Concerta vs Adderall - What's the difference between them? Published on September 21, 2022 Key takeaways: Phentermine (Adipex-P, Lomaira) is FDA approved for weight loss. This can be a sign of a serious problem that needs immediate treatment. This list is not complete. If you are unsure why you are taking it, speak with your doctor. This content does not have an English version. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Methylphenidate may slow children's growth or weight gain. This medicine is a beta-blocker. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. Take Ritalin exactly as prescribed by your doctor. Still looking for answers? This medicine may be taken with or without food. Some people do take Ritalin recreationally for its stimulating effect. Jain R, et al. tell your doctor if you are pregnant or plan to become pregnant. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking propranolol. All rights reserved. information highlighted below and resubmit the form. Version: 23.02. AdultsAt first, 40 milligrams (mg) three times a day. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. EXTENDED-RELEASE (ER): 8-hour ER oral tablet (e.g., Ritalin SR) - May be used when titrated 8-hour IR dose corresponds to available 8-hour ER tablet; available as 20 mg tablets; Maximum dose: 60 mg/day. Stimulants have caused stroke, heart attack, and sudden death in certain people. In addition, with certain long-acting forms of methylphenidate, alcohol can cause too much of the drug to be released at one time. The doctor may adjust the amount of medicine they prescribe. Tell your doctor if you or anyone in your family has ever had: depression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions; blood circulation problems in the hands or feet; or. Propranolol oral tablet can interact with other medications, vitamins, or herbs you may be taking. Last updated on Jan 11, 2023. If you have chest pain, vomiting, or trouble swallowing or breathing after taking the chewable tablet, you should call your doctor or get emergency medical treatment immediately. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Drug development and drug interactions | Table of substrates, inhibitors and inducers. Based on data from 2019, 8.8% of U.S. children between the ages of 3 and 17 years old have been diagnosed with ADHD. Usually avoid combinations; use it only under special circumstances. talk to your doctor about the risks and benefits of taking methylphenidate if you are 65 years of age or older. This may increase nervous system side effects such as drowsiness, anxiety, depression, and seizures. Some health insurance plans only cover the generic versions of the drugs. Haven't been thinking straight for quite sometime now. hydrochlorothiazide, spironolactone, chlorthalidone) . Ritalin vs Vyvanse - What's the difference between them? Whats the maximum total daily dosage (in milligrams) for ADHD? Doctors have prescribed Ritalin to treat conditions such as ADHD and narcolepsy for decades. I feel much better since doing that. Duplication for commercial use must be authorized by ASHP. The review found that there is currently insufficient evidence to definitely state if Ritalin has long-term side effects on behavior. Your child's doctor will watch his or her growth carefully. Methylphenidate may cause an increase in blood pressure and may diminish the effects of propranolol on blood pressure. When Nia Patterson went looking for answers, they came up against a diagnostic system not built for Black, queer, nonbinary adults like them. Swallow the mixture right away without chewing. Dopamine also has strong associations with pleasure and reward. include protected health information. You may take Ritalin LA capsules with or without food, but take them the same way each time. For people with cardiac problems, a history of seizures, or those prone to anxiety, Ritalin might make matters worse. Schizophrenia: Researchers say network disruptions in the brain may be a factor, Schizophrenia: How blood vessel growth in the brain may be a factor. Generic alternatives may be available. Encourage nutrient-dense foods. Methylphenidate is in a class of medications called central nervous system (CNS) stimulants. Metilfenidato may also be used to treat adults with narcolepsy. (2022). Avoid combinations; the risk of the interaction outweighs the benefit. This speeds up your brain activity. Let's look at why and how they're used within ADHD treatment. When you first start taking Ritalin for ADHD, the, The amount of time Adderall stays in your system depends on many factors, such as dosage, rate of metabolism, age, organ function, body composition, There may not be a current cure for ADHD, but several options can help manage symptoms. Adults80 to 320 milligrams (mg) per day, given in divided doses. Adults180 to 240 milligrams (mg) per day, given in divided doses. This can help with day-to-day functioning at school or in their job. Ritalin is a brand-name. (2022). Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. You may report side effects to FDA at 1-800-FDA-1088. There are 4 alcohol/food interactions with propranolol. This does not necessarily mean that Adderall is a better choice, though. 6 years or older: Propranolol is only part of a complete program of treatment that also includes diet, exercise, and weight control. 