Doctor insights on:
Just a Brand name: Methylin & Ritalin are brand names for methylphenidate. Each company picks names apt to appeal to patients and doctors and easy to remember. Different brands may have different release patterns, but it is the same medicattion. Other brand names for mph are concerta, metadate, & focalin (dexmethylphenidate). There's also Daytrana patch. Newest is quillivant xr, a liquid long-acting form of mph. ...Read more
May Not Need To: The dosing of a medicine like ritalin, (methylphenidate) and its various, forms, often requires adjtustments and monitoring of response. If you see no benefit at a certain dose, you may receive more benefit from a dosage increase, but you would need to work closely with your physician and not adjust the dose on your own. ...Read more
What are the effects of ritalin (methylphenidate) on a 6 year old with add and when does the medication start working?
Immediately: Stimulants act by stimulating the cortex in the brain, in add this is like stimulating the brakes in a system. They usually start working short after start. They block the appetite, increase pulse rate and blood pressure and may disrupt sleep, I am not aware of studies that followed people up to adulthood, so we don't how they affect the brain as it develops from childhood to adulthood. ...Read more
I took concerta 18 mg XL then 36 mg XL but none worked. Should I change the medication (in kuwait we only have concerta XL and XR and ritalin (methylphenidate)).
Concerta: You need to discuss this with your medical provider but you may not be on a high enough dose yet. Some people may respond at 36mg but many will not. ...Read more
I have generic 5 mg ritalin (methylphenidate) that expired 3 years ago. I haven't had to take this medication for a long time. However, I am back in school short term. Is this safe to take for studying?
Medicine expired: This medicine is probably not useful to you. It would not help you to study, and since it is expired, it will probably have no benefit to you as a medicine. It is best to discard this expired medicine. ...Read more
Are there other medications for ADD? Currently taking Ritalin (methylphenidate) SR 20mg x3. Doesn't seem to work as well as it used to
ADD medication: Yes, there are many choices. I would suggest you follow up with the person who prescribed your current medication and update them that this medication is not helping you. ...Read more
I have add is there any medication other than ritalin (methylphenidate) and aderol to help with add?
When would doctors combine ritalin with strattera (atomoxetine)? If every medication alone didn't show benefits?
If optimal effect is: Not achieved or side effects preclude titrating doses of methylphenidate (ritalin, concerta, focalin) or amphetamine (adderall, vyvanse) to optimal effect, adding a non-stimulant (strattera, intuniv, kapvay) may help. Strattera (atomoxetine) is part of the Prozac molecule ; adds some serotonin effect to your zoloft. Consider one of the other non-stimulants that won't increase risk of "serotonin syndrome". ...Read more
Can drugs like ritalin (methylphenidate) and aderrall (add medication) really help college students get better grades?
Stimulant medication: Ritalin (methylphenidate) and Adderall (dextroamphetamine and racemic amphetamine) (dexamphetamine) are stimulant medications (like caffeine) approved to treat add. They can improve focus and attention in anyone, but have a marked effect for people who have add (attention deficit disorder). Although sometimes "abused" they should not be used unless needed for add symptoms as they may increase heart rate and blood pressure in some people. ...Read more
I am worried about the psychiatric medications I am taking. Primarily Ritalin (methylphenidate). I have asked for reduction in dose but he does not agree. Male 5'8 went from 130 now 105 lbs?
Is there any cough medication that I can take on Prozac? Also take Ritalin (methylphenidate) during the day
As a child I was prescribed Ritalin and now that I'm finding it hard to concentrate in nursing school, I think I may need a prescription medication?
Eliminate alternativ: Lack of focus can be triggered by some correctable issues that have nothing in common with ADD. Lack of restorative sleep, erratic nutrition, thyroid disease, other chronic illnesses, etc. If you work on the things that you can fix, and still have a problem, a thorough checkup is needed. It is easy to go online and identify with symptom lists for ADD, it is more appropriate to see a professional. ...Read more
Taking 5mg ritalin (methylphenidate) 2-3 times daily for fatigue. Causing headaches will it stop or is there another stimulant medication I can take?
