Proper Use

Drug information provided by: Micromedex

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much is taken, it may become habit-forming. If you think this medicine is not working properly after you have taken it for several weeks, check with your doctor and do not increase the dose.

This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one.

To help prevent trouble with sleeping, take the last dose of the short-acting tablets before 6 PM, unless your doctor gives you a different time.

If you are taking the long-acting forms of this medicine:

  • The Concerta® extended release tablets, Metadate CD® or Ritalin LA® capsules, and Ritalin SR® tablets are to be swallowed whole with water or other liquids. Do not break, open, crush, or chew them before swallowing.
  • If you are unable to swallow the Metadate CD® or Ritalin LA® extended-release capsule whole, carefully open the capsule and sprinkle the small beads over a spoonful of applesauce. The mixture of drug and applesauce should be taken right away without chewing. The drug and applesauce mixture should not be stored for future use.
  • If you are taking the Concerta® extended-release tablets, you may sometimes notice what looks like a tablet in your stool. This is the empty tablet shell that is left after the medicine has been absorbed into your body.
  • You may take Concerta® extended release tablets with or without food.
  • If you are taking the Quillivant™ XR extended-release suspension, shake the bottle well for at least 10 seconds before measuring each dose. Use only the oral dosing dispenser provided in the package to get the right dose. You may take it with or without food.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For attention deficit hyperactivity disorder (ADHD):
    • For short-acting oral dosage form (tablets):
      • Adults—5 to 20 milligrams (mg) two or three times a day, taken 30 to 45 minutes before meals.
      • Teenagers and children 6 years of age and older—At first, 5 mg two times a day, taken before breakfast and lunch. If needed, your doctor may increase the dose once a week by 5 to 10 mg per day until symptoms improve or a maximum dose of 60 mg is reached.
      • Children younger than 6 years of age—Use and dose must be determined by the doctor.
    • For long-acting oral dosage form (extended-release capsules):
      • Patients who have not been treated with methylphenidate:
        • Adults, teenagers, and children 6 years of age and older—At first, 10 to 20 milligrams (mg) once a day, taken in the morning. If needed, your doctor may increase the dose once a week by 10 mg per day as needed to a maximum dose of 60 mg per day.
        • Children younger than 6 years of age—Use and dose must be determined by the doctor.
      • Patients who are already taking methylphenidate:
        • Adults, teenagers, and children 6 years of age and older—10 to 60 milligrams (mg) once a day, taken in the morning. If needed, your doctor may increase the dose once a week by 10 mg per day as needed up to 60 mg per day.
        • Children younger than 6 years of age—Use and dose must be determined by the doctor.
    • For long-acting oral dosage form (extended-release suspension):
      • Adults, teenagers, and children 6 years of age and older—At first, 20 milligrams (mg) once a day, taken in the morning. If needed, your doctor may increase the dose once a week by 10 to 20 mg per day as needed up to 60 mg per day.
      • Children younger than 6 years of age—Use and dose must be determined by the doctor.
    • For long-acting oral dosage form (extended-release tablets):
      • For patients who have not been treated with Concerta®:
        • Adults—At first, 18 to 36 milligrams (mg) once a day in the morning. Your doctor may increase your dose as needed. However, the dose is usually not more than 72 mg per day.
        • Teenagers and children 6 years of age and older—At first, 18 mg once a day in the morning. Your doctor may increase your dose as needed. However, the dose is usually not more than 72 mg per day.
        • Children younger than 6 years of age—Use and dose must be determined by your doctor.
      • For patients already using Concerta®:
        • Adults, teenagers, and children 6 years of age and older—At first, 18 to 72 milligrams (mg) once a day in the morning, depending on your previous dose of methylphenidate. Your doctor may increase your dose as needed. However, the dose is usually not more than 72 mg per day.
        • Children younger than 6 years of age—Use and dose must be determined by your doctor.
    • For long-acting oral dosage form (sustained-release tablets):
      • Adults, teenagers, and children 6 years of age and older—The dose must be determined by the doctor.
      • Children younger than 6 years of age—Use and dose must be determined by the doctor.
  • For narcolepsy:
    • For short-acting oral dosage form (tablets):
      • Adults—5 to 20 milligrams (mg) two or three times a day, taken 30 to 45 minutes before meals.
      • Teenagers and children 6 years of age and older—At first, 5 mg two times a day, taken before breakfast and lunch. If needed, your doctor may increase the dose once a week by 5 to 10 mg per day until symptoms improve or a maximum dose of 60 mg is reached.
      • Children younger than 6 years of age—Use and dose must be determined by your doctor.
    • For long-acting oral dosage form (sustained-release tablets):
      • Adults and teenagers and children 6 years of age and older—The dose must be determined by the doctor.
      • Children younger than 6 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

For the extended-release suspension: Throw away any unused suspension 4 months after it is dispensed.