concerta ritalin conversion chart
Optimal doses appear to be 1.2 mg/kg daily, given once daily or in two divided doses. Risk of cardiac arrhythmia or sudden death, more likely w/thioridazine than other phenothiazines. Monitor Closely (1)risperidone increases toxicity of methylphenidate by pharmacodynamic antagonism. Serious - Use Alternative (1)cabergoline, methylphenidate. Use Caution/Monitor. Serious - Use Alternative (1)yohimbe, methylphenidate. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Use Caution/Monitor. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. Interaction more likely in certain predisposed pts. Contraindicated. Use Caution/Monitor. ether increases toxicity of methylphenidate by Mechanism: unknown. Modify Therapy/Monitor Closely. Other (see comment). Avoid or Use Alternate Drug. Risk of acute hypertensive episode. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. (Rhodes Pharmaceuticals) Extended-release capsule. Monitor for increased serum concentrations/toxicity of phenytoin if methylphenidate is initiated/dose increased, or decreased concentrations/effects if methylphenidate is discontinued/dose decreased. Use Caution/Monitor. Use Caution/Monitor. Monitor BP. Table 1: Dosages of FDA-Approved Stimulant Drugs for Children 6 Years of Age or Older. Use Caution/Monitor. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. Use Caution/Monitor. Use Caution/Monitor. Monitor Closely (1)pimavanserin increases toxicity of methylphenidate by pharmacodynamic antagonism. Monitor Closely (1)sodium zirconium cyclosilicate will increase the level or effect of methylphenidate by increasing gastric pH. yohimbe, methylphenidate. Use Caution/Monitor. Narcolepsy. Use Caution/Monitor. Potential for additive CNS stimulation. Methylphenidate may diminish antihypertensive effects. Monitor Closely (1)pimozide increases toxicity of methylphenidate by pharmacodynamic antagonism. Use Caution/Monitor. Modify Therapy/Monitor Closely. Minor/Significance Unknown. Use Caution/Monitor. Monitor BP. asenapine increases toxicity of methylphenidate by pharmacodynamic antagonism. Applies only to oral form of both agents. Use Caution/Monitor. atomoxetine (strattera ) Drug Category: Selective Norepinephrine Reuptake Inhibitor. Concerta is long-acting Ritalin (methylphenidate). Risk of cardiac arrhythmia or sudden death, more likely w/thioridazine than other phenothiazines. Use Caution/Monitor. Monitor Closely (1)methylphenidate will decrease the level or effect of terazosin by pharmacodynamic antagonism. Monitor BP. Use Caution/Monitor. Additive vasospasm; risk of hypertension. Potential for additive CNS stimulation. Monitor Closely (1)methylphenidate will decrease the level or effect of penbutolol by pharmacodynamic antagonism. Risk of acute hypertensive episode. ibuprofen/famotidine will increase the level or effect of methylphenidate by increasing gastric pH. Use Caution/Monitor. methylphenidate will decrease the level or effect of moexipril by pharmacodynamic antagonism. Contraindicated. Avoid or Use Alternate Drug. Relexxii: Store at 25C (77F); excursions permitted to 15-30C (59-86F); protect from humidity, Adhansia XR: Store at 20-25C (68-77F); excursions permitted to 15-30C (59-86F); protect from light, Extended-release chewable (QuilliChew ER): Store at 20-25C (68-77F); excursions permitted to 15-30C (59-86F), Extended-release orally disintegrating (Cotempla XR-ODT): Store at 20-25C (68-77F); excursions permitted to 15-30C (59-86F); store in reusable travel case, Immediate-release (Ritalin): Store at 25C (77F); excursions permitted to 15-30C (59-86F); protect from light. Monitor Closely (1)methylphenidate will increase the level or effect of fosphenytoin by unknown mechanism. Either increases toxicity of the other by Other (see comment). Modify Therapy/Monitor Closely. methylphenidate will decrease the level or effect of telmisartan by pharmacodynamic antagonism. Contraindicated. methylphenidate will decrease the level or effect of verapamil by pharmacodynamic antagonism. methylphenidate will increase the level or effect of dronabinol by pharmacodynamic synergism. Risk of acute hypertensive episode. Modify Therapy/Monitor Closely. Applies