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This page was prepared by E. Stankowski RN
http://www.nursewing.com

Brand Name: Concerta, Metadate CD, Metadate ER, Methylin, Methylin ER, Ritalin, Ritalin LA, Ritalin-SR
Generic Name: Methylphenidate
Drug Class: Stimulant

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Ritalin LA, What is this drug for? Drugs.com: "Ritalin LA is a new once-daily formulation of Ritalin, Novartis' previously approved ADHD treatment. This once-daily capsule provides all day treatment with one morning dose, unlike most ADHD treatments that require a midday dose. This dosing regimen eliminates the social stigma issues felt by children having to bring medication to school and decreases the possibility of medication misuse."
Thomson CenterWatch
22 Thomson Place, 47F1
Boston, MA 02210-1212
Phone: (617) 856-5900 or Fax: (617) 856-5901
E-mail: visitor@centerwatch.com or cw.mailroom@centerwatch.com
http://www.centerwatch.com/patient/drugs/dru787.html

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Ritalin, What is the most important information I should know about Ritalin? Drugs.com:"Use caution when driving, operating machinery, or performing other hazardous activities. Ritalin may cause dizziness, drowsiness, blurred vision, or impair your ability to concentrate. If you experience dizziness, drowsiness, blurred vision, or impaired concentration, avoid these activities."
Hampstead Trust
ATTN: DRUGS.COM
c/o Network Solutions
P.O. Box 447
Herndon, VA 20172-0447
Phone: (570) 708-8780
E-mail: contact @ drugs.com
http://www.drugs.com/ritalin.html

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Methylphenidate, How should I take this medicine? Drugdigest.org:"Take methylphenidate extended-release tablets or capsules by mouth. Follow the directions on the prescription label. Swallow whole with a drink of water or juice; do not crush, cut, or chew. You may take this medicine with food. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 8 hours before your normal bedtime, so it will not interfere with sleep."
DrugDigest
Expresscripts.com
521 Alton Rd #208,
Miami Beach, FL 33140, US
E-mail: questions@express-scripts.com
http://www.drugdigest.org/DD/DVH/Uses/0,3915,1041|Methylphenidate%2BER,00.html#howToTake

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Methylphenidate, How is this medicine supplied / PREPARATIONS, Medicinenet.com:"Tablets (round): 5, 10, and 20 mg. Also available are sustained-release tablets of 20 mg (Ritalin SR) as well as long acting tablets of 20, 30, and 40 mg (Ritalin LA)."
MedicineNet, Inc.
903 Calle Amanecer, Suite 300
San Clemente, CA 92673
Phone: (949) 940-6500 or Fax: (949) 940-1094
E-mail: smartservice@medicinenet.com
http://www.medicinenet.com/methylphenidate/article.htm

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Methylphenidate, Life Threatening Side Effects While Using This Medicine, Medformation.com:"Call your doctor right away if you notice any of these side effects:Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing, Fast, pounding, or irregular heartbeat, Mood or mental changes, unusual behavior, Trouble seeing, blurred vision, Uncontrollable muscle movements or twitching, Vomiting, agitation, confusion, sweating, fever, tremors."
Allina Hospitals & Clinics
System Office
710 East 24th Street
Minneapolis, MN 55404
Phone: (651) 697-3333 or (1-800) 877-7878
E-mail Contact Form: http://www.allina.com/ahs/help.nsf/page/contact
http://www.medformation.com/ac/mm_qd.nsf/qd/dnx0255.htm

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Methylphenidate, Important Warning, Medlineplus:"Methylphenidate can be habit-forming. Do not take a larger dose, take it more often, or take it for longer than prescribed by your doctor. If you take too much methylphenidate, you may experience unusual changes in your behavior. Tell your doctor if you drink or have ever drunk large amounts of alcohol, use or have ever used street drugs, or have overused prescription medications."
National Library of Medicine
8600 Rockville Pike
Bethesda, Maryland 20894
Phone: (301) 496-6308 Fax: (301) 496-4450
E-mail: custserv@nlm.nih.gov
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682188.html

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Ritalin, Storage Guidelines, Pharmacyhealth.net:"Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom."
Yourlabtest.com
210 Fairfax Blvd.
Atlanta, GA 30319
Phone: (800) 209-1689.
E-mail: info@medpharmacy.com or info@pharmacyhealth.net
http://www.pharmacyhealth.net/d/ritalin-7355.htm

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Methylphenidate, Less Serious Side Effects, Realage.com:"Loss of appetite, nervousness, dizziness, drowsiness, headache, stomach upset, trouble sleeping, stomach pain."
REALAGE, Inc.
11468 Sorrento Valley Rd.
San Diego, CA 92121 (US)
Phone: 858-812-3800 or Fax: 858-812-3801
E-mail: feedback@realage.com
http://www.realage.com/Research_Library/searchResults.aspx?link=crsfiles/ma/ma_methylph_ma.htm

