Ritalin (methylphenidate) is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.
You can also use Ritalin for other purposes not listed in this medication guide.
For the treatment of ADHD, you can use Ritalin, narcolepsy, and belongs to the drug class CNS stimulants.
Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.
You may not be able to use Ritalin if you are allergic to methylphenidate, or if you have:
- a personal or family history of tics (muscle twitches) or Tourette’s syndrome; or
- a family history of heart disease or sudden death.
Please do not give Ritalin for Children below 6.
How should I take Ritalin?
Take Ritalin exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take Ritalin in larger or smaller amounts or for longer than recommended.
To make swallowing more comfortable, you may open the Ritalin LA capsule and sprinkle the medicine into a spoonful of pudding or applesauce. Swallow right away without chewing. Do not save the mixture for later use.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is later than 6:00 p.m. Do not take extra medicine to make up the missed dose.
Daily dosage above 60 mg is not recommended.
Patients who are unable to sleep if medication is taken late in the day should take the last dose before 6 p.m.
What should I avoid while taking Ritalin?
Methylphenidate may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Pediatric Patients 6 Years and Older: Start with 5 mg orally twice daily (before breakfast and lunch). The average dosage is 20 to 30 mg daily.
Ritalin side effects
- symptoms of heart problems – chest pain, trouble breathing, feeling like you might pass out;
- signs of circulation problems – numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;
- a seizure (convulsions);
- muscle twitches (tics);
- changes in your vision; or
- fast heart rate, pounding heartbeats or fluttering in your chest, increased blood pressure;
- loss of appetite, weight loss;
- dry mouth, nausea, stomach pain; or
- Penis erection that is painful or lasts 4 hours or longer (rare).CIBA is not a complete list of side effects, and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others and use Ritalin only for the indication prescribed.
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. The maximum total daily dosage is 60 mg.
5 mg, round, yellow, flat with CIBA monogram on one side and NDC# 7 on the reverse side.
Ritalin Side Effects
Some side effects of methylphenidate may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
No fetal or neonatal adverse reactions have been reported—the use of therapeutic doses of this drug during pregnancy. However, premature delivery and low birth weight infants have been reported AT amphetamine-dependent mothers.
There is a US pregnancy registry that monitors pregnancy outcomes in women exposed to psychostimulants during pregnancy. Healthcare providers are encouraged to register patients with the National Pregnancy Registry for Psychostimulants.
In rats, an increased incidence of fetal skeletal variations was seen at 7 to 11 times the MRHD. This dose was also maternally toxic.
CNS stimulants such as this drug are known to cause vasoconstriction, which would decrease placental perfusion.
This drug reduces serum prolactin, but the prolactin level in a mother with established lactation may not affect her ability to breast-feed. No information is available on the effect of this drug on milk production.