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Doctors' Answers to "Frequently Asked Questions" - Ritalin
Ritalin [posted 1/12/99]
Answer: You'd need to check with the company, Novartis: 888-669-6682.
Ritalin and elevated liver enzymes [posted
Answer: Not usually, but it could occur. You really won't know without stopping the drug and watching.
Ritalin for Adults [posted
Answer: The ritalin is not the cause of the depression, he needs to see a psychiatrist who is adept at drug manipulation. Also, some neuropsychiatric testing to document his problem would be helpful.
Ritalin for Sleepiness ? [posted
Answer: Why are you sleepy? Do you have a sleep disorder. If so, see a sleep lab or a sleep specialist, don't use these drugs for drowsiness unless there is no alternative. I assume you have cardiac or hypertension problems with your meds, this drug is used with great caution in either situation.
Ritalin [posted 8/14/98]
Answer: It is not related to cocaine. Occasional patients have had elevated liver enzymes, but this is an uncommon problem with this drug.
Ritalin And Long Term Effects
Answer: I would try a repeat of the Ritalin. Since we are just seeing the first generation of children treated for ADD, we do not know whether these children need to be treated long term as adults. Like children, start the medication and observe his attention/behavior. That would be my approach. Whether it will have any affect on the drug behavior is unpredictable.
Ritalin [posted 8/7/98]
Answer: The question is whether his concentration is better at school with the drug or not. I would ask him, he will know. The dosage may need to be adjusted depending on his performance on the drug.
Ritalin and Alcohol Interactions
Answer: There shouldn't be a big deal for a drink or two. However, individuals vary. Start with only one drink several hours post dosage and see what your reactions are. I wouldn't go past two.
Answer: There have been no studies in animals or humans concerning this drug. There are no anecdotal studies in the literature concerning case studies. Risks are unknown currently.
Answer: Ritalin (methylphenidate hydrochloride) is a central nervous system stimulant whose mode of action is not completely clear. It may cause insomnia, nervousness, allergic reactions (rash, hives, fever, arthritis) nausea, irregular heart beats and types of psychotic thought processes. Several cases of Tourette's Syndrome have been reported as well, but is a rare problem.
Answer: Ritalin use in children is based on effectiveness. That is, using the minimal dose to decrease the hyperactivity. Very large doses are occasionally used, focusing on the effect. Once the child is normal the dosage is slowly decreased until the child becomes more active. The dose is usually titrated up and down based on the childs response.
Answer:Ritalin(methylphenidate hydrochloride) is a drug with several uses. The most common is in the treatment of hyperactive children. It is also used in attention deficit disorders and narcolepsy. It can have potential interactions with MAO inhibitors and may affect the metabolism of different drugs like coumadin, dilantin, phenobarbital and tricyclic antidepressants. There does not appear to be major problems with foods.
Answer: Ritalin is used in ADD ( attention deficit disorder) as well as treating the "hyperactive kid'. In the right population it can be very effective. Paradoxically, it tends to calm overactive children who have difficulty concentrating rather than the normal effect seen in adults of increasing agitation. There are many support groups concerning ritalin and I would discuss your concerns with other parents. Like many things they can give the best information. There are many people who think this is an overdiagnosed problem and that we are harming a generation of children. It clearly is extremely effective in properly selected children.
Course of Action
Answer: Excellent question-no one knows for sure. Clearly, it affects some
inhibitor site as well as an activator site. Where and how is not known.
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