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Methylphenidate, Symptoms of OVERDOSE, Rxlist.com:"Signs and symptoms of acute overdosage, resulting principally from overstimulation of the central nervous system and from excessive sympathomimetic effects, may include the following: vomiting, agitation, tremors, hyperreflexia, muscle twitching, convulsions (may be followed by coma), euphoria, confusion, hallucinations, delirium, sweating, flushing, headache, hyperpyrexia, tachycardia, palpitations, cardiac arrhythmias, hypertension, mydriasis, and dryness of mucous membranes."
RxList - The Internet Drug Index: Searchable Drug Database
RxList LLC
16092 San Dieguito Road
Rancho Sante Fe, CA 92067
Phone: (707) 747-0985 or Fax: (708) 575-8638
E-mail: info@rxlist.com
http://www.rxlist.com/cgi/generic/methphen_od.htm

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Ritalin (oral), Precautions, Webmd.com:"Take this medication only by mouth. Serious mental/mood changes (e.g., psychosis) may occur, especially if this drug is abused.If methylphenidate must be stopped, it should be stopped gradually over time. Follow your doctor's instructions on how to gradually lower the dose. In some patients, long-term monitoring may be required after the medication is stopped."
Web MD
669 River Drive, Center 2
Elmwood Park, NJ 07407
Phone: (201) 703-3400 or Fax: (201) 703-3401
Sales Support: (1-877) GO-WEBMD
E-mail Contact Form: http://my.webmd.com/webmd_today/home/contactus.htm
http://www.webmd.com/drugs/drug-9475-Ritalin+Oral.aspx?drugid=9475&drugname=RitalinOral#warnings

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Ritalin, Adderall, Other Stimulants--Further Resources, Psychiatric Drug Facts Peter R. Breggin, M.D. Center for the Study of Psychiatry and Psychology:"The "Just Say No To Drugs" campaign was aimed at discouraging children from experimenting with dangerous and addictive drugs such as amphetamine and Ritalin. Our society viewed with loathing those who "pushed" stimulant drugs on children. Yet today there are more children taking Ritalin and amphetamine from doctors than ever received them from the illegal pushers. Furthermore, the ready availability of prescribed stimulants had led to their increasing illegal use by children and youth. What has happened to our society's values? How can we be so blind to the implications of the widespread prescribing of stimulants? Does a drug become "safe" simply because it is prescribed by a doctor? Does "pushing" drugs on children become legitimate simply because it is done by drug manufacturers? The answers to these questions are complex--but the most important step is to start asking the right questions. The following resources can assist in that process." Peter R. Breggin, M.D."
Center for the Study of Psychiatry and Psychology
4628 Chestnut Street, Bethesda, Maryland 20814
http://www.breggin.com/ritalin.html

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Why to Avoid RITALIN® (methylphenidate), healthysource.com:"Though many experts do not agree on the cause of Attention Deficit Disorder (ADD/ADHD), the mainstay of conventional treatment of ADD/ADHD is medication; usually stimulant medication such as Ritalin (methylphenidate), Dexedrine (dextroamphetamine), Desoxyn (methamphetamine) or Cylert (pemoline). When stimulants are not effective, children may be given tricyclic antidepressants. (22) It's no wonder that millions of parents across the United States are overwhelmed and feeling trapped within a very bad situation: Not only have their children been diagnosed as having ADD/ADHD, but the prescribed treatment usually consists of powerful stimulant drugs."
VMAH PRODUCTS
1717 Dryden Rd., Suite 415 Houston, Texas 77005 USA
Email Customer Service: info@vmah.com Email Technical Support: support@vmah.com
Tel: 1-800-200-1203 or +713-528-1206 Fax: 1-800-997-8987 or +713-528-1226
http://www.healthysource.com/ritalin.html

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on Non-Medical Use of Ritalin (methylphenidate), Indiana Prevention Resource Center:"A familiar stimulant drug, long used to treat hyperactivity in children, is quickly becoming the drug abuse "hot topic" in the American Midwest. Reports of Ritalin (methylphenidate) abuse have taken center stage in television specials and news magazine articles in the fall of 1995. Prescription tablets, which produce mild stimulant effects when taken as directed and at usual prescription doses, can create powerful stimulant effects and serious health risks when crushed and then snorted like cocaine, or injected like heroin."
Indiana Prevention Resource Center at Indiana University
Creative Arts Building 2735 East 10th Street RM 110
Bloomington, IN 47408-2606 (812) 855-1237
http://www.drugs.indiana.edu/publications/iprc/factline/ritalin.html