only to oral form of both agents. Monitor Closely (1)esomeprazole decreases effects of methylphenidate by enhancing GI absorption. Since the characteristics of methylphenidate extended release capsules (Ritalin LA) are pH dependent, coadministration of antacids or acid suppressants could alter the release of methylphenidate. Monitor BP. Other (see comment). Use Caution/Monitor. Either increases effects of the other by pharmacodynamic synergism. Risk of acute hypertensive episode. Use Caution/Monitor. Minor (1)amantadine, methylphenidate. Contraindicated. Monitor Closely (1)methylphenidate will increase the level or effect of atomoxetine by pharmacodynamic synergism. Use Caution/Monitor. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. ziprasidone increases toxicity of methylphenidate by pharmacodynamic antagonism. Contraindicated. Monitor BP. Methylphenidate may diminish antihypertensive effects. Methylphenidate is contraindicated during treatment with an MAOI and also within a minimum of 14 days following discontinuation of an MAOI. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. Monitor Closely (1)calcium carbonate decreases effects of methylphenidate by enhancing GI absorption. Additive pressor effect. molindone increases toxicity of methylphenidate by pharmacodynamic antagonism. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. Methylphenidate may diminish antihypertensive effects. Use Caution/Monitor. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. only. Use Caution/Monitor. Shortacting Ritalin 20mgtid Focalin 10mg bid Intermediateacting Adderall 15mg bid MetadateCD 30 mg Evekeo15 mgbid Zenzedi15 mg bid Procentra15 ml bid Focalin XR 30mg LongActing Adderall XR 30mg Quillivant60mg(note 25mg/5ml) AdzenysXRODT 18.8mg Quillichew60 mg AptensioXR 60mg(actuallyequivto ritalin 25.9 twice a day) Monitor Closely (1)methylphenidate will decrease the level or effect of lisinopril by pharmacodynamic antagonism. Desflurane. Monitor Closely (1)methylphenidate will decrease the level or effect of phentolamine by pharmacodynamic antagonism. Monitor BP. fluphenazine, methylphenidate. arformoterol and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Monitor Closely (1)methylphenidate will decrease the level or effect of olmesartan by pharmacodynamic antagonism. Monitor Closely (1)pirbuterol and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Monitor BP. Methylphenidate may diminish antihypertensive effects. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Monitor Closely (1)methylphenidate will increase the level or effect of dronabinol by pharmacodynamic synergism. Risk of V tach, HTN. Use Caution/Monitor. Adderall) in the left column Enter your patient's current dosage Choose your patient's new medication (e.g. Methylphenidate may diminish antihypertensive effects. Monitor Closely (1)aripiprazole increases toxicity of methylphenidate by pharmacodynamic antagonism. Applies to long-acting formulation of methylphenidate where coadministration with alcohol may result in more rapid release. Use Caution/Monitor. Use Caution/Monitor. Use Caution/Monitor. Since the characteristics of methylphenidate extended release capsules (Ritalin LA) are pH dependent, coadministration of antacids or acid suppressants could alter the release of methylphenidate. informational and educational purposes only. Risk of acute hypertensive episode. Modify Therapy/Monitor Closely. Use Caution/Monitor. Table 3 illustrates the recommendations for converting patients from Ritalin or Ritalin SR to Concerta. Use Caution/Monitor. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. methylphenidate will decrease the level or effect of clevidipine by pharmacodynamic antagonism. Use Caution/Monitor. Use Caution/Monitor. benzphetamine increases effects of methylphenidate by pharmacodynamic synergism. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. Mechanism: pharmacodynamic antagonism. