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Other measures (e.g., psychological, educational, and social therapies) are used along with methylphenidate as part of an overall treatment program for ADHD. This medication also helps to stimulate people with narcolepsy so that they do not fall asleep at inappropriate times. SO You should feel very comfortable if you want to Buy Ritalin Online from us because we are the safest and most reliable online store.
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Dosage and Administration
Dose of methylphenidate needs to be individualized according to the needs of the person taking the medication. The dose is usually started low and increased gradually to the dose that works best for the person.
Dose: 10 mg orally 2 or 3 times daily, preferably 30 to 45 minutes before breakfast and lunch, and a third dose between 2 and 4 PM, if necessary. For patients who have trouble sleeping at night while receiving methylphenidate, the last dose should be taken before 6 PM.
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Maintenance dose: Doses may be increased weekly in increments of 5 to 10 mg up to a maximum of 60 mg per day. In some patients, 10 to 15 mg daily may suffice. For patients who have trouble sleeping at night while receiving methylphenidate, the last dose should be taken before 6 PM.
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- Excessive emotional distress or excitement
- Troubled sleep or restlessness
- feeling anxious, agitated
- Nausea (feeling sick), vomiting or stomach pain
- Sore throat and runny nose
- Loss of appetite upset stomach, indigestion
- Excessive sweating
- Loss of weight and slower growth in children
- Feeling nervous or unable to sleep
- Dry mouth
- Mood changes such as depression or irritability
- Blurred vision or problems focusing your eyes
- Muscle cramps
- Hair loss
- Abnormal heart rhythm
- Joint pain
- Methylphenidate hydrochloride is contraindicated in the following conditions:
- Known or suspected hypersensitivity to the drug or to any of its excipients. For a complete listing, see the COMPOSITION section of the Product Monograph.
- Anxiety, tension.
- Advanced arteriosclerosis.
- Pre-existing cardiovascular disorders including moderate to severe hypertension, angina,arterial occlusive disease; heart failure, hemodynamically significant congenital heartdisease, cardiomyopathies, myocardial infarction, potentially life-threatening arrhythmiasand channelopathies (disorders caused by the dysfunction of ion channels).
- Patients with motor tics and/or family history or diagnosis of Tourette’s syndrome.
- During treatment with monoamine oxidase (MAO) inhibitors, and/or within a minimum of 14 days following discontinuation of those drugs, due to risk of hypertensive crises.
Ritalin LA is contraindicated in patients with motor tics or with a family history or diagnosis of Tourette’s syndrome.
Monoamine Oxidase Inhibitors
Ritalin LA is contraindicated during treatment with monoamine oxidase inhibitors, and also within aminimum of 14 days following discontinuation of treatment with a monoamine oxidase inhibitor (hypertensive crises may result).
Serious Cardiovascular Events:
Sudden Death and Pre-Existing Structural Cardiac Abnormalities or Other Serious Heart ProblemsSudden death, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Although the role of stimulants in these adult cases is also unknown, adults have a greater likelihood than children of having serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems. Adults with such abnormalities should also generally not be treated with stimulant drugs. Hypertension and Other Cardiovascular Conditions
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. Although some serious heart problems alone carry an increased risk of sudden death, stimulant products generally should not be used in children or adolescents with known serious structural cardiac abnormalities,cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug. Adults 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. While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure. Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e.g., those with pre-existing hypertension, heart failure, recent myocardial infarction, or ventricular arrhythmia.
Assessing Cardiovascular Status in Patients being treated with Stimulant Medications
Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history (including assessment for a family history of sudden death or ventricular arrhythmia) and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease (e.g., electrocardiogram and echocardiogram).
Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation. WIKI