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Doctor insights on: Methylphenidate Extended Release Tablets Dosage

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1)differences between sustained-release vs extended-release? 2)usual ritalin (methylphenidate) dose for excessive daytime sleepiness? Best regards.

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

Methylphenidate (Definition)

Is the generic name of ritalin (methylphenidate). It is a ...Read more


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Can u take multiple doses of extended methylphenidate if kept under recommended dose?

Can u take multiple doses of extended methylphenidate if kept under recommended dose?

Not unusual: Could divide dosing if there are tolerance or duration of action issues, but avoid late day ingestion due to potential insomnia as an outcome. ...Read more

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Does it take time for extended release ritalin (methylphenidate) to build up in your system?

Does it take time for extended release ritalin (methylphenidate) to build up in your system?

NO.: 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

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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

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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?

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

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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

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Difference in side effects between Ritalin (methylphenidate) immediate release and Ritalin (methylphenidate) extended release? Trying to decide if I want to switch to extended.

No difference: There is no different in side effects between immediate or extended release Ritalin (methylphenidate). It is convenient because extended release dose lasts for 12 hours. You can carry on your work for whole day. ...Read more

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Do you think I should increase my dosage of ritalin (methylphenidate)?

No: Not without talking to your doctor. You might be at the max dose, you might need an additional or different medicine. ...Read more

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What are the differences in dosage between ritalin (methylphenidate) and adderall, to achieve the same effects?

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

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I have arrhythmia, would ritalin (methylphenidate) or dexedrine be dangerous for me to use? Which is safer and in what dosage?

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

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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

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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

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

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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

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What will 5 methylphenidate pills do to you? Is it too small of a dose to do anything?

Depends: Side effects include a lack of appetite, stomach ache, headache, sommulence vs insomnia, nausea. How much medication concentration per tab is important information to ascertain. You did not mention if the 5 tabs are taken under a physician's guidance. ...Read more

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How using immediate release Ritalin (methylphenidate) as sublingually compared vs oral?

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

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Does ritalin (methylphenidate) ir 10 mg give full benefit from the first pill you ever take?

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

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Will I always stay at the same dose of ritalin (methylphenidate) or will I have to go higher because of tolerance?

Not necessarily: Ritalin (methylphenidate) as a drug does not suffer from tolerance issues like opiates & many other classes of drugs. When you reach a dose form and amount that appears to meet your needs you could remain there for years. ...Read more

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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

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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

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Can I take some nyquil after a relatively large dose of ritalin (methylphenidate)?

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

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Is it true that generally, the effective ritalin (methylphenidate) dose is 1mg/kg/day?

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

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Beginning which dose can ritalin (methylphenidate) make you psychotic? Which dose is considered risky?

If you have bipolar: Disorder or a bipolar predisposition than it would be possible for any dose of Ritalin (methylphenidate) or other stimulant to trigger mania or hypomania. Psychosis can sometimes occur with mania. ...Read more

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What can I expect while taking ritalin (methylphenidate)? What dose is best? Does it interact with any other drugs?

Get appropriate dx: Before taking Ritalin (methylphenidate) or other stimulants you should consult your doctor to determine if it is safe or apppropriate. There are significant drug interactions. ...Read more

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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

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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

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

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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

Dr. Alan Ali
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Ritalin (Definition)

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