ADHD Medication Chart 2004 http://www.myadhd.com/treatment_tools/medicationchart.h
A.D.D. WareHouse
Medication Chart to Treat Attention Deficit Hyperactivity Disorder
COMMON SIDE DURATION
DRUG FORM DOSING
EFFECTS OF EFFECTS
PROS PRECAUTIONS
METHYLPHENIDATE
RITALIN Short Acting Starting dose for Insomnia, decreased About 3-4 hours. Works quickly Use cautiously in
METHYLIN Tablet children is 5 mg twice appetite, weight loss, Most helpful when (within 30-60 patients with marked
METADATE 5 mg daily, 3-4 hours apart. headache, irritability, need rapid onset minutes). Effective anxiety, motor tics or
Generic MPH 10 mg Add third dose about 4 stomachache, and and short duration. in over 70% of with family history of
20 mg hours after second. rebound agitation or patients. Tourette syndrome, or
Adjust timing based on exaggeration of history of substance
duration of action. pre-medication abuse. Don't use if
Increase by 5-10 mg symptoms as it is glaucoma or on MAOI.
increments. Daily wearing off.
dosage above 60 mg
not recommended.
Estimated dose range
.3-.6 mg/kg/dose
FOCALIN Short Acting Start with half the dose As above. About 3-4 hours. Works quickly As above.
(with isolated dextroisomer) Tablet recommended for There is suggestion Most helpful when (within 30-60 Expensive compared to
2.5 mg normal short acting that Focalin (dextro- need rapid onset minutes). Possibly other short acting
5 mg mehtylphenidate isomer) may be less and short duration. better for use for preparations.
10 mg above. Dose may be prone to causing sleep Only formulation evening needs when
adjusted in 2.5 to 5 mg or appetite with isolated day's long acting
increments to a disturbance. dextro-isomer. dose is wearing off.
maximum of 20 mg
per day (10 mg twice
daily).
Mid Acting Tablet Start with 20 mg daily. Insomnia, decreased Onset delayed for Wears off more As above.
RITALIN SR 20mg May combine with appetite, weight loss, 60-90 minutes. gradually than short Note: If crushed or cut,
_____ short acting for headache, irritability, Duration supposed acting so less risk full dose may be
quicker onset and/or stomachache. to be 6-8 hours, but of rebound. Lower released at once, giving
Mid Acting Tablet coverage after this can be quite abuse risk. twice the intended dose
________________ 10 mg wears off. individual and in first 4 hours, none in
20mg unreliable. the second 4 hours.
METHYLIN ER
________________
METADATE ER
Mid Acting Starting dose is 10-20 Insomnia, decreased Onset in 30-60 May swallow whole
RITALIN LA Capsule mg once daily. May be appetite, weight loss, minutes. Duration or sprinkle ALL Same cautions as for
50% immediate release beads 20 mg adjusted weekly in 10 headache, irritability, about 8 hours. contents on a immediate release.
and 50% delayed release beads 30 mg mg increments to stomachache, and spoonful of
40 mg maximum of 60 mg rebound potential. applesauce. Starts
_____ taken once daily. May quickly, avoids
_____________ Mid Acting add short acting dose mid-day gap unless ________________
Capsule in AM or 8 hours later student metabolizes If beads are chewed,
METADATE CD 10 mg in PM if needed. medicine very may release full dose
30% immediate release and 70% 20 mg rapidly. at once, giving entire
delayed release beads 30 mg contents in first 4
hours.
CONCERTA Long Acting Starting dose is 18 mg Insomnia, decreased Onset in 30-60 Works quickly
Tablet or 36 mg once daily. appetite, weight loss, minutes. Duration (within 30-60 Same cautions as for
22% immediate release 18 mg Option to increase to headache, irritability, about 10-14 hours. minutes). Given immediate release.
and 78% gradual release 27 mg 72 mg daily. stomachache. only once a day.
36 mg Longest duration of Do not cut or crush.
54 mg MPH forms.
Doesn't risk
mid-day gap or
rebound since
medication is
released gradually
throughout the day.
