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The mode of action in man is not completely understood, Buy Ritalin which presumably activates the brain stem
arousal system and cortex to produce its stimulant effect.
There is neither specific evidence which clearly establishes the mechanism whereby Ritalin produces its
mental and behavioral effects in children, nor conclusive evidence regarding how these effects relate to
the condition of the central nervous system.
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Attention Deficit Disorders, Narcolepsy
Attention Deficit Disorders (previously known as Minimal Brain Dysfunction in Children). Other terms
being used to describe the behavioral syndrome below include: Hyperkinetic Child Syndrome, Minimal
Brain Damage, Minimal Cerebral Dysfunction, Minor Cerebral Dysfunction.
Ritalin 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
the 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. Nonlocalizing (soft) neurological signs, learning disability, and abnormal
EEG may or may not be present, and a diagnosis of central nervous system dysfunction may or may not be
Marked anxiety, tension, and agitation are contraindications to Ritalin, since the drug may aggravate these
symptoms. Ritalin is contraindicated also in patients known to be hypersensitive to the drug, in patients
with glaucoma, and in patients with motor tics or with a family history or diagnosis of Tourette’s
Dosage should be individualized according to the needs and responses of the patient.
Tablets: Administer in divided doses 2 or 3 times daily, preferably 30 to 45 minutes before meals.
Average dosage is 20 to 30 mg daily. Some patients may require 40 to 60 mg daily. In others, 10 to 15 mg
daily will be adequate. Patients who are unable to sleep if medication is taken late in the day should take
the last dose before 6 p.m.
SR Tablets: Ritalin-SR tablets have a duration of action of approximately 8 hours. Therefore, Ritalin-SR
tablets may be used in place of Ritalin tablets when the 8-hour dosage of Ritalin-SR corresponds to the
titrated 8-hour dosage of Ritalin. Ritalin-SR tablets must be swallowed whole and never crushed or
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