Ritalin and Cogentin drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Ritalin (methylphenidate hydrochloride) and Cogentin (benztropine mesylate). Common drug interactions include vomiting among females and weight increased among males.
The phase IV clinical study analyzes what interactions people have when they take Ritalin and Cogentin. It is created by eHealthMe based on reports of 43 people who take the same drugs from the FDA, and is updated regularly.
What is Ritalin?
Ritalin has active ingredients of methylphenidate hydrochloride. It is often used in attention deficit hyperactivity disorder. eHealthMe is studying from 29,427 Ritalin users. Check the latest studies of Ritalin.
What is Cogentin?
Cogentin has active ingredients of benztropine mesylate. It is often used in tardive dyskinesia. eHealthMe is studying from 7,692 Cogentin users. Check the latest studies of Cogentin.
43 people who take Ritalin and Cogentin together, and have interactions are studied.

What are the common drug interactions of Ritalin and Cogentin, by gender? *:
female:
- Vomiting
- Weight decreased
- Back pain
- Cough
- Dry mouth
- Fatigue (feeling of tiredness)
- Hypersensitivity
- Leukopenia (less number of white blood cells in blood)
- Muscle spasms (muscle contraction)
- Oedema peripheral (superficial swelling)
male:
- Weight increased
- Homicidal ideation (thoughts about human killing another human)
- Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development)
- Mania (a state of abnormally elevated or irritable mood)
- Muscle twitching
- Neuroleptic malignant syndrome (a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic agents)
- Paranoia (psychotic disorder characterized by delusions of persecution with or without grandeur)
- Suicide attempt
- Sweating increased (excess sweating)
- Vision blurred
What are the common drug interactions of Ritalin and Cogentin, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
- Muscle twitching
- Tic (a sudden, repetitive, nonrhythmic motor movement or vocalization involving discrete muscle groups)
10-19:
- Constipation
- Headache (pain in head)
- Sweating increased (excess sweating)
- Weight increased
- Abdominal pain upper
- Abnormal behaviour
- Acute lymphocytic leukaemia (cancer of the white blood cells)
- Aggression
- B-cell type acute leukaemia (cancer of the white blood cells)
- Chest pain
20-29:
- Back pain
- Bone pain
- Granulocytopenia (lack of granulocyte)
- Neutropenia (an abnormally low number of neutrophils)
- Pain in extremity
30-39:
- Meningitis bacterial (bacterial inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges)
- Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation)
- Migraine (headache)
- Mobility decreased (ability to move is reduced)
- Muscle spasms (muscle contraction)
- Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels)
- Negativism (negative thoughts)
- Nervousness
- Neuroleptic malignant syndrome (a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic agents)
- Nightmare (unpleasant dream)
40-49:
- Dyspnoea (difficult or laboured respiration)
- Chest pain
- Constipation
- Contusion (a type of hematoma of tissue in which capillaries)
- Delusional perception (delusional perception describes, confusingly, a true perception, to which a patient attributes a false meaning)
- Dizziness
- Headache (pain in head)
- Influenza like illness
- Insomnia (sleeplessness)
- Memory impairment
50-59:
- Death
- Decreased appetite
- Dizziness
- Dysarthria (speech disorder)
- Fall
- Gait disturbance
- Hallucination (an experience involving the perception of something not present)
- Orthostatic hypertension (a medical condition consisting of a sudden increase in blood pressure when a person stands up)
- Paranoia (psychotic disorder characterized by delusions of persecution with or without grandeur)
- Peripheral neuropathy (damage to nerves of the peripheral nervous system)
60+:
- Dyspnoea (difficult or laboured respiration)
- Headache (pain in head)
- Leukopenia (less number of white blood cells in blood)
- Migraine (headache)
- Oedema peripheral (superficial swelling)
- Pain in extremity
- Palpitations (feelings or sensations that your heart is pounding or racing)
- Pancreatitis (inflammation of pancreas)
What are the existing conditions these people have? *
- Primary Pulmonary Hypertension (primary high blood pressure that affects the arteries in the lungs and the right side of your heart): 8 people, 18.60%
- Schizophrenia (a mental disorder characterized by a breakdown of thought processes): 5 people, 11.63%
- Bipolar Disorder (mood disorder): 5 people, 11.63%
- Stress And Anxiety: 4 people, 9.30%
- Narcolepsy (brain's inability to regulate sleep-wake cycles normally): 4 people, 9.30%
- Cataplexy (loss of muscle tone accompanied by full conscious awareness): 4 people, 9.30%
- Insomnia (sleeplessness): 3 people, 6.98%
* Approximation only. Some reports may have incomplete information.
