Ri talin Methyl phenidate 10mg 30 Tablets For treat attention deficit disorder & narcolepsy
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Ri talin Methylphenidate 10mg 30 Tablets For treat attention deficit disorder & narcolepsy
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Warning: Please read the proper guidelines and instructions in the leaflet for dosage requirements.
Ri talin (methylphenidate) is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.
Ri talin is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy.
Ri talin may also be used for purposes not listed in this medication guide.
Before taking this medicine
Do not use Ri talin if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
You should not use Ri talin if you are allergic to it, or if you have:
- 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).
Some stimulants have caused 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.
How should I take Ri talin?
Take Ri talin exactly as prescribed by your doctor. Using this medicine improperly can cause death or serious side effects on the heart.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.
To prevent sleep problems, take this medicine in the morning.
Ri talin normal release tablets should taken at least 30 to 45 minutes before a meal. Extended-release Ri talin LA capsules or Ri talin SR tablets can be taken with or without food. Follow the directions on your medicine label
Do not crush, chew, or break an extended-release Ri talin SR tablet. Swallow the tablet whole. Breaking the tablet may cause too much of the drug to be released at one time.
To make swallowing easier, you may carefully open the Ri talin LA capsule and sprinkle the beads over a spoonful of applesauce. The applesauce should not be warm as it could affect the release properties of the medicine. Swallow the applesauce and medicine mixture without chewing. Do not save the mixture for later use. Follow with a drink of water or other liquid. Never chew or crush the capsule or the medicine beads inside the capsule.
While using this medicine, your doctor will need to check your progress at regular visits. Your heart rate, blood pressure, height and weight may also need to be checked often.
If you need surgery, tell the surgeon ahead of time that you are using Ri talin. You may need to stop using the medicine for a short time.
Store at room temperature away from moisture and heat.
Ri talin side effects
Get emergency medical help if you have signs of an allergic reaction to Ri talin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.
Stop taking Ri talin and call your doctor at once if you have:
- chest pain, trouble breathing, feeling like you might pass out;
- hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
- a seizure (convulsions);
- numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;
- muscle twitches (tics);
- changes in your vision;
- penis erection that is painful or lasts 4 hours or longer (rare); or
- unexplained muscle pain, tenderness, or weakness (especially if you also have fever, unusual tiredness, and dark colored urine).
Common Ri talin side effects may include:
- feeling nervous or irritable, sleep problems (insomnia);
- loss of appetite;
- nausea, stomach pain; or
Tablets: Administer in divided doses 2 or 3 times daily, preferably 30 to 45 minutes before meals. Average dosage is 20 to 30 mg daily. Some patients may require 40 to 60 mg daily. In others, 10 to 15 mg daily will be adequate. Patients who are unable to sleep if medication is taken late in the day should take the last dose before 6 p.m.
SR Tablets: R italin-SR tablets have a duration of action of approximately 8 hours. Therefore, Ri talin-SR tablets may be used in place of Ri talin tablets when the 8-hour dosage of Ri talin-SR corresponds to the titrated 8-hour dosage of Ri talin. Ri talin-SR tablets must be swallowed whole and never crushed or chewed.
Children (6 years and over)
Ri talin should be initiated in small doses, with gradual weekly increments. Daily dosage above 60 mg is not recommended.
If improvement is not observed after appropriate dosage adjustment over a 1-month period, the drug should be discontinued.
Tablets: Start with 5 mg twice daily (before breakfast and lunch) with gradual increments of 5 to 10 mg weekly.
SR Tablets: Ri talin-SR tablets have a duration of action of approximately 8 hours. Therefore, Ri talin-SR tablets may be used in place of Ri talin tablets when the 8-hour dosage of Ri talin-SR corresponds to the titrated 8-hour dosage of Ri talin. Ri talin-SR tablets must be swallowed whole and never crushed or chewed.
If paradoxical aggravation of symptoms or other adverse effects occur, reduce dosage, or, if necessary, discontinue the drug.
Ri talin should be periodically discontinued to assess the child’s condition. Improvement may be sustained when the drug is either temporarily or permanently discontinued.
Drug treatment should not and need not be indefinite and usually may be discontinued after puberty.