase the dose. Instead, check with your doctor.

If you are taking the long-acting form of this medicine:
These tablets or capsules are to be swallowed whole. Do not break, open, crush, or chew before swallowing. If you are taking Concerta brand of methylphenidate extended-release tablets, you may sometimes notice what looks like a tablet in your stool. This is just the empty shell that is left after the medicine has been absorbed into your body.

The dose of methylphenidate will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of methylphenidate. If your dose is different, do not change it unless your doctor tells you to do so.

The number of tablets that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using methylphenidate.

For attention-deficit hyperactivity disorder:
For short-acting oral dosage form (tablets):
Adults and teenagers—5 to 20 milligrams (mg) two or three times a day, taken with or after meals. Children 6 years of age and older—To start, 5 mg two times a day, taken with or after breakfast and lunch. If needed, your doctor may increase the dose once a week by 5 to 10 mg a day until symptoms improve or a maximum dose is reached.
Children up to 6 years of age—The dose must be determined by the doctor.
For long-acting oral dosage form (extended-release tablets):
Adults, teenagers, and children—The dose must be determined by the doctor.
For long-acting oral dosage form (extended-release capsules):
Adults, teenagers, and children over 6 years of age—The recommended starting dose is 20 mg a day, taken in the morning before breakfast. Your doctor may increase the dose once a week as needed up to 60 mg a day.
Children up to 6 years of age—The dose must be determined by the doctor.
For narcolepsy:
For short-acting oral dosage form (tablets):
Adults and teenagers—5 to 20 mg two or three times a day, taken with or after meals. For long-acting oral dosage form (extended-release tablets):
Adults and teenagers—The dose must be determined by the doctor.

OTHER USES OF Ritalin:

Ritalin PRECAUTIONS:

Ritalin DRUG INTERACTIONS:

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking methylphenidate, it is especially important that your health care professional know if you are taking any of the following:

Amantadine (e.g., Symmetrel) or
Amphetamines or
Appetite suppressants (diet pills) or
Bupropion (e.g., Wellbutrin, Zyban) or
Caffeine (e.g., NoDoz) or
Chlophedianol (e.g., Ulone) or
Cocaine or
Medicine for asthma or other breathing problems or
Medicine for colds, sinus problems, hay fever or other allergies (including nose drops or sprays) or
Nabilone (e.g., Cesamet) or
Pemoline (e.g., Cylert)—Using these medicines with methylphenidate may cause severe nervousness, irritability, trouble in sleeping, or possibly irregular heartbeat or seizures Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—Taking methylphenidate while you are taking or less than 2 weeks after taking an MAO inhibitor may cause sudden extremely high blood pressure and severe convulsions; at least 14 days should be allowed between stopping treatment with an MAO inhibitor and starting treatment with methylphenidate
Pimozide (e.g., Orap)—Pimozide is not used to treat tics that are caused by medicines. Before tics are treated with pimozide, the doctor should find out if the tics are caused by methylphenidate

Other medical problems—The presence of other medical problems may affect the use of methylphenidate. Make sure you tell your doctor if you have any other medical problems, especially:

Alcohol abuse (or history of) or
Drug abuse or dependence (or history of)—Dependence on methylphenidate may be more likely to develop
Epilepsy or other seizure disorders—The risk of having convulsions (seizures) may be increased
Gilles de la Tourette's disorder (or family history of) or
Glaucoma or
High blood pressure or
Psychosis or
Severe anxiety, agitation, tension, or depression or
Tics (other than Tourette's disorder)—Methylphenidate may make the condition worse

Ritalin PREGNANCY AND BREAST FEEDING:

Ritalin AND CHILDREN:

Ritalin OVERDOSE:

Symptoms of overdose

Agitation; confusion (severe); convulsions (seizures); dryness of mouth or mucous membranes; false sense of well-being; fast, pounding, or irregular heartbeat; fever; hallucinations (seeing, hearing, or feeling things that are not there); headache (severe); increased blood pressure; increased sweating; large pupils; muscle twitching; overactive reflexes; trembling or shaking; vomiting

Ritalin MISSED DOSE:

If you miss a dose of this medicine, take it as soon as possible. Then take any remaining doses for that day at regularly spaced intervals. Do not double doses.

Ritalin PRICE:


This document is provided for information only. It is not a substitute for consultation with a physician, either to diagnose symptoms or prescribe treatment. Any dosages mentioned are general guidelines only, please follow the directions of your doctor or pharmacist exactly when taking medication. We have made every effort to ensure that this information is accurate, but only your doctor can say if a medication, or drug combination, is safe for you.

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