Ritalin – Still a Viable Option

By Dr. Kenny Handelman

Although there are many newer medicines available for ADHD, Ritalin is still prescribed regularly, and it often gets a lot of media attention.

As a parent — or an adult — with attention deficit disorder you’re doing the smart thing by researching the medication you’re taking for your condition. I’m a firm believer that knowledge is power. And the more you understand the mechanisms by which Ritalin and other medications work, then in the long run, you’re far more likely to control your ADD/ADHD than have it control you.

It seems ironic, doesn’t it? That many individuals with ADD/ADHD whose symptoms include hyperactivity would be given medication classed as a stimulant to help calm them. Ritalin is just one class of stimulant drug providing relief for you and hundreds of thousands of others.

Ritalin is also known by its chemical name of methylphenidate. Ritalin is the trade or brand name under which it’s sold. With only a four hour duration, you’ll discover that the individual with ADD/ADHD will need to take this prescription drug in the morning, at noontime as well as a dose at roughly 4 p.m.

These three separate doses provide you with coverage for a 12-hour period. That’s a good portion of a functioning day in anyone’s book. And it gives the individual just about the maximum coverage for the day.

While Ritalin may be short acting, your personal care physician may want to eventually combine it with another drug to help extend its effectiveness. He may prescribe Ritalin as well as a longer-acting methylphenidate preparation. Perhaps he believes your Ritalin isn’t working as effectively as it should.

He may request that you also try using Concerta in the morning with your Ritalin. Your dosage may look something like this then. In the morning, you take Ritalin and a specific dose of Concerta. This dosage is created solely for your specific situation. He may also ask that you take this second form of stimulant at the second dosage.

Many individuals have a medication schedule that include both Ritalin and Concerta in the morning and the afternoon (or at either time period) to help length the effects of this medication. Usually then they take Ritalin only in the evening.

Difference Between Ritalin And Ritalin SR

There is another, second variety of Ritalin available as well. It’s called Ritalin SR. the SR stands for slow release. It’s the same formula as the original, except in the slow release form, the medication is placed in a waxy substance to allow it to release in a steadier, more gradual rate.

This medication isn’t side effect free however. While your son or daughter is taking it you may notice some these more common adverse side effects. Among the most common of these are insomnia and decreased appetite. And do let your physician know if you or your child is experiencing either of these. The two common effects can easily be managed through the careful timing and dosing of the medication itself.

Some individuals get a skin rash, fever, headaches, anorexia nervosa, drowsiness, nausea, abdominal pain and dizziness. If you experience any of these conditions while you’re using Ritalin, be sure to notify your health care professional

Ritalin was the first prescription to be given for the treatment of ADD/ADHD and it was first used in 1958. To this day it’s still the medication most widely associated with the disorder.

While many people have a ‘knee-jerk’ negative reaction to Ritalin, it may still play a role in a reasonable treatment plan for ADHD.

Please share your thoughts below.

Dr. Kenny

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Comments

  1. Good to see some reasonable commentary by a qualified person on the subject of Ritalin. Sadly, the Internet is full of “amateur doctors” handing out advice without sever seeing the patient in question! Thank you, Dr Handelman.

  2. Pamela Egan says:

    I have a patient who has been prescribed Adderall for close to a decade, and wanted to see if any other medication would produce the desired effect as he felt he had become too dependent on his medication and was growing increasingly weary of the side-effects.

    He tried Ritalin and Concerta, and found neither to be effective. However, he did not try the two together, and having read this post I may suggest it the next time he comes in for a visit.

    I do not prescribe this particular patient’s ADHD medication, as that is done by another doctor. However, I do talk with him about his medication regimen when he comes in for a visit, and I will reference this post in suggesting maybe he ask his psychiatrist about a regimen involving the two together (Ritalin and Concerta) as opposed to taking each separately to no avail.

    Thanks for another great post :-)

  3. Pamela –
    Thanks for your comment.
    You inspired me to write another posts that has been needed (and I’ve had in the back of my mind for a long time), about combining Concerta and Ritalin.
    You can read it here:
    http://www.addadhdblog.com/concerta-ritalin

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