Psychopharmacologic Drugs : Other Mental Disorders
ORITA1 “Ritalin tablet” 10 mg/tab
OCONC2 “Concerta OROS tablet” 18 mg/tab
適應症：過動兒症候群、發作性嗜睡症。
Usual dose:
ADHD:
Adult: Concerta 18 mg qd am, max. 72 mg/day; Ritalin 20 mg qd am ac, max. 60 mg/day.
Pediatric
( 6-12 yrs): Concerta initial, 18 mg qd am ; may adjust dosage at weekly intervals in 18 mg increments, max. 54 mg/day; Ritalin 20 mg qd am ac, max. 60 mg/day.
(13-17 yrs): Concerta 18 mg qd am, max. 72 mg/day; Ritalin 20 mg qd am ac, max. 60 mg/day.
Narcolepsy:
Adult: 10-60 mg/day ac divided 2-3 times daily.
Pediatric: 5 mg bid ac (am & noon), max. 60 mg/day.
Contraindication:
Hypersensitivity. anxiety, tension, agitation, glaucoma, family history or diagnosis of Tourette’s syndrome. Concomitant or within 14 days of MAOI therapy.
Adverse effect:
Common: headache, decrease in appetite, xerostomia, nausea, insomnia, anxiety,weight decreased, dizziness, irritability, diaphoresis, tachycardia, abdominal pain, loss of appetite, vomiting, depression.
Serious: myocardial infarction, raynaud’s phenomenon, sudden cardiac death, decreased body growth, gastrointestinal obstruction, with preexisting severe gastrointestinal narrowing and use of controlled-release formulations, abnormal liver function, cerebral artery occlusion, cerebral hemorrhage, cerebrovascular accident, seizure, blurred vision (1.7%~2%), aggressive behavior (1.7%~2.4%), mania, psychotic disorder, priapism.
健保使用規範：
1.限六歲至十八歲(含)，依DSM或ICD標準診斷為注意力不全過動症患者且對短效型methylphenidate（如Ritalin）治療之副作用無法耐受，或治療一個月以上，療效不佳者使用，並於病歷上記載使用理由。
2.如符合前項規定且已使用本類藥品治療半年以上，而十八歲後仍需服用者，需於病歷上詳細記載以往病史及使用理由。