![]() Dose may be adjusted in 2.5 to 5 mg increments to a maximum of 20 mg per day (10 mg twice daily). Start with half the dose recommended for normal short acting mehtylphenidate above. Use cautiously in patients with marked anxiety, motor tics or with family history of Tourette syndrome, or history of substance abuse. Most helpful when need rapid onset and short duration. Insomnia, decreased appetite, weight loss, headache, irritability, stomachache, and rebound agitation or exaggeration of pre-medication symptoms as it is wearing off.Ībout 3-4 hours. Daily dosage above 60 mg not recommended. Adjust timing based on duration of action. Add third dose about 4 hours after second. Starting dose for children is 5 mg twice daily, 3-4 hours apart.
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