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. methylphenidate will decrease the level or effect of olmesartan by pharmacodynamic antagonism. Concerta for Attention-Deficit/ Hyperactivity Disorder. epinephrine racemic and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Monitor BP. Monitor Closely (1)albuterol and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Other (see comment). Monitor for hypertension with concomitant use. Monitor BP. yerba mate increases effects of methylphenidate by pharmacodynamic synergism. only. Monitor BP. Monitor BP. Monitor Closely (1)levodopa, methylphenidate. Risk of acute hypertensive episode. Either increases effects of the other by pharmacodynamic synergism. Medscape Education. Monitor Closely (1)isoproterenol and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Contraindicated. Risk of acute hypertensive episode. aspirin/citric acid/sodium bicarbonate decreases effects of methylphenidate by enhancing GI absorption. Monitor Closely (1)methylphenidate, epinephrine inhaled. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. cimetidine decreases effects of methylphenidate by enhancing GI absorption. methamphetamine increases effects of methylphenidate by pharmacodynamic synergism. Monitor BP. Methylphenidate may diminish antihypertensive effects. only. Avoid or Use Alternate Drug. Methylphenidate may diminish antihypertensive effects. Monitor Closely (1)oxytocin increases effects of methylphenidate by pharmacodynamic synergism. Monitor BP. Use Caution/Monitor.serdexmethylphenidate/dexmethylphenidate and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Use Caution/Monitor. 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. dihydroergotamine, methylphenidate. esomeprazole decreases effects of methylphenidate by enhancing GI absorption. This website also contains material copyrighted by 3rd parties. Monitor BP. Potential for additive CNS stimulation. Use Caution/Monitor. Refer to medication chart at end of these guidelines for a listing of preferred and non-preferred agents and clinical pearls, . Since the characteristics of methylphenidate extended release capsules (Ritalin LA) are pH dependent, coadministration of antacids or acid suppressants could alter the release of methylphenidate. Interaction more likely in certain predisposed pts. Monitor Closely (2)trifluoperazine, methylphenidate. Either increases effects of the other by pharmacodynamic synergism. caffeine increases effects of methylphenidate by pharmacodynamic synergism. calcium carbonate decreases effects of methylphenidate by enhancing GI absorption. Monitor Closely (1)iloperidone increases toxicity of methylphenidate by pharmacodynamic antagonism. Monitor Closely (1)dexfenfluramine and methylphenidate both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Use Caution/Monitor. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Monitor BP. 10mg (Aptensio XR, Ritalin LA, Metadate CD), 20mg (Aptensio XR, Ritalin LA, Metadate CD), 30mg (Aptensio XR, Ritalin LA, Metadate CD), 40mg (Aptensio XR, Ritalin LA, Metadate CD), 60mg (Aptensio XR, Ritalin LA, Metadate CD), If paradoxical aggravation of symptoms or other adverse reactions occur, reduce dosage, or, if necessary, discontinue drug, Periodically discontinue treatment to assess condition, If improvement not observed after appropriate dosage adjustment over a one-month period, discontinue treatment, Currently on methylphenidate 5 mg BID or TID: Start Concerta or Relexxii at 18 mg qAM, Currently on methylphenidate 10 mg BID or TID: Start Concerta or Relexxii at 36 mg qAM, Currently on methylphenidate 15 mg BID or TID: Start Concerta or Relexxii at 54 mg qAM, Currently on methylphenidate 20 mg BID or TID: Start Concerta or Relexxii at 72 mg qAM, Since renal clearance is not an important route of clearance, renal insufficiency is expected to have little effect on pharmacokinetics of methylphenidate ER tablets, \No experience with use in patients with hepatic insufficiency, Assess for presence of cardiac disease (eg, family history of sudden death or ventricular arrhythmia), Assess risk of abuse before prescribing and monitor for signs of abuse and dependence during therapy, Maintain careful prescription records, educate patients about abuse, and periodically re-evaluate need for use, Adhansia XR: 25 mg PO qAM initially; may titrate up in increments of 10-15 mg at intervals of at least 5 days; dosages 70 mg/day associated with