![]() ![]() May be adjusted weekly in 10 mg increments to maximum of 60 mg taken once daily. Note: If crushed or cut, full dose may be released at once, giving twice the intended dose in first 4 hours, none in the second 4 hours.ģ0% immediate release and 70% delayed release beads Wears off more gradually than short acting so less risk of rebound. Duration supposed to be 6-8 hours, but can be quite individual and unreliable. Insomnia, decreased appetite, weight loss, headache, irritability, stomachache. May combine with short acting for quicker onset and/or coverage after this wears off. ![]() Possibly better for use for evening needs when day's long acting dose is wearing off.Įxpensive compared to other short acting preparations. Only formulation with isolated dextro-isomer. Most helpful when need rapid onset and short duration. There is suggestion that Focalin (dextro-isomer) may be less prone to causing sleep or appetite disturbance.Ībout 3-4 hours. Dose may be adjusted in 2.5 to 5 mg increments to a maximum of 20 mg per day (10 mg twice daily). Start with half the dose recommended for normal short acting mehtylphenidate above. Use cautiously in patients with marked anxiety, motor tics or with family history of Tourette syndrome, or history of substance abuse. Insomnia, decreased appetite, weight loss, headache, irritability, stomachache, and rebound agitation or exaggeration of pre-medication symptoms as it is wearing off.Ībout 3-4 hours. Daily dosage above 60 mg not recommended. Adjust timing based on duration of action. Add third dose about 4 hours after second. Starting dose for children is 5 mg twice daily, 3-4 hours apart. ![]()
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