Ritalin

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What is Ritalin ?

Ritalin LA is indicated as an integral Component of a total treatment method program for ADHD that could involve other measures (psychological, academic, social) for sufferers with this particular syndrome. Drug treatment is probably not indicated for all youngsters using this type of syndrome. Stimulants are usually not meant to be used in the child who reveals symptoms secondary to environmental variables and/or other primary psychiatric disorders, like psychosis.

Methylphenidate belongs to a class of prescription drugs often called stimulants. It may help enhance your capability to pay attention, continue to be focused on an activity, and Handle conduct issues. It may assist you to to organize your jobs and increase listening abilities.

Ritalin, Ritalin SR and Ritalin LA contain the active ingredient methylphenidate, a central nervous system stimulant.

The active substance is released more slowly from Ritalin SR (sustained release) retard tablets than from Ritalin tablets. As a consequence, the effect of Ritalin SR is prolonged.

From a Ritalin LA (Long Acting) tablet taken in the morning, the active ingredient is released in the same way as from Ritalin tablets taken one in the morning and one at noon. Therefore Ritalin LA is only intended for one intake per day.

Ritalin / -SR / -LA should only be used on the prescription of a physician experienced in the treatment of behavioral disorders in children and adolescents and patients should undergo regular medical supervision. Ritalin / -SR / -LA is used to treat two different disease states.

When Ritalin is used?

1. Behavioral disorders in children and adolescents

Ritalin / -SR / -LA is indicated for the treatment of attention deficit hyperactivity syndrome (ADHD) in children from 6 years and adolescents up to 18 years as part of a therapeutic program that also includes psychological, pedagogical and social measures. .

Symptoms of ADHD include, for example: rapid loss of attention, inattention errors, inability to listen, inability to finish tasks, inability to follow instructions, easily distracted or disturbed, impulsivity, restlessness, restlessness, excessive need to talk, urge to run at inappropriate times, a tendency to disturb or interrupt others, and difficulty concentrating on a task or topic. Learning is impaired. Overall, the symptoms can cause difficulties in the social environment, at school and at work. People with ADHD may not have all of these symptoms. These symptoms can also occur occasionally in people who do not have ADHD; however, in people with ADHD, their onset is of such a nature as to impair daily activities and occurs in more than one setting (eg at home, school, work). ADHD can last into adulthood.

After a thorough examination, your doctor decided on Ritalin / -SR / -LA therapy for your child.

Ritalin / -SR / -LA can only be used on the prescription of a doctor who has experience with the treatment of behavioral disorders in children and adolescents and subject to periodic review by that doctor.

Treatment with Ritalin / -SR / -LA can alleviate the main symptoms of ADHD such as moderate to severe distraction, rapid loss of attention, impulsivity, heightened motor activity and erratic social behavior.

Ritalin / -SR is also used to treat narcolepsy, a sleep disorder. Patients with narcolepsy suffer repeated bouts of irresistible sleepiness during the day despite sufficient sleep. Narcolepsy must be diagnosed by a doctor after recording the sleep/wake rhythm.

In patients suffering from narcolepsy Ritalin / -SR can eliminate excessive sleepiness throughout the day.

When cannot Ritalin / -SR / -LA be taken / used?

Patients cannot take Ritalin / -SR / -LA if:

• suffer from acute states of anxiety, tension and agitation, because taking the drug can worsen these states;
• suffer from severe depression with depressive symptoms such as sadness, inferiority complexes and despair; if they have abnormal thoughts or visions, hear abnormal sounds or have been diagnosed with psychosis; or if in the past they have been prone to suicide;
• abuse alcohol or medications or take drugs or are addicted to them, or if they have in the past abused alcohol or medications or took drugs or were addicted to them;
• they have been diagnosed with Tourette's syndrome (tic) or have been diagnosed with a member of their family;
• have glaucoma (increased intraocular pressure);
• suffer from pheochromocytoma (rare adrenal tumor);
• suffer from thyroid disease (hyperthyroidism);
• suffer from arrhythmia;
• suffer from heart disease (severe hypertension, heart failure, angina pectoris, congenital heart disease, cardiomyopathy, heart attack or diseases that can lead to life-threatening arrhythmias);
• suffer from arterial circulation disorders;
• suffer from changes in the blood vessels in the head or have had a stroke;
• are currently taking so-called monoamine oxidase inhibitors (MAOs, eg antidepressants containing the active ingredient moclobemide) or have taken them within 14 days prior to treatment with Ritalin / -SR / -LA;
• are allergic to Ritalin / -SR / -LA or to a component of the product.