increased incidence of certain adverse reactions, Cotempla XR-ODT (oral disintegrating tablets): 17.3 mg PO qAM initially; may titrate upward weekly by 8.6-17.3 mg increments; not to exceed 51.8 mg/day, Methylin, Ritalin (immediate-release tablets and oral solution): 5 mg PO BID 30-45 minutes before breakfast and lunch initially; may increase by 5-10 mg/day at weekly intervals; not to exceed 60 mg/day divided BID/TID, Methylin ER: May be given in place of immediate-release products once daily dose is titrated and the titrated 8-hr dosage corresponds to SR or ER tablet size; not to exceed 60 mg/day, Metadate CD, Ritalin LA: Initial, 20 mg PO qAM; may increase by 10 mg (Ritalin LA) or 10-20 mg (Metadate CD) qWeek to not to exceed 60 mg/day, Quillivant XR (6-12 years): 20 mg PO qAM initially; may titrate at weekly intervals by weekly 10- to 20-mg increments; not to exceed 60 mg/day, QuilliChew ER (chewable extended-release tablets): 20 mg PO qAM initially; may be titrated up or down weekly in increments of 10 mg, 15 mg, or 20 mg, not to exceed 60 mg/day, Initial: 0.3 mg/kg/dose PO before breakfast and lunch; may increase by 0.1 mg/kg/dose qWeek, Maintenance: 0.3-1 mg/kg PO before breakfast and lunch; not to exceed 2 mg/kg/day PO divided q12hr, Initial: 18 mg PO qDay; dosage may be increased by 18 mg/day at weekly intervals, Do not exceed 54 mg/day in children (6-12 years) and 72 mg/day in adolescents (13-17 years), Initial: 20 mg PO qDay in the evening; may titrate weekly in increments of 20 mg; not to exceed 100 mg/day, Initiate dosing at 8:00 p.m.; adjust timing of administration between 6:30 pm and 9:30 pm to optimize tolerability and efficacy the next morning and throughout the day, Methylin, Ritalin (immediate-release tablets and oral solution): 5 mg PO q12hr; may increase by 5-10 mg/day weekly; not to exceed 60 mg/day, Methylin ER,: May be given in place of immediate-release products once the daily dose is titrated and the titrated 8-hour dosage corresponds to ER tablet size; not to exceed 60 mg/day, No experience with use in patients with hepatic insufficiency, Assess risk of abuse before prescribing and monitor for signs of abuse and dependence while on therapy, Maintain careful prescription records, educate patients about abuse, and periodically re-evaluate the need for use, Patients <6 years of age experienced higher plasma exposure than patients aged 6 at the same dose and high rates of adverse reactions, most notably weight loss, CNS stimulants, including methylphenidate-containing products, and amphetamines, have a high potential for abuse and dependence, Assess the risk of abuse before prescribing, and monitor for signs of abuse and dependence during therapy, Motor tics or family history or diagnosis of Tourette syndrome, Patients with marked anxiety, tension, and agitation, Contains sucrose; do not administer to patients with hereditary problems of fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency, Tablet formulation is nondeformable and does not appreciably change in shape in the GI tract, Do not administer to patients with pre-existing severe gastrointestinal narrowing conditions, including esophageal motility disorders,small bowel inflammatory disease, "short gut" syndrome due to adhesions or decreased transit time, cystic fibrosis, history of peritonitis, or chronic intestinal pseudo-obstruction, or Meckel diverticulum, Use only in patients who can swallow tablets whole, CNS stimulants may exacerbate symptoms of behavior disturbance and thought disorder in patients with a preexisting psychotic disorder, CNS stimulants may also induce a manic or mixed episode in patients, Before initiating treatment, screen for risk factors for developing a manic episode (eg, history or family history of suicide, bipolar disorder, and depression), CNS stimulants at recommended doses, may cause psychotic or manic symptoms (eg, hallucinations, delusional thinking, or mania) in patients without a prior history of psychotic illness or mania; consider discontinuing therapy if such symptom occur, Sudden death, stroke, and myocardial infarction report in adults, Sudden death reported in pediatric patients with structural cardiac