Ritalin

— THERAPEUTIC DISORDERS TREATED —
  • ADHD
  • Sleep-wake disorders

Ritalin Generic Name & Formulations

General Description

Methylphenidate HCl 5mg, 10mg+, 20mg+; tabs; +scored.

Pharmacological Class

CNS stimulant.

See Also

How Supplied

Caps, tabs—100

Generic Availability

YES

Ritalin Indications

Indications

Attention deficit hyperactivity disorder.

Ritalin Dosage and Administration

Adult

Give in 2–3 divided doses preferably 30–45mins before meals. Usual dose: 20–30mg/day. Max 60mg/day.

Children

<6yrs: not established. ≥6yrs: initially 5mg twice daily before breakfast and lunch. May increase by 5–10mg weekly; max 60mg/day.

Ritalin Contraindications

Contraindications

During or within 14 days of MAOIs.

Ritalin Boxed Warnings

Boxed Warning

Abuse and dependence.

Ritalin Warnings/Precautions

Warnings/Precautions

High potential for abuse and dependence: monitor. 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 factors of developing a manic episode prior to initiation. Consider discontinuing if new psychotic/manic symptoms occur. Peripheral vasculopathy, including Raynaud's Phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR. Reduce dose or discontinue if paradoxical aggravation of symptoms occur. Reevaluate periodically. Pregnancy. Nursing mothers: monitor infants.

Ritalin Pharmacokinetics

See Literature

Ritalin Interactions

Interactions

See Contraindications. Hypertensive crisis with MAOIs. Avoid concomitant use with halogenated anesthetics (eg, halothane, isoflurane), alcohol. May antagonize antihypertensive drugs (eg, K+-sparing or thiazide diuretics, CCBs, ACE inhibitors, ARBs, beta blockers, centrally acting alpha-2 receptor agonists); monitor and adjust dose of antihypertensives as needed. Concomitant risperidone may increase risk of extrapyramidal symptoms; monitor.

Ritalin Adverse Reactions

Adverse Reactions

Headache, insomnia, abdominal pain, decreased appetite, anorexia, tachycardia, palpitations, anxiety, hyperhidrosis, weight loss, dry mouth, nausea; priapism, hypertension.

Ritalin Clinical Trials

See Literature

Ritalin Note

Not Applicable

Ritalin Patient Counseling

See Literature

Ritalin Generic Name & Formulations

General Description

Methylphenidate HCl 5mg, 10mg+, 20mg+; tabs; +scored.

Pharmacological Class

CNS stimulant.

See Also

    How Supplied

    Tabs—100

    Generic Availability

    YES

    Ritalin Indications

    Indications

    Narcolepsy.

    Ritalin Dosage and Administration

    Adult

    Give in 2–3 divided doses preferably 30–45mins before meals. Usual dose: 20–30mg/day. Max 60mg/day.

    Children

    <6yrs: not established. ≥6yrs: initially 5mg twice daily before breakfast and lunch. May increase by 5–10mg weekly; max 60mg/day.

    Ritalin Contraindications

    Contraindications

    During or within 14 days of MAOIs.

    Ritalin Boxed Warnings

    Boxed Warning

    Abuse and dependence.

    Ritalin Warnings/Precautions

    Warnings/Precautions

    High potential for abuse and dependence: monitor. 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 factors of developing a manic episode prior to initiation. Consider discontinuing if new psychotic/manic symptoms occur. Peripheral vasculopathy, including Raynaud's Phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR. Reduce dose or discontinue if paradoxical aggravation of symptoms occur. Reevaluate periodically. Pregnancy. Nursing mothers: monitor infants.

    Ritalin Pharmacokinetics

    See Literature

    Ritalin Interactions

    Interactions

    See Contraindications. Hypertensive crisis with MAOIs. Avoid concomitant use with halogenated anesthetics (eg, halothane, isoflurane), alcohol. May antagonize antihypertensive drugs (eg, K+-sparing or thiazide diuretics, CCBs, ACE inhibitors, ARBs, beta blockers, centrally acting alpha-2 receptor agonists); monitor and adjust dose of antihypertensives as needed. Concomitant risperidone may increase risk of extrapyramidal symptoms; monitor.

    Ritalin Adverse Reactions

    Adverse Reactions

    Headache, insomnia, abdominal pain, decreased appetite, anorexia, tachycardia, palpitations, anxiety, hyperhidrosis, weight loss, dry mouth, nausea; priapism, hypertension.

    Ritalin Clinical Trials

    See Literature

    Ritalin Note

    Not Applicable

    Ritalin Patient Counseling

    See Literature

    Images