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Ritalin Generic Name & Formulations
Legal Class
CII
General Description
Methylphenidate HCl 5mg, 10mg+, 20mg+; tabs; +scored.
Pharmacological Class
CNS stimulant.
See Also
How Supplied
Caps, tabs—100
Manufacturer
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
Legal Class
CII
General Description
Methylphenidate HCl 5mg, 10mg+, 20mg+; tabs; +scored.
Pharmacological Class
CNS stimulant.
See Also
How Supplied
Tabs—100
Manufacturer
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
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