RITALIN-SR CII

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RITALIN-SR

ADHD
Sleep-wake disorders
Only 4 drugs may be compared at once

Generic Name and Formulations:

Methylphenidate HCl 20mg; sust-rel tabs; dye free.

Select therapeutic use:

Indications for RITALIN-SR:

Attention deficit hyperactivity disorder.

Adults and Children:

Swallow whole. May use Ritalin-SR tabs in place of Ritalin tabs when the 8-hr dose of Ritalin-SR corresponds to the titrated 8-hr dose of Ritalin. Max 60mg/day.

Contraindications:

Marked anxiety, tension, agitation. Glaucoma. Motor tics. Tourette's syndrome in patient or family. During or within 14 days of MAOIs.

Warnings/Precautions:

History of drug dependence or alcoholism; monitor for abnormal behavior. Increased risk of sudden death, stroke, and MI; assess for presence of cardiac disease before initiating. Avoid in known structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, coronary artery disease, and other cardiac problems. Pre-existing psychotic disorder. Bipolar disorder; screen for risk before initiation. Consider discontinuing if new psychotic/manic symptoms occur. Monitor for new or worsening aggressive behavior or hostility. Seizure disorder. Peripheral vasculopathy, including Raynaud's Phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR, CBCs, differential, platelet counts. Reduce dose or discontinue if paradoxical aggravation of symptoms occur. Reevaluate periodically. Pregnancy (Cat.C). Nursing mothers.

Interactions:

See Contraindications. Avoid alcohol. Caution with pressor agents. May potentiate anticonvulsants (eg, phenobarbital, phenytoin, primidone), coumadin, TCAs, antipsychotics (eg, haloperidol); reduce dose of these and monitor. May antagonize antihypertensives. May be affected by antacids, acid suppressants. Risk of serotonin syndrome with serotonergic drugs.

See Also:

RITALIN LA

RITALIN

Pharmacological Class:

CNS stimulant.

Adverse Reactions:

Insomnia, nervousness, CNS overstimulation, anorexia, weight loss, abdominal pain, nausea, dizziness, headache, rash; priapism, hypertension, tachycardia, visual disturbances.

How Supplied:

Caps, tabs—100

RITALIN-SR 20mg tablets (Qty:30)

appx. price $77.00

Indications for RITALIN-SR:

Narcolepsy.

Adults and Children:

Swallow whole. May use Ritalin-SR tabs in place of Ritalin tabs when the 8-hr dose of Ritalin-SR corresponds to the titrated 8-hr dose of Ritalin. Max 60mg/day.

Contraindications:

Marked anxiety, tension, agitation. Glaucoma. History of tics or Tourette's syndrome in patient or family. During or within 14 days of MAOIs.

Warnings/Precautions:

History of drug dependence or alcoholism; monitor for abnormal behavior. Structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease: not recommended. Hypertension. Heart failure. Recent MI. Arrhythmias. Assess cardiovascular status. Reduce dose or discontinue if paradoxical worsening of symptoms occurs. Reevaluate periodically. Psychosis. Bipolar disorder. Monitor for worsening aggressive behavior or hostility. Seizure disorders; discontinue if occur. Peripheral vasculopathy including Raynaud's Phenomenon; monitor for digital changes. Monitor growth, BP, CBC, differential, platelet counts, vision. Pregnancy (Cat.C). Nursing mothers.

Interactions:

See Contraindications. Avoid alcohol. Caution with pressor agents. May increase levels of anticonvulsants, oral anticoagulants, tricyclics, antipsychotics (eg, haloperidol). Antagonizes other antihypertensives. Drugs that affect GI pH may affect release of methylphenidate from caps.

See Also:

RITALIN

Pharmacological Class:

CNS stimulant.

Adverse Reactions:

Insomnia, nervousness, CNS overstimulation, anorexia, weight loss, abdominal pain, nausea, dizziness, headache, dyskinesias, hypertension, tachycardia, blood dyscrasias, rash; Tourette's syndrome, toxic psychosis, seizures, visual disturbances, priapism.

How Supplied:

Tabs—100

RITALIN-SR 20mg tablets (Qty:30)

appx. price $77.00