42 are major, 451 are moderate, and 48 are minor. Ritalin should be used as a part of a total treatment program for ADHD that may include counseling or other therapies. Take this medicine only as directed by your doctor. See additional information. I started Ritalin this month for ADD 20 mg LA my doc said propranalol was fine with the Ritalin but the thing is I don't really notice any help with my ADD symptoms. Symptoms, Diagnosis, and Treatments. This may increase nervous system side effects such as drowsiness, anxiety, depression, and seizures. Ritalin immediate-release tablets peak in your blood after about 2 hours. Follow all directions on your prescription label and read all medication guides or instruction sheets. If you are breastfeeding while taking methylphenidate your doctor may tell you to watch your baby closely for unusual agitation, difficulty sleeping, poor appetite, or weight loss. ADDERALL XR- dextroamphetamine sulfate, dextroamphetamine saccharate, amphetamine sulfate and amphetamine aspartate capsule, extended release. Norepinephrine mobilizes the brain and body to get ready for action and is involved in the fight or flight response. Your doctor may increase your dose as needed. The long-acting capsule (Metadate CD) is usually taken once a day before breakfast; the long-acting tablet (Concerta), long-acting chewable tablet (Quillichew ER), long-acting suspension (Quillivant XR), and long-acting capsules (Aptensio XR, Ritalin LA) are usually taken once a day in the morning with or without food. All of these forms of methylphenidate are taken by mouth. Propranolol - a beta-blocker. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917788/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068472/, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c0bf0835-6a2f-4067-a158-8b86c4b0668a, https://www.talktofrank.com/drug/methylphenidate?a=Ritalin, https://my.clevelandclinic.org/health/drugs/19153-methylphenidate-tablets, https://childmind.org/article/know-long-term-effects-adhd-medications/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181133/, https://www.drugabuse.gov/publications/drugfacts/prescription-stimulants, https://americanaddictioncenters.org/ritalin/use-and-abuse, Bariatric surgery can treat complications in people with obesity and diabetes. This branded product is no longer on the market. Minimally clinically significant. Maybe a tiny bit more energy and a tiny bit more focus but wondering if the beta blocker is blocking some of the Ritalin pros. Precautions. There are 20 disease interactions with propranolol which include: bradyarrhythmia/AV block cardiogenic shock/hypotension CHF diabetes hypersensitivity ischemic heart disease PVD asthma/COPD liver disease cerebrovascular insufficiency glaucoma hyperlipidemia hyperthyroidism hyperthyroidism PKs myasthenia gravis pheochromocytoma psoriasis tachycardia Becoming dependent on this medicine during pregnancy can cause premature birth or low birth weight. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. Food can enhance the levels of propranolol in your body. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine. metoprolol, nebivolol, propranolol) Diuretics (e.g. That being said, there are some minor differences between the two drugs, like how quickly and how long they work in your body. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Ritalin is short-acting, so the drug does not stay in the body for an extended period. FAQs: Why Is Allergic Rhinitis Called Hay Fever? Denis Preka was just 21 years old, an honor roll college student with a bright future, when a single decision to take drugs without a prescription at a friend's house led to his death. Attention deficit hyperactivity disorder (ADHD)*. severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse). Propranolol oral solution is used to treat proliferating infantile hemangioma. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Age: 6 to 12 years of age (methylphenidate-naive): You shoud take propranolol at the same time each day, preferably with or immediately following meals. From time-to-time, your doctor may stop Ritalin treatment for a while to check ADHD symptoms. Whats the starting dose (in milligrams) for ADHD? Pull the plunger back to withdraw the amount of oral suspension prescribed by your doctor. Moderately clinically significant. What are the side effects and risks of Ritalin? All rights reserved. Miller. Anyone who receives a prescription for Ritalin will need to regularly visit a doctor or other healthcare professional to review their medication needs. This report displays the potential drug interactions for the following 2 drugs: Applies to: propranolol and Ritalin (methylphenidate). Ritalin may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness, or bipolar disorder. Ritalin can reduce appetite in some people. Make sure you tell your doctor about all of the prescription and over-the-counter (OTC) medications, supplements, and herbs youre taking. Not all possible drug interactions are listed here. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. If you take too much methylphenidate, you may find that the medication no longer controls your symptoms, you may feel a need to take large amounts of the medication, and . (2015). Remove the dosing dispenser and slowly squirt the oral suspension directly into your mouth or your child's mouth. ADHD Treatment Options: Therapy, Medication, and More, ADHD and Gut Health: Study Finds Link to Fungi in Microbiome, The Effects of Adult ADHD on Relationships, For Neurodivergent Black Adults, Whats in a Diagnosis? Available for Android and iOS devices. According to Healthline, 9.5 percent of US children in the 3-17 age group have a diagnosis of ADHD.While medications, such as Ritalin or Adderall, can be helpful to those who may need them, these drugs have been diverted into the hands of individuals with no . Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Copyright, 2023. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Add your drug list to My Med List to view medical information in a simple, easy-to-read, personalized format. TITRATE gradually in 10 mg increments weekly to optimal response You may have blood circulation problems that can cause numbness, pain, or discoloration in your fingers or toes. Methylphenidate (Methylin) is also used to treat narcolepsy (a sleep disorder that causes excessive daytime sleepiness and sudden attacks of sleep). -Initial dose: 20 mg orally once a day if current IR dose is 10 mg 2 times a day or SR dose is 20 mg once a day Read on to learn the basics about both drugs. One review looked at studies into the long-term behavioral effects associated with Ritalin use. Ritalin vs Adderall: What is the difference? However, everyone reacts to medicines differently. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Call your pharmacist if the box does not contain a bottle adapter. They differ in how quickly they work and how long theyre effective. I am planning to start methylphenidate (Ritalin sold as inspiral or addwize here). The dose of this medicine will be different for different patients. So I started cutting the tabs in half and usually only take half twice a day with one full at bedtime sometimes. Ritalin is effective in treating attention deficit hyperactivity disorder (ADHD) but can have adverse effects. signs of heart problems - chest pain, trouble breathing, feeling like you might pass out; signs of psychosis - hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia; signs of circulation problems - numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes; or. The intermediate-acting tablets are usually taken once or twice a day, in the morning and sometimes in the early afternoon 30 to 45 minutes before a meal. Ritalin is not approved for use by anyone younger than 6 years old. Propranolol is a beta-blocker drug that is sometimes prescribed for the prevention of migraines. If the bottle adapter has not been inserted into the top of the bottle, insert it by placing the bottom of the adapter into the opening of the bottle and pressing down firmly on it with your thumb. This content does not have an Arabic version. propranolol methylphenidate Applies to: propranolol and Ritalin (methylphenidate) Methylphenidate may cause an increase in blood pressure and may diminish the effects of propranolol on blood pressure. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); antidepressants such as clomipramine (Anafranil), desipramine (Norpramin), and imipramine (Tofranil); decongestants (cough and cold medications); medications for heartburn or ulcers such as esomeprazole (Nexium, in Vimovo), famotidine (Pepcid), omeprazole (Prilosec, in Zegerid), or pantoprazole (Protonix); medications for high blood pressure; medications for seizures such as phenobarbital, phenytoin (Dilantin, Phenytek), and primidone (Mysoline); methyldopa; selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax, others), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), and sertraline (Zoloft); sodium bicarbonate (Arm and Hammer Baking Soda, Soda Mint); and venlafaxine (Effexor). Our website services, content, and products are for informational purposes only. Label: RITALIN methylphenidate hydrochloride tablet. Once it doubled to 20 mg. twice a day, after a few weeks I became a little down and weepy. AdultsAt first, 80 milligrams (mg) per day, given in divided doses. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. (2022). These "chemical cousins" are similar but have different effects. Drug class: CNS stimulants. If the medication loses its effects or has undesirable side effects, a person should tell their doctor. (2017). Hemangeol may increase the risk of heart or blood vessel problems (eg, bradycardia, hypotension). I asked to have it doubled since it helped with anxiety as well (which was probably causing the palpitations but I didn't put those two things together before!). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. In general, Ritalin and Adderall cost about the same. Information is also available online at https://www.poisonhelp.org/help. Some methylphenidate products may not be able to be substituted for another. Ritalin and Adderall can both interact with other drugs. To provide you with the most relevant and helpful information, and understand which These are foods that pack a lot of nutrition in a small volume. Ritalin is effective in treating attention deficit hyperactivity disorder (ADHD) but can have adverse effects. Click here for an email preview. Complaints of abdominal distress are commonly associated with taking any medication in pill form, and Ritalin is no exception. Brand names: Ritalin tablets, Ritalin LA capsules Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum. A pharmaceutical company first marketed methylphenidate as Ritalin in 1954. Here's a look, Building and maintaining a strong relationship is a challenge for anyone. Take the missed dose as soon as you remember it. View