Wears off more
This study source was downloaded by 100000889438651 from nursinghero.com on 02-15-2025 12:17:54 GMT -06:00
1 of 4 https://www.nursinghero.com//study-files/16347151 7/15/2009 8:45
A.D.D. WareHouse
Medication Chart to Treat Attention Deficit Hyperactivity Disorder
COMMON SIDE DURATION
DRUG FORM DOSING
EFFECTS OF EFFECTS
PROS PRECAUTIONS
METHYLPHENIDATE
RITALIN Short Acting Starting dose for Insomnia, decreased About 3-4 hours. Works quickly Use cautiously in
METHYLIN Tablet children is 5 mg twice appetite, weight loss, Most helpful when (within 30-60 patients with marked
METADATE 5 mg daily, 3-4 hours apart. headache, irritability, need rapid onset minutes). Effective anxiety, motor tics or
Generic MPH 10 mg Add third dose about 4 stomachache, and and short duration. in over 70% of with family history of
20 mg hours after second. rebound agitation or patients. Tourette syndrome, or
Adjust timing based on exaggeration of history of substance
duration of action. pre-medication abuse. Don't use if
Increase by 5-10 mg symptoms as it is glaucoma or on MAOI.
increments. Daily wearing off.
dosage above 60 mg
not recommended.
Estimated dose range
.3-.6 mg/kg/dose
FOCALIN Short Acting Start with half the dose As above. About 3-4 hours. Works quickly As above.
(with isolated dextroisomer) Tablet recommended for There is suggestion Most helpful when (within 30-60 Expensive compared to
2.5 mg normal short acting that Focalin (dextro- need rapid onset minutes). Possibly other short acting
5 mg mehtylphenidate isomer) may be less and short duration. better for use for preparations.
10 mg above. Dose may be prone to causing sleep Only formulation evening needs when
adjusted in 2.5 to 5 mg or appetite with isolated day's long acting
increments to a disturbance. dextro-isomer. dose is wearing off.
maximum of 20 mg
per day (10 mg twice
daily).
Mid Acting Tablet Start with 20 mg daily. Insomnia, decreased Onset delayed for Wears off more As above.
RITALIN SR 20mg May combine with appetite, weight loss, 60-90 minutes. gradually than short Note: If crushed or cut,
_____ short acting for headache, irritability, Duration supposed acting so less risk full dose may be
quicker onset and/or stomachache. to be 6-8 hours, but of rebound. Lower released at once, giving
Mid Acting Tablet coverage after this can be quite abuse risk. twice the intended dose
________________ 10 mg wears off. individual and in first 4 hours, none in
20mg unreliable. the second 4 hours.
METHYLIN ER
________________
METADATE ER
Mid Acting Starting dose is 10-20 Insomnia, decreased Onset in 30-60 May swallow whole
RITALIN LA Capsule mg once daily. May be appetite, weight loss, minutes. Duration or sprinkle ALL Same cautions as for
50% immediate release beads 20 mg adjusted weekly in 10 headache, irritability, about 8 hours. contents on a immediate release.
and 50% delayed release beads 30 mg mg increments to stomachache, and spoonful of
40 mg maximum of 60 mg rebound potential. applesauce. Starts
_____ taken once daily. May quickly, avoids
_____________ Mid Acting add short acting dose mid-day gap unless ________________
Capsule in AM or 8 hours later student metabolizes If beads are chewed,
METADATE CD 10 mg in PM if needed. medicine very may release full dose
30% immediate release and 70% 20 mg rapidly. at once, giving entire
delayed release beads 30 mg contents in first 4
hours.
CONCERTA Long Acting Starting dose is 18 mg Insomnia, decreased Onset in 30-60 Works quickly
Tablet or 36 mg once daily. appetite, weight loss, minutes. Duration (within 30-60 Same cautions as for
22% immediate release 18 mg Option to increase to headache, irritability, about 10-14 hours. minutes). Given immediate release.
and 78% gradual release 27 mg 72 mg daily. stomachache. only once a day.
36 mg Longest duration of Do not cut or crush.
54 mg MPH forms.
Doesn't risk
mid-day gap or
rebound since
medication is
released gradually
throughout the day.
Wears off more
This study source was downloaded by 100000889438651 from nursinghero.com on 02-15-2025 12:17:54 GMT -06:00
1 of 4 https://www.nursinghero.com//study-files/16347151 7/15/2009 8:45