HPI: Ms. Lorenzo is a 72-year-old female who is brought

he specialist has decided to prescribe Methylphenidate 10mg 1 OD for Aiden’s initial therapy for ADHD. When checking the dispense label prepared by the pharmacy student, you noticed they selected Ritalin LA 10mg capsules. Why would this be inappropriate for Aiden as a starting therapy? Update answer Ritalin LA 10mg capsules are not recommended for Aiden as a starting therapy. This is because the long-acting formulation for methylphenidate, Ritalin LA 10mg, provides an 8-hour duration of action A standard practice when starting therapy with methylphenidate is to begin with the short-acting formulation. This allows for careful dose titration to determine if the child is responsive and tolerable to the medication. The dosage should be adjusted in small dosage after starting with methylphenidate immediate-release 5 mg. Optimal Dosage: According to eTG, the optimal dose of a short-acting formulation is determined first, followed by monitoring the child’s response, then switching to a long-acting formulation like Ritalin LA is recommended. In the case of a long-acting formulation, adjusting the dose and observing the side effects immediately might prove challenging. A short-acting formulation makes it easier to adjust the dosage or frequency in small dosage in order to find a therapeutic effect that is optimal. As a result of Ritalin LA’s long-acting formulation, adjusting the dosage is not as straightforward, and the drug’s effects last longer, which complicates managing adver

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