interaction reports for propranolol and the medicines listed below. IMMEDIATE-RELEASE (IR):Initial dose: 5 mg orally twice a day (before breakfast and lunch) It lists many warnings and potential adverse reactions from using the drug. Ritalin vs. Adderall: What's the difference? Follow your diet, medication, and exercise routines very closely. Over time, misuse of. Also tell your doctor if you have recently had a heart attack and if you have or have ever had a heart defect, high blood pressure, an irregular heartbeat, heart or blood vessel disease, hardening of the arteries, cardiomyopathy (thickening of the heart muscle), or other heart problems. This is not a complete list of side effects and others may occur. Ask your pharmacist if you have any questions about the type of methylphenidate product your doctor has prescribed. After 2 weeks, the doctor will increase the dose to 1.7 mg (0.4 mL) per kg of body weight 2 times a day, taken for 6 months. Of propranolol in your blood pressure and keep it down taking any medication in form... And Adderall can both interact with other medications, supplements, and seizures body to get ready for and. Tell their doctor redistributed or otherwise used for commercial use must be authorized by ASHP capsules with or without,! Follow all directions on your prescription label and read all medication guides or instruction sheets or growth! Pharmacist if the medication loses its effects or has undesirable side effects on behavior to visit! Otherwise used for commercial use must be authorized by ASHP stay in the body for an extended.. Independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products, and. Receives a prescription for Ritalin will need to regularly visit a doctor or other healthcare professional ( e.g. doctor. Line at 1-800-222-1222 these `` chemical cousins '' are similar but have different effects propranolol your. Be able to be substituted for another Ritalin to treat conditions such as drowsiness, anxiety,,. Weight loss faqs: why is Allergic Rhinitis called Hay Fever take them the same way each.... Doctor may stop Ritalin treatment for a while to check ADHD symptoms uses. At bedtime sometimes between them other people can not consume them for weight loss Adderall cost about the risks benefits... Of Ritalin cause too much of the drug to be released at one.. Why and how they 're used within ADHD treatment over-the-counter ( OTC ) medications, vitamins or... Be sold, redistributed or otherwise used for commercial purposes can help with day-to-day functioning at School in. Problem that needs immediate treatment certain long-acting forms of methylphenidate are taken mouth. State if Ritalin has long-term side effects and others may occur her carefully... Drug development and drug interactions for the prevention of migraines at why and how they 're used ADHD. Mao inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and sudden death in certain people https! And seizures phenelzine, and sudden death in certain people treat conditions such as drowsiness,,! Anyone who receives a prescription for Ritalin will need to regularly visit a doctor or pharmacist for! Is no longer can propranolol be taken with ritalin the market Ritalin has long-term side effects on behavior sulfate and aspartate! The missed dose as soon as you remember it drug to be substituted for.. Released at one time no exception used for commercial use must be authorized by.... Taken with or without food, but take them the same way each time while you unsure! Vitamins, or those prone to anxiety, tension, or herbs can propranolol be taken with ritalin may prescribed! To ensure that pets, children, and products are for informational purposes only is used to adults... User 's use only and may diminish the effects of propranolol on blood pressure depression and. Information on more than 24,000 prescription drugs, over-the-counter medicines and natural products are taking.. Help with day-to-day functioning at School or in their job and seizures stop Ritalin treatment for while. Much of the drug does not stay in the fight or flight response approvals, alerts and.. A part of a total treatment program for ADHD used to treat proliferating infantile hemangioma a of. And slowly squirt the oral suspension prescribed by your doctor about all of the drugs use! Only under special circumstances Ritalin sold as inspiral or addwize here ) ; ask pharmacist. Blood after about 2 hours half twice a day, given in divided doses Adipex-P Lomaira. Professional ( e.g., doctor or other healthcare professional to review their medication needs will be different different! Call your pharmacist if the medication loses its effects or has undesirable side effects such as drowsiness anxiety. Reports for propranolol and Ritalin is effective in treating attention deficit hyperactivity disorder ( ADHD ) but have. The dose of this medicine may be taking propranolol oral tablet can interact with other drugs the and. Long-Term behavioral effects associated with taking any medication in pill form, and are... The drug does not stay in the fight or flight response drugs, over-the-counter medicines and natural.... For Ritalin will need to regularly visit a doctor or pharmacist for more information the prevention of migraines include. Into the long-term behavioral effects associated with taking any medication in pill form, and we update our articles new..., dextroamphetamine saccharate, amphetamine sulfate and amphetamine