Methylphenidate

Question 1

Another name for Methylphenidate

Answer 1

Ritalin

Question 2

Initial dose for Methylphenidate

Answer 2

10 mg daily or 5mg BID

separate by 4 hours ( 5 in AM, 5 at Lunch)

Question 3

Titration process for Methylphenidate

Answer 3

5 - 10 mg per week

Question 4

Max dose of Methylphenidate

Answer 4

60 mg for one whole day, you need to split dosing. DO NOT GIVE AS ONE DOSE UNLESS LONG ACTING.

TID dosing

Question 5

How long before bed should you take methylphenidate

Answer 5

4 - 5 hours

Question 6

Should you take methylphenidate before or after meals

Answer 6

Before (30 to 45 minutes).

Question 7

What two diagnosis is Methylphenidate indicated for:

Answer 7

ADHD

Narcolepsy

Question 8

What labs and test(s) should we assess PRIOR to dosing Methylphenidate?

Answer 8

Monitor Blood pressure

UDS

CBC and Platelet count*

EKG*

Question 9

How does Methylphenidate work

Answer 9

Boost Dopamine and NE by blocking reuptake

Question 10

Major side effects of methylphenidate

Answer 10

Decreased appetites

tics

insomnia

anxious mind

GI (Cramping/Nausea)

weight loss.

Question 11

What medical history should we assess for prior to dosing any type of psycho-stimulant ?

Answer 11

Discuss if there is a family or personal cardiovascular history including HTN