When is caution required in the use of Ritalin?

          Tell your doctor if you or your child:

• exhibits new aggressive behavior or worsening of aggressive behavior;

• have motor tics (repeated and difficult-to-control muscle spasms of any part of the body) or verbal tics (repeated and difficult-to-control sound or speech);

• have abnormal thoughts or visions, hear abnormal sounds, or if your child has been diagnosed with psychosis;

• have seizures (epilepsy) or abnormal EEG results (electroencephalogram, brain scan);

• have frequent or unusually long lasting painful erections (more than 2 hours), possibly even after a break or discontinuation of Ritalin treatment. Urgent medical intervention is required;

• have high blood pressure. Blood pressure should be checked, especially in patients with hypertension;

• have a narrowing or blockage of the digestive canal (esophagus, stomach, small and large intestine);

• have difficulty swallowing tablets;

• have blurred vision or other visual disturbances;

• suffer from galactose intolerance, lactase deficiency or glucose-galactose malabsorption (rare metabolic diseases);

• have or have had heart disease or other serious heart problems.

​How to use Ritalin?

It is up to your doctor to determine the dosage and time of taking Ritalin / -SR / -LA, adapting them to the individual needs of the patient. Usually 2 to 3 single doses of Ritalin / -SR or one dose of Ritalin LA per day are prescribed. The total daily dose should not exceed 60 mg (6 Ritalin tablets or 3 Ritalin SR retard tablets or 2 Ritalin LA 30 mg capsules).

Ritalin SR retard tablets should be taken whole; they must not be crushed or chewed. It is taken after a meal and, unless otherwise prescribed, preferably after a hearty breakfast.

Ritalin LA (capsules taken once per day) can be taken with or without food, swallowed as whole capsules or the contents of a capsule dispersed on a food (see below). Ritalin LA capsule and its contents must not be chewed, crushed or divided.

Ritalin LA (capsule for one-time intake per day), administration by spreading the contents of the capsule on a food: the capsule can be opened carefully and the pellets scattered on a little soft food, for example cold apple compote. The chosen food must not be hot. This prepared mixture must be taken immediately and in full, but without chewing the balls. The mixture should not be left to rest or taken only in part.

To take into account individual needs, your doctor may prescribe both Ritalin and Ritalin SR.

If a dose is forgotten by mistake, it should be made up as soon as possible. Then take the rest of the doses (Ritalin or Ritalin SR) at the usual time. Do not double the dose. In case of Ritalin LA (for once daily intake), the missed dose must not be made up. If you have any questions, please ask your doctor. If you take more tablets or capsules by mistake than prescribed by your doctor, go to your doctor or the nearest hospital without delay.

Do not stop taking Ritalin without first discussing it with your doctor. It may be necessary to gradually reduce the daily dose before completely stopping the intake. After discontinuation of therapy, medical monitoring is required.

Do not change the prescribed dosage on your own initiative. If you think that the action of the medicine is too weak or too strong, talk to your doctor or pharmacist.

Side Effects of Ritalin

The most common side effects of medications that contain methylphenidate, such as Ritalin / -SR / -LA , are:

headache, nervousness, insomnia, joint pain, dry mouth, high body temperature (fever), abnormal hair loss or thinning, unusual sleepiness or lightheadedness, loss or decreased appetite, itching, rash or itchy rash with redness (hives), cough, sore throat, irritation of the nose and pharynx, high blood pressure, faster heart rate (tachycardia), dizziness, uncontrollable movements, hyperactivity, aggression, agitation, anxiety, depressed mood, short temper and abnormal behavior , stomach pains, diarrhea, nausea, stomach indisposition and vomiting.

Your doctor should have already informed you of any other significant or serious side effects that may arise from taking medicines that contain methylphenidate; these are the following effects:

• pathological (morbidly repeated) behaviors, tactile hallucinations;

• movement disorders, tics or worsening of existing tics (Tourette's syndrome), nerve damage, migraines, loss of certain muscle and nerve functions, states accompanied by high fever and muscle stiffness leading to fainting ('neuroleptic malignant syndrome'). If they occur, see a doctor straight away or go to a hospital straight away;

• blurred vision;

• sudden cardiac death, problems with the blood vessels of the brain (stroke, inflammation or blockage of blood vessels in the brain);

• liver function disorders;

• special skin inflammations or changes (exfoliative dermatitis, Stevens-Johnson syndrome), allergic skin rashes;

• blood in urine;

• enlargement of the mammary gland in men;

• painful and long-lasting penis erection (more than 2 hours), even after the end of the treatment.​

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