Ritalin 20mg
Ritalin® 20mg (Methylphenidate HCl) – Focus & ADHD Management
1. Overview
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Active Ingredient: Methylphenidate HCl (20mg)
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Form: Round or oval tablet (scored for splitting)
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Type: Immediate-Release (IR) – lasts ~3–4 hours
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DEA Schedule II (high abuse potential)
2. Medical Uses
✅ ADHD (Attention Deficit Hyperactivity Disorder)
✅ Narcolepsy (off-label)
✅ Treatment-Resistant Depression (rare cases)
⚠ Not for recreational use – High risk of dependence
3. Dosage & Administration
| Patient Type | Recommended Dose | Max Daily Dose |
|---|---|---|
| Adults (ADHD) | 20mg 2x/day (AM & noon) | 60mg/day |
| Children (6+) | Start with 5–10mg, adjust weekly | 60mg/day |
| Narcolepsy | 10–20mg in AM | 60mg/day |
Key Guidelines:
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Onset: 30–60 minutes
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Duration: 3–4 hours (IR)
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Take with food (reduces stomach upset)
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Avoid late doses (risk of insomnia)
4. Warnings & Risks
🚨 Black Box Warnings:
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High abuse potential (stimulant misuse)
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Sudden death in heart defect patients
🚫 Do NOT use if:
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History of heart disease
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Severe anxiety/psychosis
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On MAOIs (dangerous interaction)
⚠ Monitor for:
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Heart rate & blood pressure
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Psychiatric side effects (aggression, paranoia)
5. Side Effects
Common:
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Decreased appetite
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Insomnia
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Mild headache
Serious (Seek Help):
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Chest pain
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Hallucinations
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Uncontrolled movements
6. Safety & Storage
🔐 Keep locked (high theft risk)
🌡️ Store at room temperature
🗑️ Dispose via DEA take-back programs
7. Legal & Prescription Status
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Rx Only (no refills without doctor visit)
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Strict pharmacy monitoring
8. Alternatives
🔄 Long-acting options: Concerta, Vyvanse
🔁 Non-stimulant ADHD meds: Strattera, Intuniv
