Before taking Ritalin

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Do not take Ritalin if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you use Ritalin before the MAO inhibitor has cleared from your body.

Do not use Ritalin if you are allergic to methylphenidate or if you have:

• glaucoma;

• overactive thyroid;

• severe high blood pressure;

• angina (chest pain), heart failure, heart rhythm disorder, or recent heart attack;

• a personal or family history of tics (muscle twitches) or Tourette's syndrome;

• severe anxiety, tension, or agitation (methylphenidate can make these symptoms worse); or

• a hereditary condition such as fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency.

Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Tell your doctor if you have a congenital heart defect.

If you have any of these other conditions, your doctor may need to adjust the dose of Ritalin or order special tests:

• a congenital heart defect;

• a personal or family history of mental illness, psychotic disorder, bipolar illness, depression, or suicide attempt;

• epilepsy or other seizure disorder; or

• a history of drug or alcohol addiction.

FDA pregnancy category C. It is not known whether Ritalin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether methylphenidate passes into breast milk or if it could harm a nursing baby. Do not use Ritalin without telling your doctor if you are breast-feeding a baby. Buy Ritalin

See also: Pregnancy and breastfeeding warnings in more detail

Long-term use of Ritalin can slow a child's growth. Tell your doctor if the child using this medication is not growing or gaining weight properly.

Do not give Ritalin to a child younger than 6 years old without the advice of a doctor.

What is the most important information I should know about Ritalin?

Do not use Ritalin if you have used an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam) within the past 14 days. Serious, life-threatening side effects can occur if you use Ritalin before the MAO inhibitor has cleared from your body. Do not use Ritalin if you are allergic to methylphenidate or if you have glaucoma, overactive thyroid, severe high blood pressure, tics or Tourette's syndrome, angina, heart failure, heart rhythm disorder, recent heart attack, a hereditary condition such as fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase deficiency, or severe anxiety, tension, or agitation. Buy Ritalin

Ritalin may be habit-forming and should be used only by the person it was prescribed for. Ritalin should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

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Ritalin and other brands of methylphenidate are mild central nervous system stimulants used in the treatment of attention deficit hyperactivity disorder in children. With the exception of Ritalin LA, Concerta, and Metadate CD, these products are also used in adults to treat narcolepsy (an uncontrollable desire to sleep). Buy Ritalin

When given for attention deficit disorder, Ritalin should be an integral part of a total treatment program that includes psychological, educational, and social measures. Symptoms of attention deficit disorder include continual problems with moderate to severe distractibility, short attention span, hyperactivity, emotional changeability, and impulsiveness.Buy Ritalin


Most important fact about Ritalin

Excessive doses of Ritalin over a long period of time can produce addiction. It is also possible to develop tolerance to the drug, so that larger doses are needed to produce the original effect. Because of these dangers, be sure to check with your doctor before making any change in dosage; and withdraw the drug only under your doctor's supervision. Buy Ritalin


How should you take Ritalin?

Follow your doctor's directions carefully. It is recommended that methylphenidate be taken 30 to 45 minutes before meals. If the drug interferes with sleep, give the child the last dose before 6 p.m. Ritalin-SR, Ritalin LA, Metadate CD, Methylin ER, and Concerta are long-acting forms of the drug, taken less frequently. They should be swallowed whole, never crushed or chewed. (Ritalin LA and Metadate CD may also be given by sprinkling the contents of the capsule on a tablespoon of cool applesauce and administering immediately, followed by a drink of water.)
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--If you miss a dose...

Give it to the child as soon as you remember. Give the remaining doses for the day at regularly spaced intervals. Do not give 2 doses at once.Buy Ritalin

--Storage instructions...

Keep out of reach of children. Store below 86 degrees Fahrenheit in a tightly closed, light-resistant container. Protect Ritalin-SR from moisture.
What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue giving Ritalin.

* More common side effects may include:
Inability to fall or stay asleep, nervousness

These side effects can usually be controlled by reducing the dosage and omitting the drug in the afternoon or evening.

In children, loss of appetite, abdominal pain, weight loss during long-term therapy, inability to fall or stay asleep, and abnormally fast heartbeat are more common side effects.
Why should Ritalin not be prescribed? Buy Ritalin

Ritalin should not be prescribed for anyone experiencing anxiety, tension, and agitation, since the drug may aggravate these symptoms.

Anyone sensitive or allergic to Ritalin should not take it.

Ritalin should not be taken by anyone with the eye condition known as glaucoma, anyone who suffers from tics (repeated, involuntary twitches), or someone with a family history of Tourette's syndrome (severe and multiple tics). Buy Ritalin

Ritalin is not intended for use in children whose symptoms may be caused by stress or a psychiatric disorder.

Ritalin should not be used for the prevention or treatment of normal fatigue, nor should it be used for the treatment of severe depression. Buy Ritalin

Ritalin should not be taken during treatment with drugs classified as monoamine oxidase inhibitors, such as the antidepressants Nardil and Parnate, nor for the 2 weeks following discontinuation of these drugs.Buy Ritalin