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Methylphenidate

Brand: Ritalin, Concerta

CNS stimulant (C-II)Used for: ADHDCNS & Psychiatric
Boxed warning

High potential for abuse, misuse, and addiction, which can lead to overdose and death.

Caution
Serious cardiovascular events in patients with heart problems; growth suppression in children.

Common side effects

  • Decreased appetite
  • Trouble sleeping
  • Increased heart rate
  • Elevated blood pressure
  • Weight loss

Key interactions

  • Avoid MAO inhibitors
  • Adds cardiovascular effects with other stimulants
  • May raise blood pressure with decongestants
  • Caution with blood pressure medicines

Counseling points

  • Take early in day to avoid insomnia
  • Do not crush extended-release forms
  • Report chest pain or palpitations
  • Monitor appetite and growth in children
  • Keep secured; potential for misuse
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