Consult your doc: Headaches can be a side effect of stimulant meds, ask your doc about whether this might be reduced if u take it by clock rather than "2-3 x day", or if a slow release form might smooth out the rise and drop in blood levels. If you are missing sleep becaue of the stimulants - this whole approach can backfire - so finding and treating the cause of excess fatigue might be something else to consider. ...Read more
What's the proper way of disposing of Adderal, Ritalin and Strattera (atomoxetine)? I refuse to take anymore of my medication and want to get rid of it all.
Pharmacy: The best way is to ask your pharmacy how to dispose of unused medication. The bigger question is why you are refusing to take your medication. If you are having side effects, you may need to talk with your doctor about other options. Just stopping your meds without a plan to address your ADHD in other ways will probably not be successful. Talk with your doctor. ...Read more
How long does ritalin stay in your system after you stop taking the medication? I was put on it for a few days but stopped due to the side effects. I am starting a new job and will be drug tested next week and am worried if I need to tell them or not.
Very short: The half life of Ritalin (methylphenidate) is quite short. If you have stopped taking the drug after a few days, and your test is not for a few more days, chances are you will not test positive. It would be wise, however, to be upfront about any current medications you are taking when you submit your sample. ...Read more
Can you explain to me ritalin crash compared to Vyvanse (lisdexamfetamine) and other ADHD medications?
There are only two: Stimulants, methylphenidate & Amphetamine. Since 2000, multiple delivery systems of each have been produced. Each differs in onset of action, time of peak clinical effect & duration of action. Longer & more consistent drug delivery gives better symptom control & reduces symptoms of "rebound" ADHD, irritability, emotional lability & the "crash" noted by some teens & adults as the effect wears off ...Read more
Doc can't scribe Ritalin (methylphenidate) for fatigue due to Sarcoidosis anymore. What are some other medication options?
Methylphenidate has been used for the treatment of fatigue in patients with cancer, 4HIV infection, 5and chronic fatigue syndrome.6In an open-label trial, 7 methylphenidate was reported as useful for fatigue associated with sarcoidosis.
Dexmethylphenidate hydrochloride (d-MPH) is the d-threo-methylphenidate hydrochloride isomer of methylphenidate. It is approximately twice as potent as the racemic formulation and appears to have a longer half-life; hence, it can be administered twice daily ...Read more
Asked question about Tardive Dyskinesia & Adderall/Ritalin. How would those meds cause TD? Now I'm really afraid to take my medication. Help?
Tardive Dyskinesia: Tardive dyskinesia is a parkinson's-like movement disorder usually caused by neuroleptics but has been reported to be caused by over 50 meds including prolonged use of adderall and Ritalin (methylphenidate) as well as caffein. TD results from an excessive amount of the brain chemical Dopamine or excessively sensitive receptors for Dopamine. All meds have risks. Take meds that help more than they can potential hurt ...Read more
Can you overcome MPH tachyphylaxis by switching from Ritalin (methylphenidate) to Adderall? Or to another stimulant medication?
Yes: Based on the pharmacodynamics leading to tachyphylaxis, research into delivery options has found that fine tuning the method of delivery decreases the risk for tachyphylaxis. One formulation that has been consistently superior is Concerta. Some of the generic preparations do not accurately replicate the release dynamics of he brand name so I suggest starting with it. There are also many more optionsask your doctor ...Read more
If ritalin didn't help my ADHD & strattera (atomoxetine) didn't also, which other options do I have if there are no amphetamine medications here?