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Methylphenidate, Internet Mental Health:"Attention-Deficit Hyperactivity Disorder (ADHD), previously known as Attention-Deficit Disorder. Other terms being used to describe this behavioral syndrome include: minimal Brain Dysfunction in Children, Hyperkinetic Child Syndrome, Minimal Brain Damage, Minimal Cerebral Dysfunction, Minor Cerebral Dysfunction. Methylphenidate is indicated as an integral part of a total treatment program which typically includes other remedial measures (psychological, educational, social) for a stabilizing effect in children with a behavioral syndrome characterized by the following group of developmentally inappropriate symptoms: moderate-to-severe distractibility, short attention span, hyperactivity, emotional lability, and impulsivity. The diagnosis of this syndrome should not be made with finality when these symptoms are only of comparatively recent origin. Non-localizing (soft) neurological signs, learning disability, and abnormal EEG may or may not be present, and a diagnosis of CNS dysfunction may or may not be warranted."
http://www.mentalhealth.com/drug/p30-r03.html

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Methylphenidate (Ritalin), The National Institute on Drug Abuse (NIDA):"Methylphenidate is a medication prescribed for individuals (usually children) who have an abnormally high level of activity or attention-deficit hyperactivity disorder (ADHD). According to the National Institute of Mental Health, about 3 to 5 percent of the general population has the disorder, which is characterized by agitated behavior and an inability to focus on tasks. Methylphenidate also is occasionally prescribed for treating narcolepsy."
National Institute on Drug Abuse National Institutes of Health
6001 Executive Boulevard, Room 5213
Bethesda, MD 20892-9561 U.S.A
Information@lists.nida.nih.gov or call 301-443-1124
http://www.nida.nih.gov/Infofax/ritalin.html

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On Beyond Ritalin.... By Carol Watkins, M.D. and Glenn Brynes, Ph.D, M.D. Northern County Psychiatric Associates:"Said Debra Ann Dilly O'Malley O'Clad Who had AD/HD and wow was it was bad, "I've tried Ritalin in the morning and night Doses low, doses high and it just isn't right. I've altered dose intervals; tried the SR. I've gone on-line lots; talked to friends near and far. I've learned all there is on this darned ADD. But my mind still can't focus, just how can this be? My children and husband are ready to bust I think I'll just give up and say I'm a klutz."
Northern County Psychiatric Associates
http://www.ncpamd.com/On_Beyond_Ritalin.htm

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Parents Against Ritalin:"What is P.A.R.? P.A.R. is a international non-profit association of parents who are committed to educating the public about the natural alternatives available for managing ADD/ADHD, otherwise known as Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder. P.A.R. is NOT about wiping out Ritalin from the face of the earth. There are some children for whom Ritalin may be their best option. However, there are countless others that are being drugged unnecessarily. Many would welcome using a natural approach but don't have the opportunity to do so because they don't know about it. That's where P.A.R. comes in, as an educational resource."
225 S. Brady, Claremore, OK 74017 1-800-469-5929 or 918-342-5125. info@p-a-r.org
http://www.p-a-r.org/

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Why Ritalin Rules, By MARY EBERSTADT, Policy Review, Published by the Heritage Foundation:"Ritalin, Ritalin, seizure drugs, Ritalin," in the words of its sing-song opening. "So goes the rhythm of noontime" for a typical school nurse in East Boston "as she trots her tray of brown plastic vials and paper water cups from class to class, dispensing pills into outstretched young palms." For this nurse, as for her counterparts in middle- and upper-middle class schools across the country, the day's routine is now driven by what the Times dubs "a ticklish question," to wit: "With the number of children across the country taking Ritalin estimated at well over three million, more than double the 1990 figure, who should be giving out the pills?"
Policy Review,
214 Massachusetts Avenue NE Washington DC 20002 Phone (202) 546-4400 Fax (202) 608-6136
http://www.policyreview.org/apr99/eberstadt.html

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Death From Ritalin, www.ritalindeath.com:"Hello, I'm here to let you know about the death of our fourteen-Year-old Son Matthew. He died on March 21, 2000. The cause was determined to be from the long- term (age 7-14) use of Methylphenidate a medication commonly known as Ritalin. The Certificate of Death under due to, (or as a consequence of) reads. Long Term Use of Methylphenidate (Ritalin). According to Dr. Ljubisa Dragovic, The chief pathologist at Oakland County Medical Examiners office in Michigan said upon autopsy, Matthews heart showed clear signs of small vessel damage, the type caused by stimulant drugs like amphetamines."
http://www.ritalindeath.com/

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Methylphenidate, Ritalin, U.S. Department of Justice Drug Enforcement Administration:"A growing number of incidents of abuse have been associated with adolescents and young adults who are using MPH for its stimulant effects: appetite suppression, wakefulness, and increased focus/attentiveness (for long nights of studying), and euphoria. Pharmaceutical tablets are most frequently taken orally or by crushing the tablets and snorting the powder. However, some addicts dissolve the tablets in water and inject the mixture."
Drug Enforcement Administration Information Services Section (CPI)
2401 Jefferson Davis Highway Alexandria, VA 22301
http://www.usdoj.gov/dea/concern/methylphenidate.html

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