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How should Ritalin be used? Ritalin comes as a tablet, an extended- or sustained-release (long-acting) tablet, and an extended-release capsule to take by mouth. The regular tablet and the extended-release tablet (Metadate ER, Methylin ER, Ritalin-SR) are usually taken two or three times a day, preferably 30-45 minutes before meals. The last dose of the day should be taken at least several hours before bedtime because the drug can cause sleeplessness. The extended-release tablet (Concerta) usually is taken once a day, in the morning, with or without food. The extended-release capsule usually is taken once a day, in the morning, before breakfast. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Ritalin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Swallow the extended-release tablets and capsules whole; do not split, chew, or crush them. Your doctor may start you on a low dose of Ritalin and gradually increase your dose. Continue to take Ritalin even if you feel well. Do not stop taking Ritalin without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

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