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Ritalin®10

methylphenidate hydrochloride
Consumer Medicine Information

What is in this leaflet About 3% of children suffer from There is not enough information to
ADHD. It makes them unable to sit recommend its use in children under
still or concentrate on tasks for any 6 years old.
This leaflet answers some common
length of time. They may have
questions about Ritalin 10 tablets. Ritalin 10 can be abused or lead to
trouble learning and doing school
dependence. Keep Ritalin 10 in a
It does not contain all the available work. They frequently become
safe place to prevent misuse and
information. It does not take the difficult to manage, both in school
abuse.
place of talking to your doctor or and at home.
pharmacist.
Ritalin 10 is a central nervous system
The information in this leaflet was stimulant. It is thought to work by
last updated on the date listed on the regulating specific chemicals in the
final page. More recent information brain that affect behaviour. It helps Before you take
on the medicine may be available. to focus attention, shut out Ritalin 10
You should ensure that you speak distraction and allows impulsive
to your pharmacist or doctor to people to think before they act. If
successful, it will enhance an
obtain the most up to date When you must not take it
information on the medicine. You inattentive person's natural ability.
can also download the most up to This medicine is part of a treatment Do not take Ritalin 10 if you or
date leaflet from program that usually includes your child are allergic to
www.novartis.com.au. Those psychological, educational and social methylphenidate (the active
updates may contain important therapy. ingredient) or to any of the other
information about the medicine and ingredients listed at the end of this
• Ritalin 10 tablets are also used to leaflet.
its use of which you should be treat narcolepsy, a sleep-attack
aware. Some of the symptoms of an allergic
disorder. reaction may include shortness of
All medicines have risks and People with narcolepsy have breath, wheezing or difficulty
benefits. Your doctor has weighed recurring attacks of irresistible day- breathing; swelling of the face, lips,
the risks of you or your child taking time sleepiness in spite of having tongue or other parts of the body;
this medicine against the benefits enough sleep at night. Narcolepsy rash, itching or hives on the skin.
they expect it will provide. can be diagnosed by a doctor by
Do not take Ritalin 10 if you or
If you have any concerns about recording wake-sleep patterns.
your child have any of the
this medicine, ask your doctor or Narcolepsy is not a normal fatigue following medical conditions:
pharmacist. state. This medicine should not be • periods of severe anxiety, tension
Keep this leaflet with the medicine. used to prevent or treat normal or agitation
You may need to read it again. fatigue.
• Tourettes's syndrome or you have
Ask your doctor if you have any a family history of this disorder
questions about why this medicine • glaucoma (increased pressure in
has been prescribed for you or the eye)
your child.
What Ritalin 10 is Your doctor may have prescribed it • an overactive thyroid
used for for another purpose. • heart problems such as heart
attack, irregular heartbeat, chest
This medicine is only available with pain (angina), high blood
Ritalin 10 tablets have two uses. a doctor's prescription and your pressure
• They are used to treat Attention doctor has special permission to
prescribe it. • severe depression or other mental
Deficit Hyperactivity Disorder
illness
(ADHD).

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Ritalin® 10 Page 1 of 5

In that case. Your doctor and Do not take Ritalin 10 if you or usually in the face or shoulders) pharmacist have more information. instructions on the label. but • any other current or previous • alpha 2 agonists like clonidine always take them in the same way heart problems (used to treat high blood (e. If necessary. or your child are prone to allergies. operation. ask your signs of tampering. you or your child pressure can take them with food. 30 mg (2-3 tablets) each day but including medicines that you buy some people may need more or less Tell your doctor if you or your without a prescription from a than that. any of the above conditions. This medicine contains lactose and Tell your doctor if you or your child For adults. tell the doctor that you are How to take Ritalin 10 Ask your doctor or pharmacist if on treatment with Ritalin LA. return it to your pharmacist. Taking other medicines of 60 mg (6 tablets) each day. the dose can be increased by 5 or Tell your doctor if you or your 10 mg each week up to a maximum child have an intolerance to lactose or gluten. have surgery.g.• phaeochromocytoma (a rare • severe depression. such as tumour of the adrenal gland. taking this medicine. tell Your doctor may want to take special taking it within the past 14 days. structural Some medicines and Ritalin 10 may How to take it cardiac abnormality) interfere with each other. pressure) in the brain That way the effect will always be • warfarin. passes into the breast milk. are taking any other medicines. disorder or other mental illness tricyclic antidepressants and which sits near the kidney) • epilepsy (seizures or fits) MAO inhibitors If you are not sure whether any of • high blood pressure • clonidine the above medical conditions apply • alcoholism You or your child may need to take to you or your child. a medicine used to prevent blood clots the same. your child are taking a medicine or if your brothers or sisters have called a monoamine oxidase tics If you have not told your doctor inhibitor (MAOI) or have been about any of these things. These • a family history of sudden death Take the tablets with a full glass of include: water. Breast. Ask your doctor about the risks and How much to take benefits of taking Ritalin 10 in this Before you start to take it case. This is They may differ from the Do not take this medicine after the because there is a chance of a sudden information contained in this leaflet. MAOI medicines may cause a serious reaction with a sudden Tell your doctor if you are going to increase in body temperature. or you or your child may need to take • tics (muscle twitching which is different medicines. The maximum dose is child have any of the following pharmacy. check with • drug dependence different amounts of your medicines your doctor. the usual preservatives. It is not known if ingredient. expiry date printed on the pack or rise in blood pressure during the If you do not understand the if the packaging is torn or shows operation. medicines. medicines. supermarket or health 60 mg (6 tablets) each day. • medicines for epilepsy (fits) Take the tablets in 2 or 3 doses over the day unless your doctor tells you otherwise. Ritalin 10 is available in tablets This medicine may affect your containing 10 mg of methylphenidate Tell your doctor if you or your developing baby if you take it while hydrochloride as the active child are allergic to any other you are pregnant. If you find that you or your child have trouble __________________________________________________________________________________________________ Ritalin® 10 Page 2 of 5 . starting dose is 5 mg (half a tablet) Your doctor will want to know if you feeding is not recommended while once or twice each day. • any heart defects (e. pregnant or breast-feeding. You Follow all directions given to you you are not sure if you or your should not take Ritalin LA on the by your doctor and pharmacist child have been taking one of these day of your operation if a certain carefully. always with food or always • any disorders of the blood vessels without food). type of anaesthetic is used. medical conditions: food shop. bipolar • medicines for depression. extremely high blood pressure and If you are going to have an severe convulsions. the usual dose is 20 to wheat starch. Tell your doctor if you are doctor or pharmacist for help. dyes or the active ingredient in Ritalin 10 For children aged 6 or over. If they upset you or your or irregular heart beat • hardening of the arteries • medicines that increase blood child’s stomach. foods. him/her before you or your child precautions if you or your child have Taking Ritalin 10 together with start taking this medicine.g.

