The effects are similar to Ritalin and Dexedrine except that it may require several days or even weeks to be seen, due to the initial under dosing. The basic disadvantage of Cylert is the need for systematic monitoring of the drug's effects on liver functioning. Ritalin and Dexedrine do not require this blood level monitoring. Stimulants appear to affect the neurotransmitters in the brain at the synaptic level where neuron cells meet. Stimulants may make these synaptic connections more efficient in transmitting information which in turn affects behavior.
General practice is to wait a short time and give the other medication a trial.
The positive effects of Ritalin and Dexedrine should be evident within hours, and these medications are generally out of the system within a day. Cylert takes longer to produce a clinical result and may be in the system for several days. It is important for school personnel to help administer and monitor the medication effectiveness, chart results, and give feedback to medical resources on the impact so potential changes can be made. All medications have side effects. Penicillin can cause allergic reactions that can result in death, and common aspirin can cause severe stomach hemorrhaging.