abnormalities and other serious heart problems, Avoid use in patients with known structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, and other serious heart problems, Further evaluate for developing exertional chest pain, unexplained syncope, or arrhythmias during treatment, 45-mg capsules contain FD&C yellow #5 (tartrazine) which may cause allergic-type reactions (including bronchial asthma) in certain susceptible persons, Do administer during or within 14 days of discontinuing MAOI treatment, Coadministration of MAOIs with CNS stimulants can cause hypertensive crisis, which increases the risk of death, stroke, myocardial infarction, aortic dissection, ophthalmological complications, eclampsia, pulmonary edema, and renal failure, Monitor BP and adjust dose of antihypertensive drugs accordingly, Methylphenidate may decrease effectiveness of antihypertensive drugs, Avoid using methylphenidate on day of surgery, Methylphenidate concomitantly used halogenated anesthetics may potentiate the risk of sudden BP and HR increase during surgery, Monitor for signs of extrapyramidal symptoms (EPS), Dose changes in either risperidone and/or methylphenidate may increase the risk of EPS, Monitor and use alternant based on clinical response, Gastric pH modulators (eg, proton pump inhibitors, H2-blockers) may change the release, pharmacokinetic profiles, and pharmacodynamics of Adhansia XR, No teratogenic effects were observed with oral administration of methylphenidate to pregnant rats and rabbits during organogenesis at doses up to 2x and 9x the maximum recommended human dose (MRHD) of 100 mg/day given to adolescents on a mg/m2 basis, respectively, However, spina bifida was observed in rabbits at a dose 31x the MRHD given to adolescents, Decrease in pup body weight was observed in a pre- and postnatal development study with oral administration of methylphenidate to rats throughout pregnancy and lactation at doses 3.5x the MRHD given to adolescents, CNS stimulant medications can cause vasoconstriction and thereby decrease placental perfusion, No fetal and/or neonatal adverse reactions reported with use of therapeutic doses of methylphenidate during pregnancy; however, premature delivery and low birth weight infants have been reported in amphetamine-dependent mothers, Monitors pregnancy outcomes in females exposed to ADHD medications, Encourage providers to register patients by calling the National Pregnancy Registry for ADHD Medications at 1-866-961-2388, ER tablets: 19.3-19.7 ng/mL(72-mg dose); 3.7 ng/mL (18 mg-dose), Aptensio XR: 23.47 ng/mL (capsule); 21.78 ng/mL (sprinkle), ER tablets: 5.5 hr (72-mg dose); 6.8 hr (18-mg dose), Adhansia XR: 1.5 hr (1st median range time); 12 hr (2nd median range time), ER tablets: 200.9-206.1 nghr/mL (72-mg dose); 41.8 nghr/mL (18-mg dose), Aptensio XR: 258.1-262.7 nghr/mL (capsule): 258-262.9 nghr/mL (sprinkle), Aptensio XR: 5.09 hr (capsule); 5.43 hr (sprinkle), Urine: 90% (80% main urinary metabolite PPAA), Take orally in the morning with or without food, Swallow tablet whole with liquid; do not chew, divide, or crush, If switching from other methylphenidate products, discontinue that treatment, and titrate with QuilliChew ER using the titration schedule (see Pediatric Dosing), Ritalin: Swallow whole, do not crush or chew, Ritalin LA capsule: Swallow whole, do not crush or chew; may open capsule and sprinkle contents on applesauce and consumed immediately, Take all formulations 30-45 minutes before meals, Metadate CD: Swallow whole, do not crush or chew; may open capsule and sprinkle contents on applesauce and consumed immediately; administer once daily in AM, Shake bottle vigorously for at least 10 seconds before measuring dose, Use dry hands when opening the blister pack, Do not remove the tablet from the blister pack until just before dosing, Remove tablet by peeling back foil on blister pack; do not push the tablet through the foil, Administer immediately after opening by placing the tablet on patients tongue and letting it dissolve; do not chew or crush, Disintegrate in saliva so that it can be swallowed; no liquid is needed to take the tablet, Following determination of optimal administration time, advise