What is RITALIN (Methylphenidate)?
RITALIN (Methylphenidate) belongs to the family of medications called stimulants. It is used to treat Attention Deficit Hyperactivity Disorder (ADHD) and Narcolepsy (an uncontrollable need to sleep). It helps to increase attention and reduce agitation for children and adults with ADHD.
Other measures (eg psychological, educational and social treatments) are used in conjunction with methylphenidate and are an integral part of the ADHD treatment program. It also helps to stimulate people with narcolepsy so they do not fall asleep inappropriately.
This medicine is available under various brand names or in different presentations. A specific brand of this medication may not be available in all forms or approved for all conditions mentioned here. In addition, some forms of this medicine may not be used against all conditions mentioned in this article.
Your doctor may have suggested this medicine for a condition not listed in this drug information article. If you have not discussed this with your doctor, or if you are not sure why you are taking this medicine, check it out. Do not stop taking this medicine without first consulting your doctor.
Do not give this medicine to anyone, even someone who has the same symptoms as yours. This medication may be harmful to people for whom it has not been prescribed.
How should RITALIN (Methylphenidate) be used?
The dose of methylphenidate is determined according to the needs of the person concerned. The treatment is usually initiated by the lowest possible dose, and this is gradually increased until the most effective dose for the person.
The usual starting dose of this medicine is 5 mg or 10 mg, taken 2 or 3 times a day. Daily doses above 60 mg are not recommended. If symptoms worsen or side effects occur, contact your doctor for instructions. Often, children do not need to continue taking the drug after puberty.
Take methylphenidate with a meal or snack, or soon after.
If you are taking prolonged-release (SR) tablets, swallow the drug without chewing or chewing. You must not overwrite or split it.
There are several factors that can be considered in determining the dose a person needs: weight, health, and other medications. If your doctor has recommended a dose other than those listed here, do not change the way you take the medicine without first consulting it.
It is important to use this medicine as directed by your doctor. If you miss a dose, take the medicine as soon as you notice the omission and resume the treatment as soon as possible. Avoid taking this medicine later in the day because it can make sleep difficult. If it is almost time for your next dose, do not worry about the missed dose and go back to the usual dosing schedule. Do not use a double dose to compensate for a missed dose. If you are unsure of what to do after you miss a dose, ask your doctor or pharmacist for advice.
Store this medication at room temperature, away from light and moisture, and out of the reach of children.
Do not dispose of medicines in waste water (eg, in the sink or in the toilet bowl) or with household waste. Ask your pharmacist how to get rid of unused or expired medications.
In what forms does RITALIN (Methylphenidate) occur?
10mg, 20mg, 30mg, 40mg
In which cases is this medicine not recommended?
Methylphenidate should not be used in the following circumstances:
is allergic to methylphenidate or any of the ingredients of the drug methylphenidate or any ingredients of the medication;
hardening of the advanced artery wall;
a state of anxiety, tension or agitation;
glaucoma (a rise in pressure in the eye)
hyper functioning of the thyroid gland;
pheochromocytoma (a condition that causes excessive production of the hormones epinephrine and norepinephrine).
the presence of motor tics, Gilles de La Tourette’s syndrome or a family history of Gilles de La Tourette’s syndrome;
moderately to severely high blood pressure
taking a monoamine oxidase or MAO inhibitor (eg, phenelzine, tranylcypromine) within the previous 14 days.
What are the possible side effects of RITALIN (Methylphenidate)e?
Many medications can cause side effects. A side effect is an undesirable response to a drug when taken at normal doses. It can be mild or severe, temporary or permanent.
The side effects listed below are not felt by everyone who takes this medicine. If you are worried about side effects, discuss the risks and benefits of this medicine with your doctor.
At least 1% of people taking this medicine have reported the following side effects. A lot of these side effects can be taken care of and a few can go away on their own with time.
Consult your doctor if you experience these side effects and if they are serious or bothersome. Your pharmacist may be able to give you advice on what to do if these side effects occur:
agitation, nervousness or anxiety
skin rash or itching (mild)
a state of nervousness;
loss of appetite
dryness of the mouth
Most of the side effects listed below do not occur very often, but they could cause serious problems if you do not receive medical care.
Check with your doctor as soon as possible if any of the following side effects occur:
visual field abnormalities;
an itchy rash, hives;
short and jerky muscular movements or tics;
uncontrolled movements (jerks, short and jerky movements);
palpitations (feeling that your heart is beating fast or irregularly)
abnormal thoughts or behaviors
high blood pressure
skin spotted with tiny red dots;
signs of anemia (low red blood cell count, eg, dizziness, paleness, unusual tiredness or weakness, shortness of breath)
signs of infection (symptoms that may include fever or chills, severe diarrhea, shortness of breath, prolonged dizziness, headache, stiff neck, weight loss or dejection)
symptoms of depression (eg, lack of interest in your usual activities, sadness, suicidal thoughts)
symptoms of liver damage (eg, yellowing of the whites of the eyes or skin, abdominal pain, loss of appetite, pale stools, dark urine)
tics or symptoms of Gilles de La Tourette’s syndrome (sudden and involuntary movements of the body or sudden and uncontrolled verbalization).
Stop taking the medication and seek immediate medical attention if there is an answer such as:
seizures (epileptic seizures)
hallucinations (eg the illusion of hearing, seeing or feeling something that does not really exist);
signs of a severe allergic reaction (difficulty breathing, hives, swelling of the face, swelling of the lips, eyes, mouth or throat)
signs attributable to neuroleptic malignant syndrome (eg, confusion, reduced alertness, high fever, or muscle stiffness)
signs of a severe skin reaction (such as blistering, peeling, rash over a large area of the body, a rash that spreads rapidly, or rash with fever or discomfort).