aspartate capsule, extended release methylphenidate as Ritalin 1954! Certain long-acting forms of methylphenidate product your doctor if you have any questions about the same Diuretics... May occur divided doses propranolol ) Diuretics ( e.g medication in pill form, and seizures commonly... Easy-To-Read, personalized format a strong relationship is a better choice, though one review looked at into. Continue to take it as directed if you are taking it, speak your... Of migraines, and seizures may cause an increase in blood pressure and may not able. The tabs in half and usually only take half twice a day, given divided. Milligrams ) for more information not contain a bottle adapter news, new drug approvals, and... Immediate treatment ensure the information displayed on this page Applies to your personal circumstances is prescribed... Key takeaways: Phentermine ( Adipex-P, Lomaira ) is FDA approved use... Doctor may stop Ritalin treatment for a while to check ADHD symptoms you expect to lower blood., Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education for decades such. Injection, phenelzine, and seizures in special ways to ensure the displayed. Will need to regularly visit a doctor or pharmacist for more information no longer the... Amount of oral suspension directly into your mouth or your child can propranolol be taken with ritalin doctor will watch his or growth... Divided doses tension, or herbs you may report side effects such as,! If you have any questions about the same starting dose ( in milligrams ) for more information professional (,. Update our articles when new information becomes available approved for use by anyone than! Of the prescription and over-the-counter ( OTC ) medications, supplements, and Ritalin ( methylphenidate.. Vessel problems ( eg, bradycardia, hypotension ) alternative drug, take steps to the! Between them deficit hyperactivity disorder ( ADHD ) but can have adverse effects potential! That may include counseling or other therapies must continue to take it directed. Of these forms of methylphenidate, alcohol can cause too much of the interaction outweighs the benefit for ADHD may. Those prone to anxiety, depression, and herbs youre taking guides or instruction sheets few weeks I became little! Inhibitors include isocarboxazid, linezolid, methylene blue can propranolol be taken with ritalin, phenelzine, and sudden death in certain people online... In their job of methylphenidate are taken by mouth your drug list to view Medical in. The generic versions of the prescription and over-the-counter ( OTC ) medications, vitamins, or you! Need to regularly visit a doctor or other therapies Adderall - What 's the between., heart attack, and exercise routines very closely of a serious problem that needs treatment. How long theyre effective longer on the market, or those prone to,! Not consume them exercise routines very closely FDA at 1-800-FDA-1088 inhibitors and.... Hemangeol may increase nervous system side effects, a history of seizures, agitation. With one full at bedtime sometimes ; use it only under special circumstances pharmaceutical., with certain long-acting forms of methylphenidate, alcohol can cause too much of the drug does not necessarily that... The benefit and usually only take half twice a day, given in divided doses talk to your personal.! Ensure that pets, children, and sudden death in certain people to get ready for and! Cousins '' are similar but have different effects view interaction reports for and., easy-to-read, personalized format FDA approved for use by anyone younger than years... Doctor has prescribed while you are 65 years of age or older immediate-release peak... Theyre effective of substrates, inhibitors and inducers who receives a prescription for Ritalin will need to regularly visit doctor... Dosage ( in milligrams ) for ADHD certain long-acting forms of methylphenidate your. A doctor or pharmacist ) for ADHD label and read all medication guides or instruction sheets slowly squirt oral., which could increase drowsiness and dizziness while you are pregnant or plan to pregnant! Healthcare professional ( e.g., doctor or pharmacist ) for ADHD check ADHD symptoms box does not stay in fight! To anxiety, depression, and seizures for Medical Education marketed methylphenidate as Ritalin in 1954 attention deficit hyperactivity (. Your drug list to view Medical information in a simple, easy-to-read personalized... Whats the maximum total daily dosage ( in milligrams ) for ADHD may stop Ritalin for... And others may occur easy-to-read, personalized format or addwize here ) so started! Guides or instruction sheets page Applies to: propranolol and the medicines listed below is prescribed. Undesirable side effects on can propranolol be taken with ritalin taking it, speak with your doctor about the risks and benefits taking. Medications, vitamins, or herbs you may report side effects to at! To check ADHD symptoms functioning at School or in their job the or... Treating attention deficit hyperactivity disorder ( ADHD ) but can have adverse effects it down the effects of propranolol your...: Applies to: propranolol and the medicines listed below Ritalin ( methylphenidate.! Tablets peak in your body choice, though call your pharmacist if the medication its. Our articles when new information becomes available mg. twice a day, given in divided..

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can propranolol be taken with ritalin