Non-drug solutions: Medications are not the only solution to adhd, and many people with mild adhd (myself included) manage with making lists and developing habits of checking those lists at specific intervals, and of not trying to carry around more than 2 thoughts at any given time. If vyvanse, (lisdexamfetamine) which is an amphetamine precursor, is not available, am not sure what drug options you have, if doses have been optimal. ...Read more
I put my Zoloft (sertraline) and ritalin and omega 3 tablets in a bag in a portable file box. Can this be hot or bad for medications' effectivity?
May be bad: Remember, meds are designed to melt inside you. That's 37 degrees celsius or 98.6 fahrenheit. I'm not sure how warm it is in lebanon in january, but if your portable file is getting hot, it's not good for your medicines which generally should be stored in a cool, dry place. ...Read more
Should you have heart tests before starting ADHD stimulant medications like ritalin (methylphenidate)?
Not typically: Testing is not typically done in an otherwise healthy, young individual. If there is history of heart disease or symptoms suggestive of heart disease, then testing would be considered. ...Read more
Can ritalin (methylphenidate) improve rhe side effects of mood stabilers and antideprssant., as I feel tired and unfocused om my bipolar medication.
Sometimes: Sometimes methylphenidate is used in small doses to augment the effect of antidepressants. But in higher doses it can worsen depression or anxiety. A stimulant medication can destabilize bipolar disorder. It's use is, therefore, best left in the hands of an experienced doctor in the appropriate clinical setting. ...Read more
Why does taking add stimulant medications such as Adderall and ritalin (methylphenidate) or anti-depressants give me hemorrhoids and makes me sweat more?
Not likely: Sweating is an infrequent side effect of stimulant medications, but can happen. It's much more common with antidepressants -- both tricyclics and ssri's. Paradoxically, ssri's can also sometimes help decrease hot flashes. Older tricyclic antidepressants can cause constipation and lead to hemorrhoids, but the newer ssri's are less likely to do this. They more frequently lead to diarrhea. ...Read more
Actually I am now on la ritalin and its worse than short acting. No improvement after a month. I've had general and social anxiety since I was 12 (it comes and goes) and no anxiety, depression medication nor behavioral therapy ever helped.
I have been diagnosed with adhd. Used Ritalin la 40 for many years but hate the side effects. Recently started using mentat and it has been helping. Will concerta be better? Is there any medication to eliminate the side effects of these stimulants
WHAT SIDE EFFECTS?: I am not sure what side effects you mean. Ritalin LA and Metadate and Concerta are all similar methylphenidate products. The longer acting ones tend to have fewer side effects and sometime to can mitigate the issue by eating first. If this does not work discuss with your doctor about the side effects and perhaps switch to something different. ...Read more
Which ssri meds or meds for OCD and anxiety problems are the safest to take with stimulant ADHD medications like ritalin (methylphenidate) ir?
CAUTION: Ocd meds are antidepressants. Antidepressants by default are activating/stimulating meds. They will be an add on with stimulant use to cause you overstimulated agitated, restless, a. Also stimulants can stimulate propagate ocd. Younxious, insomniac etc. You need to discuss this further with your md. ...Read more
Does either ritalin (methylphenidate) or nuvigil affect my heart rate when I take these medications? I'm not talking about long-term, I mean the same day I take them.
Which ADHD medication (e.G., ritalin, (methylphenidate) adderall, stattera, etc.) is least likely to result in interactions when combined with an ssri such as prozac?
PRACTICAL: As I recall patients with ssri's and stimulants at the same time, I don't recall seeing significant difficulties. Might be possible, but not probable in my experience. ...Read more
I just got diagnosed with adhd, mainly for impulsivity and attention and I'm going to be meeting with my Dr to figure out which medication I should use. I've heard that Ritalin/concerta can cause many more negative psychological side effects than adderall
All can have side ef: All these medicines have side effects. I want you to focus on cause. To learn causes of ADHD visit us at www. Ehacstl. Com. Also search YouTube for dr Doris Rapp. She will show you many causes of ADHD and how to treat the cause so that you may not need to depend on medicines ...Read more