Doctor insights on:
Methylphenidate Extended Release Tablets Dosage
1)differences between sustained-release vs extended-release? 2)usual ritalin (methylphenidate) dose for excessive daytime sleepiness? Best regards.
US Pharmacopeia: Defines delayed-release tabs as enteric-coated to delay release until med passes through stomach to prevent destruction/inactivation by gastric juices or drug from irritating gastric mucosa. Usp defines extended-release tablets formulated to make the medication available over an extended period of time following ingestion. Ritalin (methylphenidate) dose is individualized based on response and tolerability. Regards. ...Read more
This medication starts to work very quickley and lasts about 8 hours. After that very little remains in your system.
If you have no benefit from the original dose, see your docutor for an adjustment! ...Read more
Difference between sr and xr? It's not clear in many references, I know both of them will be released gradually for goals.2) ritalin (methylphenidate) usual adult dose?
Delayed release Meds: The difference between the sr and xr preparations is how the drug is packaged for delayed delivery. Both are delayed released preparation and provide a uniform delivery of medication through the day. Usually the dose is 1to 1 for methylphenidate. The delayed release form doesn't have a peak or jolt that certain patients need. ...Read more
Can I give my grandson a dose of immodium, he is 5 and half year old and taking methylphenidate, re 30mg eguasym slow release and 5mg methylphenidate?
In addition...: ...To what my colleagues have already said; diarrhea is often the body's way of getting something bad out of it, like something he ate, a virus, etc. Immodium will keep whatever it is inside his intestines, and can prolong the illness and interfere with healing. Stop all juices, keep him well hydrated, and bring him to his doc if he has severe belly pain or there is blood in the diarrhea. ...Read more
If I was looking to do more than moderate drinking, how long would I have to wait after taking extended release Ritalin (methylphenidate) in order to be safe?
Safe is relative: Drinking more than moderately increases risk of accidents, health problems, legal and social conflict, and emotional difficulty. So, alcohol in more than moderate amounts is not necessarily safe. Add Methylphenidate (immediate or extended release) and risks increase. Avoiding the combination of the two may help reduce risk but risk would still be present. You may wait 4-7 days at most. ...Read more
No: Not without talking to your doctor. You might be at the max dose, you might need an additional or different medicine. ...Read more
Little: Both should be titrated to each patient. ...Read more
What are the differences in dosage between ritalin (methylphenidate) and adderall, to achieve the same effects?
Rough estimate below: D-amphetamine (dexedrine) is about twice as potent as methylphenidate (ritalin), so 10 mg of the former is roughly the same as 20 mg of the latter. Adderall (dextroamphetamine and racemic amphetamine) is a mixture of 1/2 d-amphetamine plus 1/2 d- & l-amphetamine (the latter being inactive with respect to adhd. So, conversion from Ritalin to Adderall (dextroamphetamine and racemic amphetamine) is about 20 mg down to 15 mg. But, individual response varies, so that's just a start. ...Read more
I have arrhythmia, would ritalin (methylphenidate) or dexedrine be dangerous for me to use? Which is safer and in what dosage?
Possibly: Ritalin (methylphenidate) and Dexedrine are stimulants which can aggravate pre-existing arrhythmias. The severity of the adverse effect depends upon the underlying rhythm disorder, and to some extent, the dose of these medications. For some conditions, I recommend avoidance of stimulants in any dose whereas for others I am less strict. You shoul discuss with your doctor. ...Read more
I take ritalin (methylphenidate) 20mg 3times/day for narcolepsy and I've noticed that I lose track of time too much. Will a higher dosage help? If not what could?
Not possible 2 say: You have to go back and discuss your treatment with the doctor who prescribed it to you. Be safe, don't increase your treatment on your own. Thank you. ...Read more
Does a psychatrist have a method to be sure that the patient taking ritalin (methylphenidate) has arrived to the better dosage other than the patient's own observations?
Blood levels: Yes, if necessary blood levels can be checked. ...Read more
Is it right that if you noticed little benefit on methylphenidate (ritalin ir) without side effects, it means your doctor can still increase ur dosage?
