A child has been taking methylphenidate 5 mg at 8 AM, 12 PM, and 4 PM for 30 days after a new diagnosis of AD/HD and comes to the clinic for evaluation
The child's mother reports that the child exhibits some nervousness and insomnia but is doing much better in school. The primary care NP should suggest: a. discontinuing the 4 PM dose.
b. increasing the dose to 10 mg each time.
c. giving 10 mg at 8 AM and 5 mg at noon.
d. changing the dosing to 15 mg twice daily.
A
Nervousness and insomnia are the most common adverse effects and are usually controlled by reducing the dose or omitting the afternoon or evening dose.
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