Children Route and Dosage (Extended-release capsules): ● ADHD:● DEXMETHYLPHENIDATEAdults: Patients not previously taking methylphenidate:Adults and children Increased sympathomimetic effects with other Concurrent use with includingcardiographic (ECG) abnormalitiessingle daily dose. methylphenidate: date: as needed up to 10 mg 2 times a day. dose, up to 10 mg 2 times a day.phenidate:as a single daily dose.^1 date: 20 mg/day. day. Give same daily dose as a single dose.dose is once daily. May be increased by 10 mg after 1 week to 20 mg/⁄^2 of the methylphenidate dose, up to 20 mg/day given as a Agents Used to Treat Attention-DefiPatients currently taking methylphenidate:Give same daily dose as a single dose. 5 mg once daily. May be increased by 5 mg weekly up to^ (Immediate release tabs): ≥ 1 6 years: ⁄ 2 of the methylphenidate dose, up to 20 mg/day, given vasoconstrictors^ PO:Patients currently taking methylphenidate:^ 2.5 mg 2 times a day. May be increased weekly PO: Starting dose is ≥6 yearsPatients currently taking dexmethylphenidate:^ Patients not previously taking methylpheni-clonidine(Focalin; Focalin XR) Patients currently taking dexmethylpheni-: Patients not previously taking methyl-and cit/Hyperactivity Disorder may result in serious electro-decongestants^1 ⁄^2 of the methylphenidate Patients currently taking Starting dose is adrenergics^ PO: Starting ●10 mg^527 ,
2 2506_Ch31_522-537.indd 1527 506 Ch 31 522 - 537 .indd ADHD: 1 METHYLPHENIDATEAdultsConcerta; Daytrana) Methylin; Methylin ER; Metadate ER; Metadate CD; (Extended-release forms):Ritalin LA and Metadate CD:Ritalin-SR, Methylin ER, and Metadate ER: Adults and children Children 52 Maximum daily dosage: 60 mg. Initial dosage: 20 mg once daily in the morning. May increase dose of 5 mg 2 times a day before breakfast and lunch. May lowed whole.8-hour dosage of t he immediate-release tablets. Must be swal-tablets when the 8-hour dosage corresponds to the titrated ≥day, preferably 30 to 45 minutes before meals. Average dose is 20 to 30 mg/day. To prevent interruption of sleep, take last dose of the day before 6 p.m. increase dosage in 5 to 10 mg increments at weekly intervals. 7 6 years:: PO^ (Immediate release forms): ≥6 yr^ : Range 10 to 60 mg/day, in divided doses 2 or 3 times/PO: : May be used in place of the immediate-release PO^ : Individualize dosage. May start with low (Ritalin; Ritalin-SR; Ritalin LA;^ PO: Adults and children ≥6 years: 1 10/1/10 9:40:55 AM 0 / 1 / 10 9 : 40 : 55 AM