What is Ritalin and how is it used?

Ritalin is a prescription medicine used to treat the symptoms of attention deficit hyperactivity disorder (ADHD) and narcolepsy. Ritalin may be used alone or with other medications Order Ritalin 20mg today. Ritalin belongs to a class of drugs called Stimulants, ADHD Agents. It is not known if Ritalin is safe and effective in children younger than 6 years of age. What are the possible side effects of Ritalin? Ritalin may cause serious side effects including: chest pain, trouble breathing, lightheadedness, hallucinations, new behavior problems, aggression, hostility, paranoia, numbness or pain in your fingers or toes, cold feeling in your fingers or toes, unexplained wounds, skin color changes (pale, red or blue appearance) in your fingers or toes, and a penis erection that is painful or lasts 4 hours or longer Get medical help right away, if you have any of the symptoms listed above. The most common side effects of Ritalin include: excessive sweating, mood changes, feeling nervous or irritable, sleep problems (insomnia), fast heart rate, pounding heartbeats or fluttering in your chest, increased blood pressure, loss of appetite, weight loss, dry mouth, nausea, stomach pain, and headache Tell the doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of Ritalin. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. DESCRIPTION Ritalin hydrochloride, methylphenidate hydrochloride USP, is a mild central nervous system (CNS) stimulant, available as tablets of 5, 10, and 20 mg for oral administration; Ritalin-SR is available as sustained-release tablets of 20 mg for oral administration. Methylphenidate hydrochloride is methyl α-phenyl-2-piperidineacetate hydrochloride, and its structural formula is Methylphenidate hydrochloride USP is a white, odorless, fine crystalline powder. Its solutions are acid to litmus. It is freely soluble in water and in methanol, soluble in alcohol, and slightly soluble in chloroform and in acetone. Its molecular weight is 269.77. Ritalin-SR tablets: Cellulose compounds, cetostearyl alcohol, lactose, magnesium stearate, mineral oil, povidone, titanium dioxide, and zein. Indications & Dosage INDICATIONS Ritalin and Ritalin-SR are indicated for the treatment of: Attention Deficit Hyperactivity Disorders (ADHD) in pediatric patients 6 years and older and adults Narcolepsy DOSAGE AND ADMINISTRATION Pretreatment Screening Prior to treating pediatric patients and adults with central nervous system (CNS) stimulants, including Ritalin or Ritalin- SR, assess for the presence of cardiac disease (i.e., perform a careful history including family history of sudden death or ventricular arrhythmia, and physical examination) [see WARNINGS AND PRECAUTIONS]. Assess the risk of abuse prior to prescribing, and monitor for signs of abuse and dependence while on therapy. Maintain careful prescription records, educate patients about abuse, monitor for signs of abuse and overdose, and periodically reevaluate the need for Ritalin or Ritalin-SR use [see BOX WARNING, WARNINGS AND PRECAUTIONS , Drug Abuse And Dependence]. General Dosing Information Ritalin Tablets 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. Adults 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-SR Tablets Ritalin-SR tablets have a duration of action of approximately 8 hours. Therefore, Ritalin-SR tablets may be used in place of Ritalin tablets when the 8-hour dosage of Ritalin-SR corresponds to the titrated 8-hour dosage of Ritalin. Ritalin-SR tablets must be swallowed whole and never crushed or chewed. Pharmacological treatment of ADHD may be needed for extended periods. Periodically re-evaluate the long-term use of Ritalin and Ritalin-SR, and adjust dosage as needed. Order Ritalin 20mg Dose Reduction And Discontinuation If paradoxical worsening of symptoms or other adverse reactions occur, reduce the dosage, or, if necessary, discontinue Ritalin or Ritalin-SR. If improvement is not observed after appropriate dosage adjustment over a one-month period, the drug should be discontinued. HOW SUPPLIED Dosage Forms And Strengths Tablets 5 mg, round, yellow, flat with CIBA monograpm on one side and NDC# 7 on the reverse side 10 mg, round, pale green, biconvex with CIBA monograpm on one side and NDC# 3 and a partial bisection on the reverse side 20 mg, round, pale yellow, biconvex with CIBA monograpm on one side and NDC# 34 and a partial bisection on the reverse side Extended-Release Tablets 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 Storage And Handling Ritalin Tablets 5 mg tablets (NDC 0078-0439-05) round, yellow, (imprinted CIBA 7) supplied in bottles of 100 10 mg tablets (NDC 0078-0440-05) round, pale green, scored, (imprinted CIBA 3) supplied in bottles of 100 20 mg tablets (NDC 0078-0441-05) round, pale yellow, scored, (imprinted CIBA 34) supplied in bottles of 100 Store at 25°C (77°F), excursions permitted 15°C to 30°C (59°F to 86°F). [See USP controlled room temperature] Protect from light. Dispense in tight, light-resistant container (USP). Ritalin-SR Extended-Release Tablets 20 mg SR extended-release tablets (NDC 0078-0442-05), round, white, coated, (imprinted CIBA 16) supplied in bottles of 100 Store at 20°C to 25°C (68°F to 77°F), excursions permitted 15°C to 30°C (59°F to 86°F). [See USP controlled room temperature] Protect from moisture. Dispense in tight, light-resistant container (USP). Disposal Comply with local laws and regulations on drug disposal of CNS stimulants. Dispose of remaining, unused, or expired Ritalin and Ritalin-SR by a medicine takeback program or by an authorized collector registered with the Drug Enforcement Administration. If no take-back program or authorized collector is available, mix Ritalin or Ritalin-SR with an undesirable, nontoxic substance to make it less appealing to children and pets. Place the mixture in a container such as a sealed plastic bag and discard Ritalin or Ritalin-SR in the household trash.

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