14.02 Methylphenidate (Concerta)

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Generic Name

methylphenidate

Trade Name

Ritalin

Indication

ADHD, narcolepsy

Action

improves attention span in ADHD by producing CNS stimulation

Therapeutic Class

central nervous system stimulant

Pharmacologic Class

none

Nursing Considerations

• can cause sudden death, hypertension, palpitations, anorexia, hyperactivity, insomnia
• may decrease effects of Warfarin and Phenytoin
• do not use with MAOIs
• monitor cardiovascular system
• monitor for behavioral changes
• monitor for dependence
• do not consume caffeinated beverages
“Drug Holiday” used to assess dependence and status

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