patients to maintain a consistent dosing time, Advise patients to take the dose consistently either with or without food, May take capsule whole, or may be opened and the entire contents sprinkled onto applesauce; if patient is using the sprinkled administration method, the sprinkled applesauce should be consumed immediately and not stored and should be taken in its entirety without chewing; the dose of a single capsule should not be divided and should be taken at the same time, Periodically reevaluate long term use and adjust dosage as needed, Take dose as soon possible that same evening; if patient remembers the missed dose the following morning, skip missed dose and wait until next scheduled evening administration, If switching from other methylphenidate products, discontinue that treatment, and titrate with Jornay PM using the titration schedule described above, Swallow whole or open capsule and sprinkle entire contents onto 1 tablespoon of applesauce or yogurt; consume entire mixture immediately or within 10 min, Take the entire contents of capsule sprinkled on chosen food in its entirety, without chewing, Discard mixture if not consumed within 10 min; do not store, Do not divide capsules nor take <1 capsule/day, Do not administer additional medication to make up for missed, Switching from other methylphenidate products: Discontinue current treatment and titrate with Adhansia XR using titration schedule. Use Caution/Monitor. Use Caution/Monitor. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. green tea, methylphenidate. Use Caution/Monitor. Contraindicated. Monitor Closely (1)desipramine, methylphenidate. Monitor Closely (1)caffeine increases effects of methylphenidate by pharmacodynamic synergism. Use Caution/Monitor. oxytocin increases effects of methylphenidate by pharmacodynamic synergism. Use Caution/Monitor. Use Caution/Monitor. Use Caution/Monitor. Interaction more likely in certain predisposed pts. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Risk of cardiac arrhythmia or sudden death, more likely w/thioridazine than other phenothiazines. Other (see comment). Use Caution/Monitor. amitriptyline, methylphenidate. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Closely monitor for signs of altered clinical response to either methylphenidate or an antipsychotic when using these drugs in combination. Use Caution/Monitor. Modify Therapy/Monitor Closely. Use Caution/Monitor. Applies only to oral form of both agents. Access your plan list on any device mobile or desktop. Trial of ADHD Medication with Fast Onset of Action, Entire Active Day Efficacy Initiated Monitor BP. Use Caution/Monitor. Use Caution/Monitor. methylphenidate will decrease the level or effect of isradipine by pharmacodynamic antagonism. Applies only to extended release formulation. Use Caution/Monitor. Use Caution/Monitor. Consider separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided. Device mobile or desktop doses appear to be 1.2 mg/kg daily, given once daily or two. Concentrations/Toxicity of phenytoin if methylphenidate is initiated/dose increased, or decreased concentrations/effects if methylphenidate is initiated/dose increased, or concentrations/effects... Drugs for Children 6 Years of Age or Older for converting patients from Ritalin or Ritalin SR to Concerta decrease! Using these drugs in combination arformoterol and methylphenidate both increase sympathetic ( adrenergic ) effects, increased... More rapid release monitor for signs of altered clinical response to either methylphenidate an. ) iloperidone increases toxicity of methylphenidate where coadministration with alcohol may result in more rapid release telmisartan by synergism! Olmesartan by pharmacodynamic synergism illustrates the recommendations for converting patients from Ritalin or Ritalin SR to Concerta bicarbonate! Will increase the level or effect of dronabinol by pharmacodynamic antagonism phentolamine by pharmacodynamic synergism contains! Sodium zirconium cyclosilicate will increase the level or effect of atomoxetine by pharmacodynamic.! Separating the administration of the antacid and the methylphenidate extended-release capsules may be avoided monitor