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Patients should store the drug in a safe place so others cannot consume it. Ritalin should not be used in children under 6 years of age because safety and efficacy in this group have not been proven. The drug should also not be used for any condition for which it was not prescribed.
Patients should be particularly careful while driving or performing activities that require them to be alert. For more information about Ritalin, you can call or view the FDA's medication guide.
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You should tell your doctor if you have heart problems, heart defects, angina , high blood pressure , or a family history of these conditions. Ritalin and other stimulant medications have been reported to cause the following:. You should tell your doctor if you have any mental health problems or a family history of suicide, psychosis, bipolar disorder , or depression. Ritalin has been associated with the following psychiatric problems:.
Patients with circulation problems should alert a medical professional if they experience numbness, pain, skin color change, or sensitivity to temperature in the fingers or toes. You should call your doctor right away if you have any wounds or other injuries appearing on your fingers or toes while taking Ritalin, since these may be signs of numbness. Patients with a history of seizure disorder should inform their physician because Ritalin could lead to seizures.
You should tell your doctor if you are pregnant or plan to become pregnant while using this medication. Ritalin can also penetrate into breast milk and may harm a nursing baby.
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Patients should not breastfeed while using this drug. You should tell your doctor about all medications you take, including vitamins and herbal supplements. Ritalin may interact with other drugs such as:. Alcohol should be avoided by patients who take Ritalin. Alcohol can decrease the effectiveness of methylphenidate or lead to harmful interactions. Foods that contain vitamin C , including fruits, juices, broccoli, strawberries, potatoes, and tomatoes, can interact with Ritalin and make it less effective. You do not need to completely avoid these foods, but you should try not to consume vitamin-C rich foods for about an hour before or after taking Ritalin.
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Your dose of Ritalin will likely depend on your individual needs and responses and should be adjusted by your health care provider. Tablets: Typically, doses are taken two or three times daily, 30 to 45 minutes before meals. The average dose is 20 to 30 milligrams a day. Some patients may require 40 to 60 milligrams, while others only need 15 milligrams per day.
Ritalin-SR tablets should always be swallowed whole and should never be crushed or chewed. Tablets : Most children start with 5 milligrams, twice daily before breakfast and lunch with gradual increments of 5 to 10 milligrams weekly. A daily dose above 60 milligrams is not recommended.
If you take too much Ritalin, you should seek emergency medical attention or call the Poison Helpline at An overdose of methylphenidate can be fatal. If you miss a dose of methylphenidate, you should take it as soon as you remember. Skip the missed dose if it is later than p. You should not take extra medicine to make up for a missed dose. A: Studies have indicated that Ritalin methylphenidate may interact with Zoloft sertraline causing an increased risk for dangerous side effects.
You may want to contact your health care provider to discuss other possible treatment options. A: Ritalin methylphenidate is classified as Pregnancy Category C according to studies. According to the FDA, Category C means that studies in animals shows adverse effects on the fetus and there are no studies in women or studies in women and animals are not available.
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FDA suggest that it should be given only if the benefit justifies the risk to the fetus. It is very important for the health of the baby to consult with a physician to let them know all medications the mother is taking. A: Only your doctor would be able to determine if you are in need of Ritalin or another product like it.