Do you take Ritalin and Cogentin?
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Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
Browse all drug interactions of Ritalin and Cogentin:
a b c d e f g h i j k l m n o p q r s t u v w x y zSub-studies by gender and age:
Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Browse all side effects of Ritalin:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all side effects of Cogentin:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Ritalin and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Cogentin and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zRelated publications that referenced our studies
- Coskun M, Adak I, "Excessive and frequent menstrual bleeding with methylphenidate in an adolescent girl with attention-deficit hyperactivity disorder", Journal of clinical psychopharmacology, 2017 Oct .
- Yektas ?, Samurcu ND, Tufan AE, "Loss of Eyebrows (Madarosis) After Use of Long-Acting Methylphenidate: Case Report", Journal of Clinical Psychopharmacology, 2017 Aug .
- Ersoy MA, Ersoy HT, "Manic symptoms associated with isotretinoin and methylphenidate combination: a case report", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2014 Sep .
- Coskun M, Adak I, Akaltun I, "Bilateral gynecomastia in a preadolescent boy while under treatment with methylphenidate and paroxetine", Journal of clinical psychopharmacology, 2014 Aug .
- Adak, I., & Coskun, M. , "Symptomatic cholelithiasis associated with combined use of methylphenidate and fluoxetine in an otherwise healthy adolescent girl", Psychiatry and Clinical Psychopharmacology, 2014 Jan .
- Coskun, M., & Adak, I. , "Excessive and frequent menstrual bleeding with methylphenidate in an adolescent girl with attention-deficit hyperactivity disorder", Journal of clinical psychopharmacology, 2014 Jan .
- Yalcin O, Aslan AA, Sari BA, Turkbay T, "Possible methylphenidate related hoarseness and disturbances of voice quality: two pediatric cases", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2012 Sep .
- Lufi D, Bucherman M, Akita M, Cohen R, Sibani C, "The effect of methylphenidate on speech patterns of children with attention deficit disorder", Journal of Behavioral Health, 2012 Jan .
- Coskun M, Adak I, "Excessive and frequent menstrual bleeding with methylphenidate in an adolescent girl with attention-deficit hyperactivity disorder", Journal of clinical psychopharmacology, 2017 Oct .
- Yektas ?, Samurcu ND, Tufan AE, "Loss of Eyebrows (Madarosis) After Use of Long-Acting Methylphenidate: Case Report", Journal of Clinical Psychopharmacology, 2017 Aug .
- Ersoy MA, Ersoy HT, "Manic symptoms associated with isotretinoin and methylphenidate combination: a case report", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2014 Sep .
- Coskun M, Adak I, Akaltun I, "Bilateral gynecomastia in a preadolescent boy while under treatment with methylphenidate and paroxetine", Journal of clinical psychopharmacology, 2014 Aug .
- Adak, I., & Coskun, M. , "Symptomatic cholelithiasis associated with combined use of methylphenidate and fluoxetine in an otherwise healthy adolescent girl", Psychiatry and Clinical Psychopharmacology, 2014 Jan .
- Coskun, M., & Adak, I. , "Excessive and frequent menstrual bleeding with methylphenidate in an adolescent girl with attention-deficit hyperactivity disorder", Journal of clinical psychopharmacology, 2014 Jan .
- Yalcin O, Aslan AA, Sari BA, Turkbay T, "Possible methylphenidate related hoarseness and disturbances of voice quality: two pediatric cases", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2012 Sep .
- Lufi D, Bucherman M, Akita M, Cohen R, Sibani C, "The effect of methylphenidate on speech patterns of children with attention deficit disorder", Journal of Behavioral Health, 2012 Jan .
How the study uses the data?
The study uses data from the FDA. It is based on methylphenidate hydrochloride and benztropine mesylate (the active ingredients of Ritalin and Cogentin, respectively), and Ritalin and Cogentin (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
How to use the study?
DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.
Who is eHealthMe?
With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
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