Vivanza 50mg tablets
1. Take two tablets three times a day for weeks.
2. If the symptoms do not improve, take tablet four times a day for the next 10 weeks, then take tablet once a day.
3. If you have not had a remission, start it again.
4. If the symptoms get worse, you should stop the medication.
5. If the symptoms get better and you cannot tolerate tablets at that dosage, the most suitable dose for you with no other symptoms is to take a maintenance dose once day for 3-6 months, then reduce it to once a day if symptoms persist or you feel well with it.
Treatment of chronic, moderate to severe depression
In this situation the following changes have to be made:
1. The medication must be gradually increased.
2. The dose must be increased in a schedule of three or four tablets a day, increasing by 1 gram each week from days 1, 2 and 8.
3. If you do not tolerate tablets well, you are more likely to tolerate the medication when added in divided doses of the following tablet forms:
Methylphenidate hydrochloride 20mg tablets
Methylphenidate 50mg tablets
Methylphenidate 60mg tablets
Other options may be considered in the situation where, for example:
The patient gets an anxiety or anxiety-like response if he/she takes methylphenidate.
The medication must be kept out of circulation.
The patient has feeling that medicine is affecting his/her weight.
The patient is experiencing side-effects.
The patient has become intolerant to methylphenidate.
The patient is already being treated with psychosocial treatment.
In the treatment of depression that involves mood fluctuations within a range which is abnormal and in need of treatment, the dose should increase when patient shows the usual decrease in sleep. When there is reduction in sleep, dose should be increased again in a two-step treatment. It is recommended that the dose of a psychostimulant be increased from 30-80 mg once the depression is stable. It also recommended that the dosage of a single substance be decreased from 100-200 mg.
If the symptoms persist only after one treatment, dose should be increased to 80-100 mg, and the psychostimulant medication then be stopped. If the symptoms continue after two treatment as above, a third must be tried in order to have a successful recovery, and this treatment should be a combination of psychostimulants.
In situations of major depression, for which there are no improvement within the 4th week, or when symptoms are severe, the dosage should always be reduced to 1-3 mg.
When the patient feels well and no major changes occur in his/her mood, the medication should be decreased, and the dose should be gradually increased until the patient is relieved. Logan
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