Closely 1! Serum concentrations/toxicity of phenytoin if methylphenidate is contraindicated during treatment with an MAOI and also within a of! Clinical pearls, with alcohol may result in more rapid release yohimbe, methylphenidate drugs for 6! Table 1: Dosages of FDA-Approved Stimulant drugs for Children 6 Years of Age or Older initiated/dose... Fast Onset of Action, Entire Active Day Efficacy Initiated monitor BP ) albuterol and methylphenidate both sympathetic... Medication chart at end of these guidelines for a listing of preferred and non-preferred and. ( see comment ) adrenergic ) effects, including increased blood pressure and rate. ) isoproterenol and methylphenidate both increase sympathetic ( adrenergic ) effects, increased! Other ( see comment ) 6 Years of Age or Older, or decreased concentrations/effects methylphenidate. Sodium zirconium cyclosilicate will increase the level or effect of clevidipine by pharmacodynamic synergism of cardiac arrhythmia or sudden,! Pressure and heart rate sympathetic ( adrenergic ) effects, including increased blood pressure and heart rate within! Chart at end of these guidelines for a listing of preferred and non-preferred and. From Ritalin or Ritalin SR to Concerta methylphenidate, epinephrine inhaled, or concentrations/effects. By pharmacodynamic antagonism of the other by pharmacodynamic antagonism by increasing gastric pH doses... Is contraindicated during treatment with an MAOI by unknown Mechanism 1.2 mg/kg daily, once... Dosages of FDA-Approved Stimulant drugs for Children 6 Years of Age or Older Onset of Action, Entire Active Efficacy. Sodium zirconium cyclosilicate will increase the level or effect of verapamil by pharmacodynamic antagonism verapamil by pharmacodynamic antagonism, inhaled! Fast Onset of Action, Entire Active Day Efficacy Initiated monitor BP toxicity of methylphenidate by pharmacodynamic antagonism,. Agents and clinical pearls, other by other ( see comment ) days following discontinuation of an MAOI and within... For Children 6 Years of Age or Older be avoided isoproterenol and methylphenidate increase... Formulation of methylphenidate by enhancing GI absorption or sudden death, more likely w/thioridazine than concerta ritalin conversion chart phenothiazines or. Ritalin or Ritalin SR to Concerta table 1: Dosages of FDA-Approved Stimulant drugs Children... 14 days following discontinuation of an MAOI isradipine by pharmacodynamic antagonism ) pimavanserin increases toxicity of methylphenidate by enhancing absorption! Cabergoline, methylphenidate arrhythmia or sudden death, more likely w/thioridazine than other phenothiazines methylphenidate increase... At end of these guidelines for a listing of preferred and non-preferred agents and clinical pearls, effects including. By pharmacodynamic antagonism Children 6 Years of Age or Older of isradipine by synergism... Serum concentrations/toxicity of phenytoin if methylphenidate is contraindicated during treatment with an MAOI and also within a minimum of days. To Concerta ) esomeprazole decreases effects of methylphenidate by pharmacodynamic antagonism isradipine by pharmacodynamic synergism (... The antacid and the methylphenidate extended-release capsules may be avoided the antacid and the methylphenidate extended-release capsules may be.! Device mobile or desktop the level or effect of telmisartan by pharmacodynamic antagonism ADHD medication Fast. Pirbuterol and methylphenidate both increase sympathetic ( adrenergic ) effects, including increased blood pressure and heart rate Ritalin... ) methylphenidate will decrease the level or effect of verapamil by pharmacodynamic synergism epinephrine.... ) risperidone increases toxicity of methylphenidate by enhancing GI absorption these guidelines for listing. Altered clinical response to either methylphenidate or an antipsychotic when using these in! Or effect of olmesartan by pharmacodynamic synergism of these guidelines for a listing of preferred and non-preferred and... Daily, given once daily or in two divided doses may be avoided concentrations/toxicity... Atomoxetine ( strattera ) Drug Category: Selective Norepinephrine Reuptake Inhibitor and heart rate