Possibly: You would need to ask your doctor about this, and s/he would decide the next best steps. ...Read more
Can I stop ritalin (methylphenidate) for example for one total day without talking to my doc? Is there any risk? I am on ritalin (methylphenidate) 10 3x, but my dosage should be increased
Ritalin (methylphenidate) for ADHD may: Be effective for 3-4 hours and then be residual for another 3-4 hours. Skipping a dose is not harmful but adhd symptoms will return and may interfere with function. Some individuals may experience agitation, change in heart rate, sadness, tired, nausea after stopping ritalin (methylphenidate). Dose increase is determined by discussing symptoms and medication effects with prescriber. Best regards. ...Read more
After extensive dosage trials, ritalin (methylphenidate) helped the first week, now it only worsens my anxiety, I can't take it. Should I ask my psychiatrist to try dexedrine for my inattentive add? Or what other drug is recommended?
Some questions first: How do you know you have adhd? Was any testing done? Were collaterals interviewed? A thorough childhood history taken? Were anxiety, mood, and learning disorders ruled out? If truly adhd, discuss with prescribing doc the possibility of the non-stimulant medication strattera (atomoxetine). Other medications, such as Clonidine and Guanfacine may be helpful. ...Read more
Sublingual better: Sublingual administration has certain advantages over oral administration. Being more direct, it is often faster, and it ensures that the substance will risk degradation only by salivary enzymes before entering the bloodstream, whereas orally administered drugs must survive passage through the gastrointestinal tract, ch risking degradation by the stomach acid, bile, and other enzymes. ...Read more
If correct dose: If the dose is correct for an individual, the effect will usually begin within 30 to 45 minutes. 10 mg may not be sufficient for an individual, so if you are not achieving a desired effect, speak to your prescriber to adjust the dose. ...Read more
Will I always stay at the same dose of ritalin (methylphenidate) or will I have to go higher because of tolerance?
Can I take ritalin (methylphenidate) 10 mg one in the morning and one at night (7 pm)? Would the night dose be dangerous or cause me problems?
Hard to say: Ritalin (methylphenidate) varies in its effect on people. For some the increase in alertness can make sleep difficult if it is still in your system while some actually sleep better when they take it at bedtime. Every nervous system is somewhat unique and you will need to find how it effects you. At that dose level it will not hurt you to try it that way. ...Read more
How will you wait on each dose of ritalin (methylphenidate) ir if no benefit until increasing it, when titrating for the first time? A week? 2 weeks?
Ask your doctor: You do not list your current dose. However, this question needs to be addressed to the doctor who prescribed it. Without a detailed history it is impossible to answer this question with specifics. ...Read more
Ritalin (methylphenidate) LA 20 mg taken at 9 last until 11 then I start to feel down and don't want to do anything. I'm thinking my dose is too low to last me all day?
May be: You may need your dose increased or medication added in the afternoon. Review this with your doctor. All the best. ...Read more
Not recommended: Nyquil typically has dextromethorphan to suppress coughing in addition to an antihistamine. Combining all of those meds together, especially the cough med, can lead to interactions and unpleasant side effects that may last for hours. When using an otc med be as symptom specific as possible and avoid meds that have multiple ingredients. Hold the stimulant when using otc cold meds. ...Read more
Ritalin (methylphenidate): The dose is very dependent on the person's reaction. At 17 it is less likely to be dosed based on weight. Check with your prescribing doc. Be sure to ask about when you need liver function tests. ...Read more
Beginning which dose can ritalin (methylphenidate) make you psychotic? Which dose is considered risky?
What can I expect while taking ritalin (methylphenidate)? What dose is best? Does it interact with any other drugs?
Does the amout of each dose of ritalin (methylphenidate) depend on the severity of add or on the body and its metabolism and weight?
We dose to effect: We adjust the dose until it works. If we push to the point where we feel it's too high and the side effects are to much then we will stop to try another agent. Generally we push it until it has the desired effect. Best wishes. ...Read more
Second day on Ritalin (methylphenidate). It seems to be making me tired. What can I do? My dose is 5mg in the morning and 5mg at lunch
Ritalin (methylphenidate) Dosage: Should discuss medication effects with your doctor and what type of response you have. May want to consider a different medication in the same class or a slow-release formulation. ...Read more
Re Ritalin - I feel like there are mixed messages about the risks associated with high dose methylphenidate (in otherwise healthy adults)
Ask doc: Ritalin (methylphenidate) prescribed for ADULT ADHD or Narcolepsy is safe when taken as prescribed by your doctor. Most people do not require "high doses" and the dosing range is pretty stable. If your doctor has prescribed a high dose, it may because you are breaking it down faster. Do not change your dose without consulting your doctor. ...Read more
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