"Jan. 21, 2013 -- The number of children with ADHD is rising rapidly, according to a study of more than 840,000 California children.
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(methylphenidate hydrochloride) Extended-release Capsules
Read the Medication Guide that comes with RITALIN LA® before you or your child starts taking it and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your doctor about your or your child's treatment with RITALIN LA® .
What is the most important information I should know about RITALIN LA®?
The following have been reported with use of methylphenidate hydrochloride and other stimulant medicines.
1. Heart-related problems:
- sudden death in patients who have heart problems or heart defects
- stroke and heart attack in adults
- increased blood pressure and heart rate
Your doctor should check you or your child carefully for heart problems before starting RITALIN LA® .
Your doctor should check your or your child's blood pressure and heart rate regularly during treatment with RITALIN LA® .
Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking RITALIN LA® .
2. Mental (Psychiatric) problems:
- new or worse behavior and thought problems
- new or worse bipolar illness
- new or worse aggressive behavior or hostility
Children and Teenagers
- new psychotic symptoms (such as hearing voices, believing things that are not true, are suspicious) or new manic symptoms
Tell your doctor about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.
Call your doctor right away if you or your child have any new or worsening mental symptoms or problems while taking RITALIN LA®, especially seeing or hearing things that are not real, believing things that are not real, or are suspicious.
What Is RITALIN LA®?
RITALIN LA® is a central nervous system stimulant prescription medicine. It is used for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD). RITALIN LA® may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.
RITALIN LA® should be used as a part of a total treatment program for ADHD that may include counseling or other therapies.
RITALIN LA® is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep RITALIN LA® in a safe place to prevent misuse and abuse. Selling or giving away RITALIN LA® may harm others, and is against the law.
Tell your doctor if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines or street drugs.
Who should not take RITALIN LA®?
RITALIN LA® should not be taken if you or your child:
- are very anxious, tense, or agitated
- have an eye problem called glaucoma
- have tics or Tourette's syndrome, or a family history of Tourette's syndrome. Tics are hard to control repeated movements or sounds.
- are taking or have taken within the past 14 days an anti-depression medicine called a monoamine oxidase inhibitor or MAOI.
- are allergic to anything in RITALIN LA® . See the end of this Medication Guide for a complete list of ingredients.
RITALIN LA® should not be used in children less than 6 years old because it has not been studied in this age group.
RITALIN LA® may not be right for you or your child. Before starting RITALIN LA® tell your or your child's doctor about all health conditions (or a family history of) including:
- heart problems, heart defects, high blood pressure
- mental problems including psychosis, mania, bipolar illness, or depression
- tics or Tourette's syndrome
- seizures or have had an abnormal brain wave test (EEG)
Tell your doctor if you or your child is pregnant, planning to become pregnant, or breast-feeding.
Can RITALIN LA® be taken with other medicines?
Tell your doctor about all of the medicines that you or your child take including prescription and nonprescription medicines, vitamins, and herbal supplements. RITALIN LA® and some medicines may interact with each other and cause serious side effects. Sometimes the doses of other medicines will need to be adjusted while taking RITALIN LA® .
Your doctor will decide whether RITALIN LA® can be taken with other medicines.
Especially tell your doctor if you or your child takes:
- anti-depression medicines including MAOIs
- seizure medicines
- blood thinner medicines
- blood pressure medicines
- stomach acid medicines
- cold or allergy medicines that contain decongestants
Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist.
Do not start any new medicine while taking RITALIN LA® without talking to your doctor first.
How should RITALIN LA® be taken?
- Take RITALIN LA® exactly as prescribed. Your doctor may adjust the dose until it is right for you or your child.
- Take RITALIN LA® once a day in the morning. RITALIN LA® is an extended-release capsule. It releases medicine into your body throughout the day.
- Swallow RITALIN LA® capsules whole with water or other liquids. If you cannot swallow the capsule, open it and sprinkle the medicine over a spoonful of applesauce. Swallow the applesauce and medicine mixture without chewing. Follow with a drink of water or other liquid. Never chew or crush the capsule or the medicine inside the capsule.
- Ritalin LA should not be taken with alcohol. This may result in a more rapid release of the dose of Ritalin LA
- From time to time, your doctor may stop RITALIN LA® treatment for a while to check ADHD symptoms.
- Your doctor may do regular checks of the blood, heart, and blood pressure while taking RITALIN LA® . Children should have their height and weight checked often while taking RITALIN LA® . RITALIN LA® treatment may be stopped if a problem is found during these check-ups.
- If you or your child takes too much RITALIN LA® or overdoses, call your doctor or poison control center right away, or get emergency treatment.
What are possible side effects of RITALIN LA®?
See “What is the most important information I should know about RITALIN LA®” for information on reported heart and mental problems.
Other serious side effects include:
- slowing of growth (height and weight) in children
- seizures, mainly in patients with a history of seizures
- eyesight changes or blurred vision
Common side effects include:
- stomach ache
- decreased appetite
- trouble sleeping
Talk to your doctor if you or your child has side effects that are bothersome or do not go away.
This is not a complete list of possible side effects. Ask your doctor or pharmacist for more information.
How should I store RITALIN LA®?
- Store RITALIN LA® in a safe place at room temperature, 59 to 86° F (15 to 30° C).
- Keep RITALIN LA® and all medicines out of the reach of children.
General information about RITALIN LA®
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use RITALIN LA® for a condition for which it was not prescribed. Do not give RITALIN LA® to other people, even if they have the same condition. It may harm them and it is against the law.
This Medication Guide summarizes the most important information about RITALIN LA®. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information about RITALIN LA® that was written for healthcare professionals. For more information about RITALIN LA® call 1-888-669-6682.
What are the ingredients in RITALIN LA®?
Active Ingredient: methylphenidate HCL
Inactive Ingredients: ammonio methacrylate copolymer, black iron oxide (10 and 40 mg capsules only), gelatin, methacrylic acid copolymer, polyethylene glycol, red iron oxide (10 and 40 mg capsules only), sugar spheres, talc, titanium dioxide, triethyl citrate, and yellow iron oxide (10, 30, and 40 mg capsules).
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
This Medication Guide has been approved by the U.S. Food and Drug Administration.
Last reviewed on RxList: 6/14/2013
This monograph has been modified to include the generic and brand name in many instances.
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