| Note |
The schools don't like to get involved with medication for MBD - and now they don't have to. Cylert (pemoline) dosage is once-a-day, given to the child at home by the parent. Importance of Cylert (pemoline) single daily dosage to the child, the parents and the teacher. For the child: - No drug in child's possession while at school. - Avoids situation in which child is repeatedly singled out as being "different." - Helps prevent possible variations in effect caused by missed, forgotten or delayed doses. For the adults: - Control of medication remains with parents. - Obviates need for teacher or nurse to supervise taking of mid-day doses. - Helps assure that the prescribed dosage is being given each day. Cylert offers there benefits in a treatment program for MBD: - Single daily dose administration. - Minimal cardiovascular effects. - Mean dosage in long-term studies remained remarkably constant. - Can be taken with breakfast. Cylert, alone among CNS stimulants used to treat MBD, is inherently long-acting, permitting once-daily dosage. Dosage and administration. Cylert is given as a single oral dose each morning. The recommended starting dose is 37.5 mg. per day. This daily dosage should be gradually increased at one-week intervals using increments of 18.75 mg. until the desired clinical response is obtained. The mean daily effective dose ranges from 56.25 to 75 mg. per day. The maximum recommended daily dose of Cylert is 112.5 mg. Using the recommended schedule of dose titration, significant benefits may not be seen until the third or fourth week of drug therapy. Side effects may be seen prior to optimum clinical results. When not to use Cylert. Cylert should not be used for (and will not be effective in) simple cases of overactivity in school age children. Neither should it be used in the child who exhibits symptoms secondary to environmental factors and/or primary psychiatric disorders, including psychosis. The physician should rely on a complete history of the child and a thorough description of symptoms from both parents and teacher before postulation a diagnosis of MBD. New dosage form available Cylert Chewable Tablets 37.5 mg. |