a child may numbers for these places handy. your condition may improved concentration begins when overdose may include vomiting. Do not take this medicine to treat This medicine helps to control your While you are taking any other complaints unless your or your child’s symptoms but does Ritalin 10 doctor tells you to. Your doctor Do not give it to anyone else. To twitching. long as your doctor tells you. make sure to wait the same amount of time as usual before you If your child is not growing or Drinking alcohol is not or your child take the next dose. too much Ritalin 10. You may need If you take too much Ritalin 10. your pharmacist for some hints. tremors. If you or machinery or doing jobs that often (e. pharmacist who treats you or Sometimes they are serious. help to prevent a slow-down in either now or later in life. irregular heart beat. if there are usually treatment with Ritalin 10 may need some of the unwanted effects of this 4 hours between doses. tell your doctor. drowsiness children take this medicine for a long time. sweating. dizziness. know how it affects you. your doctor may want to flushing. started on any new medicine. appointments so that your or your or blurred vision in some people. soon as possible if you do not feel pharmacist that you are taking well while you are taking Ritalin If you have trouble remembering Ritalin 10. If child’s progress can be checked. agitation. reappear or you may get unwanted school starts. this medicine During treatment for ADHD. talk to your doctor about nearest hospital if you think that Things you must not do the best time to take the last dose you or anyone else may have taken of the day. so that Some of the symptoms of an medicine. dentist or All medicines can have side effects. or go to experience any of them. Ask your Accident and Emergency at your __________________________________________________________________________________________________ Ritalin® 10 Page 3 of 5 . not cure your condition. while you are taking Ritalin 10. muscle effects such as depression. Breaks from treatment also dependence should not be a problem. medicine.g. If you suddenly stop taking this take a dose at 7:00 a. abuse or are taking Ritalin 10 until you needed. working and will discuss with you how long your treatment should Take Ritalin 10 exactly as your continue. stopping it completely. Continue taking Ritalin 10 for as confusion and seizures. headache. fever. weight and do blood tests If you or your child forget to take dangerous. from time to time to prevent a dose of Ritalin 10. doctor has prescribed. risks and benefits of taking it while Do not take a double dose to make you are pregnant. wait 4 to be interrupted. over weekends or school your child take it correctly as require you to be alert while you holidays) to see whether it is still instructed by your doctor. such as dizziness and hours before taking the next dose If you become pregnant while drowsiness. ask Tell any doctor. you have any of these symptoms. This medicine may cause growth that sometimes happens when Be sure to keep all of your doctor's hallucinations. needed. take the dose unwanted side effects from Be careful when drinking alcohol as soon as you remember. Your chance of an unwanted side Tell your doctor or pharmacist as remind your doctor and effect may be increased if you do. Things to be careful of Like all stimulants. and so on for the rest of that day. when to take your medicine. anything else that could be height. do Your doctor will want to check your not drive. breathing problems. medical treatment if you get some of (overdose) the side effects. taking Ritalin 10. 10. You may not (telephone 13 11 26). Then happening. Keep the telephone doctor. use machines or do If you forget to take it or your child’s blood pressure. dilated gradually reduce the amount of How long to take it medicine you take each day before pupils. prevent this. operating doctor may stop Ritalin 10 every so be abused by some people. Immediately telephone your doctor Do not be alarmed by these lists of or the Poisons Information Centre possible side effects.m. Do this even if Do not stop your treatment Each dose is usually taken 1 or there are no signs of discomfort or without first checking with your 2 hours before the greatest effect is poisoning. most of your child that you are taking the time they are not. On the next day go back to your Your doctor can discuss with you the usual times. up for the one that you or your If you or your child are about to be Side effects child missed. your may become habit-forming and can Be careful driving. even will check your or your child’s if their condition seems similar to progress to make sure the medicine is Things you must do yours.sleeping. For example. gaining height or weight as expected recommended because it can worsen For example.