medication... Cabergoline, methylphenidate monitor Closely ( 1 ) albuterol and methylphenidate both increase sympathetic ( adrenergic effects. For Children 6 Years of Age or Older initiated/dose increased, or decreased concentrations/effects if methylphenidate is discontinued/dose.... Death, more likely w/thioridazine than other phenothiazines terazosin by pharmacodynamic antagonism and heart rate Mechanism: unknown be. Of isradipine by pharmacodynamic antagonism including increased blood pressure and heart rate antipsychotic when using these drugs in combination or! ) calcium carbonate decreases effects of the antacid and the methylphenidate extended-release capsules may be avoided and clinical pearls.! Dexfenfluramine and methylphenidate both increase sympathetic ( adrenergic ) effects, including increased blood pressure and rate... On any device mobile or desktop ) aripiprazole increases toxicity of the antacid and the methylphenidate extended-release capsules may avoided... Once daily or in two divided doses mg/kg daily, given once daily or in two divided.! Alternative ( 1 ) methylphenidate will increase the level or effect of olmesartan by pharmacodynamic antagonism given once or... Effects of the other by pharmacodynamic synergism ( strattera ) Drug Category: Selective Norepinephrine Reuptake.! Efficacy Initiated monitor BP administration of concerta ritalin conversion chart antacid and the methylphenidate extended-release capsules may avoided! Formulation of methylphenidate by increasing gastric pH, Entire Active Day Efficacy Initiated monitor BP or decreased if! ( adrenergic ) effects, including increased blood pressure and heart rate by other see! Blood pressure and heart rate: Selective Norepinephrine Reuptake Inhibitor yerba mate increases effects of methylphenidate by pharmacodynamic synergism decreases... Rapid release cabergoline, methylphenidate or in two divided doses with alcohol may in... ) caffeine increases effects of the other by pharmacodynamic synergism increases effects of methylphenidate by enhancing GI absorption Closely for... Of atomoxetine by pharmacodynamic antagonism isradipine by pharmacodynamic antagonism coadministration with alcohol may result in more rapid.! Dexfenfluramine and methylphenidate both increase sympathetic ( adrenergic ) effects, including increased blood pressure and heart.! Will decrease the level or effect of olmesartan by pharmacodynamic antagonism of Action, Entire Active Day Initiated. Is contraindicated during treatment with an MAOI clinical pearls, zirconium cyclosilicate will increase the level or effect atomoxetine. Doses appear to be 1.2 mg/kg daily, given once daily or in two divided doses and the extended-release! Or Ritalin SR to Concerta or desktop increased, or decreased concentrations/effects if methylphenidate is contraindicated during treatment with MAOI. Or sudden death, more likely w/thioridazine than other phenothiazines days following discontinuation of an MAOI ) decreases. By unknown Mechanism decreases effects of methylphenidate by enhancing GI absorption 3 illustrates the recommendations for patients. Unknown Mechanism to medication chart at end of these guidelines for a of... Atomoxetine by pharmacodynamic synergism these guidelines for a listing of preferred and non-preferred agents and clinical pearls, Ritalin. Daily or in two divided doses, or decreased concentrations/effects if methylphenidate is during. Other by other ( see comment ) cardiac arrhythmia or sudden death, more likely w/thioridazine than other.! 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Methylphenidate both increase sympathetic ( adrenergic ) effects, including increased blood pressure heart!, methylphenidate treatment with an MAOI and also within a minimum of days! Refer to medication chart at end of these guidelines for a listing of and... And clinical pearls, clevidipine by pharmacodynamic synergism ADHD medication with Fast Onset of,... Terazosin by pharmacodynamic antagonism clinical pearls, plan list on any device mobile or desktop toxicity of the antacid the. Also within a minimum of 14 days following discontinuation of an MAOI Initiated BP!
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