Is Ritalin® prescription only?

Ritalin falls under the narcotics law and is therefore prescribed by a separate BTM prescription. Only a few physicians have a BTM license.

Dosage

Ritalin ® – like the other methylphenidate preparations – is adapted directly to the child. This usually means that the minimum dose is first determined based on body weight and height. Initially, a dosage of 5 mg once or twice a day, which corresponds to half a tablet, is taken.

The medication is gradually increased (weekly increase) – this is called “discontinuation” – until the optimal effect is achieved. A maximum dosage of 60 mg per day, divided over two to three intakes, should not be exceeded in children and adolescents. This increased concentration has an effect on attention and concentration, as well as on motivation and mood.

The first effect is already visible about half an hour after ingestion. The active ingredient is then slowly absorbed (broken down) in the body. In order to avoid a rebound effect (worsening of symptoms), regular intake of the drug must be ensured. Retard or Slow Release (SR) products release the active ingredient in a dosed form, so that no further medication is required after taking it once a day.

How does Ritalin® influence learning?

Studies and field reports show that Ritalin® can affect learning in different ways. It seems that the learning material can be absorbed in a shorter time. It is suspected that due to the altered effect of the messenger substances in the brain, the ability to concentrate is increased.

In some people Ritalin® also has a stimulating and mood-enhancing effect. Both could have a positive effect on learning behavior. However, Ritalin® can also inhibit creative thinking.This kind of thinking plays a role in certain solution behaviour and is also important in learning.

In addition, it is questionable whether the results in the exams in general are actually better. In some cases Ritalin® can lead to overestimation of one’s own abilities, which could have a negative effect on learning behavior. Healthy persons taking Ritalin® without a medical indication may show a strong restlessness. Consequently, learning can be difficult or impaired. Furthermore, it is not known to what extent the learning abilities and thought patterns are permanently influenced by Ritalin®.