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DOSAGE FORMS AND STRENGTHS
5 mg, round, yellow, flat with CIBA monograpm on one side
10 mg, round, pale green, biconvex with CIBA monograpm on one side
20 mg, round, pale yellow, biconvex with CIBA monograpm on one side side
DOSAGE AND ADMINISTRATION
ORAL TABLETS, ORAL SOLUTION, CHEWABLE TABLETS:
Average dose: 20 to 30 mg orally in 2 or 3 divided doses, preferably 30 to 45 minutes before meals
Maximum dose: 60 mg/day
20 mg extended-release tablets, white to off-white, round, bicinvex, film coated with the ‘CIBA’ monograpm and ‘16’ on one side printed in black ink. Ritalin recommended dose is 10-60 mg daily given in 2 or 3 divided doses.
Pediatric Patients 6 years and Older
Start with 5 mg orally twice daily (before breakfast and lunch). Increase dosage gradually, in increments of 5 to 10 mg weekly. Daily dosage above 60 mg is not recommended.
Average dosage is 20 to 30 mg daily. Administer orally in divided doses 2 or 3 times daily, preferably 30 to 45 minutes before meals. Maximum total daily dosage is 60 mg. Patients who are unable to sleep if medication is taken late in the day should take the last dose before 6 p.m.
Ritalin LA (methylphenidate hydrochloride) extended-release capsules is for oral administration once daily in the morning. Ritalin LA may be swallowed as whole capsules or alternatively may be administered by sprinkling the capsule contents on a small amount of applesauce. Ritalin LA and/or their contents should not be crushed, chewed, or divided. We sell FDA approved medications and also offer fast delivery services. in that way, if you Buy Ritalin from Westmed Supplies Online Pharmacy, you can be sure of receiving your medications within the shortest time possible.
The capsules may be carefully opened and the beads sprinkled over a spoonful of applesauce. The applesauce should not be warm because it could affect the modified release properties of this formulation. The mixture of drug and applesauce should be consumed immediately in its entirety. The drug and applesauce mixture should not be stored for future use. Patients should be advised to avoid alcohol while taking Ritalin LA. Place you order and Buy Ritalin NOW. Buy Pain Pills Online
Dosage should be individualized according to the needs and responses of the patients.
The recommended starting dose of Ritalin LA is 20 mg once daily. Dosage may be adjusted in weekly 10 mg increments to a maximum of 60 mg/day taken once daily in the morning, depending on tolerability and degree of efficacy observed. Daily dosage above 60 mg is not recommended. When in the judgement of the clinician a lower initial dose is appropriate, patients may begin treatment with
Ritalin LA 10 mg.
Ritalin LA dosage may be adjusted at weekly intervals in 10 mg increments.
Daily dosage above 60 mg is not recommended.
Ritalin is available in several formulations:
Short-Acting Tablet: Taken two to three times daily, 30 to 45 minutes before a meal. Available in 5 mg, 10 mg, and 20 mg dosages. Each tablet lasts for approximately three to four hours. Tablets should be swallowed whole with water or other liquids. Tablets should never by crushed or chewed. Dosage should not exceed 60 mg daily.
Sustained-Release Tablet (Ritalin SR): Taken 30 to 45 minutes before a meal. Each tablet lasts for approximately eight hours. Available in 20 mg dosage. Tablets should be swallowed whole with water or other liquids. Tablets should never by crushed or chewed.
Extended-Release Capsule (Ritalin LA): Taken orally, with or without food, once daily. The first dose is typically taken first thing in the morning; it should be taken at the same time each day for the best results. If your child is unable to swallow the capsule, it can be opened and sprinkled over a spoonful of applesauce. Taken this way, the mixture should be swallowed whole without chewing, followed by a drink of water or other liquid. Capsules should never by crushed or chewed. Capsules are available in 10 mg, 20 mg, 30 mg, 40 mg, and 60 mg dosages. The time-release formulation is designed to maintain a steady level of medication in your body throughout the day, or for approximately eight to ten hours. Dosage should not exceed 60 mg daily.
Do not drink alcohol while taking this medication, as it can cause the medicine to be released too quickly.
Ritalin Side Effects
Common side effects of methylphenidate include: insomnia, decreased appetite, headache, nausea, vomiting, and xerostomia. Other side effects include: anxiety, tic disorder, hyperhidrosis, stomach pain, palpitations, weight loss, loss of appetite, agitation, dry mouth. and irritability.
Major side effects should be reported to your doctor immediately, and can include fast heartbeat, joint pain, rash, fever, black stool, blood in urine, blurred vision, muscle cramps, vocal outbursts, unusual bruising, or flaking of the skin. Consult your doctor for more on the side effects of Ritalin.
Headache, stomach pain, loss of appetite, trouble sleeping (insomnia), dizziness, nausea, vomiting, weight loss, lightheadedness, irritability, nervousness, blurred vision or other vision problems, dry mouth, constipation, sweating, skin rash, numbness/tingling/cold feeling in your hands or feet, blue fingers/toes, elevated blood pressure, or (rarely) drowsiness.
Methylphenidate is contraindicated in patients with known hypersensitivity to methylphenidate or other components of Ritalin or Ritalin-SR. Hypersensitivity reactions, such as angioedema and anaphylactic reactions, have been reported in patients treated with methylphenidate.
Methylphenidate is contraindicated in patients with severe hypertension, angina pectoris, cardiac arrhythmias, heart failure, recent myocardial infarction, hyperthyroidism or thyrotoxicosis.
Some methylphenidate products, including immediate-release chewable tablets, transdermal patch, immediate-release oral solution, and some extended-release capsules and tablets are contraindicated in patients with glaucoma, due to the ability of the drug to increase sympathetic stimulation and to raise intraocular pressure.
Contraindications to Ritalin include:
Ritalin LA (methylphenidate hydrochloride) extended-release capsules is contraindicated in marked anxiety, tension, and agitation, since the drug may aggravate these symptoms.
-Hypersensitivity to Methylphenidate
Ritalin LA is contraindicated in patients known to be hypersensitive to methylphenidate or other components of the product.
Ritalin LA is contraindicated in patients with glaucoma.
You should not take Ritalin if you have any of the following conditions: allergy or
hypersensitivity to Ritalin or any of the ingredients in Ritalin medications,
anxiety/agitation, glaucoma, tics or history of Tourette’s syndrome, or if you are
taking monoamine oxidase inhibitors (MAOIs).
WARNINGS AND PRECAUTIONS
Ritalin may cause dizziness, drowsiness, or changes in vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
Ritalin may cause slow growth and weight loss. If your child is using this medicine, the doctor will need to keep track of his height and weight to make sure that he is growing properly.
Use of stimulants may cause psychotic or manic symptoms in patients with no prior history or exacerbation of symptoms in patients with preexisting psychiatric illness. Serious Cardiovascular Events, Blood Pressure and Heart Rate Increases have been reported with Ritalin use. Cases of painful and prolonged penile erections, and priapism have been reported with methylphenidate products.
Serious Cardiovascular Events
Sudden Death and Pre-Existing Structural Cardiac Abnormalities or Other Serious Heart Problems
Children and Adolescents
Sudden death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems.
Sudden death, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Wikipedia
Hypertension and Other Cardiovascular Conditions
Stimulant medications cause a modest increase in average blood pressure (about 2-4 mmHg) and average heart rate (about 3-6 bpm), and individuals may have larger increases.