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Ritalin is a central nervous system stimulant. Methylphenidate affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Ritalin may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness
Before taking this medicine
You should not use Ritalin if you are allergic to methylphenidate, or if you have.
- glaucoma;
- severe high blood pressure or a heart problem;
- overactive thyroid;
- a personal or family history of tics (muscle twitches) or Tourette’s syndrome; or
- severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse).
Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:
- heart problems or a congenital heart defect;
- high blood pressure; or
- a family history of heart disease or sudden death
- Becoming dependent on this medicine during pregnancy can cause premature birth or low birth weight. Tell your doctor if you are pregnant or plan to become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of methylphenidate on the baby.Ask a doctor if it is safe to breastfeed while using Ritalin. If you are breastfeeding, tell your doctor if you notice symptoms in the baby such as agitation, sleep problems, feeding problems, or reduced weight gain.
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How should I take Ritalin?
Take Ritalin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.
- Your dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the medicine your doctor prescribes.Ritalin immediate release (IR) tablets are usually taken 2 to 3 times a day. Take Ritalin IR tablets 30 to 45 minutes before a meal.Ritalin LA extended-release capsule are taken once daily in the morning.
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- You may take Ritalin LA capsules with or without food, but take them the same way each time.Swallow the Ritalin LA extended-release capsule whole. If you cannot swallow the capsule whole, open it and mix the medicine with soft food such as applesauce, pudding or yogurt. Swallow the mixture right away without chewing.Tell your doctor if you have a planned surgery.
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- Your treatment may also include counseling or other treatments.Your doctor will need to check your progress on a regular basis. From time-to-time, your doctor may stop Ritalin treatment for a while to check ADHD symptoms. Your heart and blood pressure may also need to be checked often.
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