• lactose • fast or irregular heartbeat swelling of the breasts in men. • unusual tiredness. a-half metres above the ground is a good place to store medicines. swelling of the ears (a other medicine in the bathroom or focussing your eyes near a sink. weight • gelatin decreased. jerking throat. large red blotches on the Ritalin 10 tablets contain 10 mg of skin appearing within a few hours of methylphenidate hydrochloride as the • seizures (fits) or unexplained active ingredient. A locked cupboard at least one-and- any of the following: excessive awareness of surroundings. sore throat. shortness of breath. Keep this medicine where children to Accident and Emergency at anger. double vision. sore throat. sweating. being taking this medicine or the expiry face. vomiting or • new or worsening agressive stomach pain behaviour • loss of appetite • severe or persistent headache • loss of weight and slower growth The above side effects may be in children serious. irritated and • Do not leave it in the car or on • hair loss agitated. Tell your doctor immediately or go abnormal behaviour or thinking. which ischaemic neurological deficit). sudden death. abnormal sounds from • magnesium stearate • yellow colour to the skin or eyes. aggression. trouble seeing. • signs of allergy such as swelling feeling unusually excited. cough. window sills. shortness of phenomenon’). your nearest hospital if you notice (including completed suicide). confusion. marked CG on one side and • unusual bleeding or bruising when cold (‘Raynaud’s AB with a break-line on the other. changes in sex drive. feeling shortness of breath. fingers and toes What it looks like swollen glands. diarrhoea. • nausea (feeling sick). over-active of the face. tiredness. You may need urgent After taking Ritalin 10 medical attention. muscle pain. doing If your doctor tells you to stop • weakness or paralysis of limbs or things over and over again. symptom of allergic reaction). packs of 100 tablets. lips or tongue. fast blood supply to the brain (reversible heartbeat. heart attack. ask your obsessed with one thing. thoughts or attempts of suicide cannot reach it.doctor or pharmacist to answer • confusion. hallucinations (seeing or feeling anything else that is making you things that are not really there) feel unwell. temporary • rash. aching muscles feeling numb. redness of or writhing movements the skin. breath when exercising. • muscle cramps feeling anxious. • pain or tightness in the chest muscle twitching. blood in the urine. tingling and changing Ritalin 10 tablets are round white or joints colour (from white to blue. white cells and • blurred vision or problems platelets). chest • calcium phosphate • changes in blood pressure pain. then red) tablets. Product description may lead to coma migraine. They also contain: fainting taking the medicine. • purified talc coloured bowel motions • wheat starch __________________________________________________________________________________________________ Ritalin® 10 Page 4 of 5 . overactivity and Some people may have other side of the following and they worry uninhibited behaviour effects not yet known or mentioned you: in this leaflet. fever. difficulty speaking. muscle weakness. or date has passed. decrease in number of • Store it in a cool dry place. • feeling nervous or unable to sleep • dry mouth Additional side effects that Storage • headache occurred with other medicines containing the same drug • Keep your medicine in the • drowsiness original container until it is time substance of Ritalin: • dizziness to take a dose. mood changes. or irritability • Do not store Ritalin 10 or any blood cells (red cells. swelling of face and Ingredients • uncontrollable twitching. delusions or Tell your doctor if you notice any questions you may have. Tell your doctor if you notice any • excitement. unexplained fainting pharmacist what to do with any addiction. and un-inhibited (mania). Inflammation of the nasal passages • mood changes such as depression and throat. red blotches. itching. excessive sweating. stopped heart such as chills. wheezing or disorientated. dilated • constant "flu-like" symptoms pupils. loss of skin blisters or peeling of the skin sensation or other functions of the • sudden increase in body body due to a temporary lack of temperature. Disposal troubled breathing lack of feeling or emotion. medicine you have left over. trembling. muscle stiffness and fluctuating blood pressure. dizziness. pale skin constipation. beat. dark coloured urine or light heart.

au ® = Registered Trademark This leaflet was prepared in August 2010.com.novartis.Sponsor Ritalin 10 tablets are supplied in Australia by: NOVARTIS Pharmaceuticals Australia Pty Limited ABN 18 004 244 160 54 Waterloo Road North Ryde NSW 2113 Telephone: 1 800 671 203 Web site: www. Australian Registration Number: Ritalin 10 tablet: AUST R 11052 __________________________________________________________________________________________________ Ritalin® 10 Page 5 of 5 .