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Methylphenidate (meth il FEN i date)

Pediatric Medication

Brand Names: U.S.

Concerta; Daytrana; Metadate CD; Metadate ER; Methylin; Quillivant XR; Ritalin; Ritalin LA; Ritalin SR [DSC]

Brand Names: Canada

Apo-Methylphenidate; Apo-Methylphenidate SR; Biphentin; Concerta; PHL-Methylphenidate; PMS-Methylphenidate; ratio-Methylphenidate; Ritalin; Ritalin SR; Sandoz-Methylphenidate SR; Teva-Methylphenidate ER-C

Warning

  • This drug may be habit-forming; avoid long-term use. This drug may cause unsafe heart-related side effects. Tell your child’s doctor if your child has any heart disease.
  • Sometimes drugs are not safe when your child takes them with other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.
  • This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled.

What is this drug used for?

  • It is used to treat attention deficit problems with hyperactivity.
  • It is used to treat narcolepsy.

Is it safe for my child to take this drug?

  • Not if your child is younger than 6 years of age.
  • Not if your child has an allergy to methylphenidate or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • Not if your child has any of these health problems: Agitation, a fast heartbeat, glaucoma, structure problems of the heart, tics, or Tourette’s syndrome.
  • Not if your child has any of these health problems: Cystic fibrosis, long-term bowel pseudo-block, Meckel’s diverticulum, peritonitis, short gut syndrome, or small bowel disease. Talk with the doctor. Do not give your child Concerta®.
  • Not if your child has any of these health problems: An overactive thyroid gland, high blood pressure, or a weak heart. Do not give your child Metadate® CD. Talk with your child’s doctor.

What are some things I need to know or do while my child takes this drug?

All products:

  • This drug may be habit-forming with long-term use.
  • If your child has been taking this drug for many weeks, talk with your child’s doctor before stopping. You may want to slowly stop this drug.
  • Your child may have some heart tests before starting this drug. Talk with your child’s doctor.
  • Talk with the doctor before giving your child OTC cough, cold, or allergy drugs.
  • Limit your child’s use of caffeine and chocolate. Use with this drug may cause nervousness, shakiness, and a fast heartbeat.
  • If your child has an eating problem, talk with the doctor.
  • If your child has heart disease, talk with the doctor.
  • If your child has high blood pressure, talk with the doctor.
  • If your child has a mental health problem, talk with the doctor.
  • If your child has PKU, talk with your child’s doctor. Some products have phenylalanine.
  • If your child has seizures, talk with the doctor.
  • Have your child’s blood pressure and heart rate checked often. Talk with your child’s doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.

Skin patch:

  • Have your child avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your child’s temperature may rise and cause too much drug to pass into your child’s body.

What are some side effects that I need to call my child’s doctor about right away?

  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
  • If your child shows signs of a very bad reaction, call your child’s doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child shows signs of very bad dizziness or passes out.
  • If your child has mean actions or thoughts of fighting.
  • If your child has problems with how he/she acts.
  • If your child shows signs of low mood (depression), thoughts of killing him/herself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
  • If your child has a bad headache.
  • If your child has a sudden change in eyesight.
  • If your child has a fast heartbeat.
  • If your child is feeling very nervous and excitable.
  • If your child has a very bad upset stomach or is throwing up.
  • If your child has very bad skin irritation.
  • If your child’s seizures are new or worse after starting this drug.
  • If your child has a change in color of hands or feet from pale to blue or red.
  • If your child has numbness, pain, tingling, or cold feeling of the hands or feet.
  • If your child has any sores or wounds on the fingers or toes.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you think your child’s health problem is worse.

What are some other side effects of this drug?

  • To lower the chance of feeling dizzy or passing out, have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
  • Nervous and excitable.
  • Not hungry.
  • Emotional ups and downs.
  • Upset stomach or throwing up. Many small meals and good mouth care may help. Older children may suck hard, sugar-free candy.
  • Weight loss.
  • Extra muscle action.
  • Not able to sleep.
  • Tablet shell of Concerta™ in the stool.
  • Skin irritation.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.

Oral:

  • To gain the most benefit, do not miss giving your child doses.
  • Give early in the day to help prevent sleep problems.
  • Give at least 6 hours before bedtime.
  • Give chewable tablet, immediate release liquid, immediate release tablet, and Ritalin-SR® 30 minutes before meals.
  • Have your child swallow long-acting products whole. Do not let your child chew, break, or crush.
  • Give Concerta™ once a day in the morning. Give with or without food. Give with water, milk, or juice.
  • Methylin® chewable tablet: Give with a glass of water or other liquid.
  • Metadate® CD, Ritalin LA®: Give before breakfast. Give with or without food. You may sprinkle contents of capsule on 1 tablespoon of cold applesauce. Do not chew or crush capsule contents.
  • Metadate® ER: Give before breakfast and lunch. Give with or without food.
  • Quillivant™ XR: Give in the morning with or without food. Shake bottle for 10 seconds or more before giving.

Skin patch:

  • Follow how to use as you have been told by your doctor or read the package insert.
  • Do not use patches that are cut or do not look right.
  • Wash your hands before and after use.
  • Your child may bathe, shower, or swim for short periods after putting on the patch. Cover the patch with plastic wrap and tape to help keep it in place.
  • Put patch on clean, dry, healthy skin on your child’s hip. Do not put the patch on your child’s waistline.
  • Put patch on in the morning and take off 9 hours later or as you have been told by your doctor.
  • Put the patch in a new area each time you change the patch.
  • If the patch falls off, put on a new one on some other part of the same hip. Take the new patch off at the normal time.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • Do not give a missed dose within 6 hours of bedtime.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses or extra doses.
  • Do not change the dose or stop your child’s drug. Talk with your child’s doctor.

How do I store and/or throw out this drug?

  • Store at room temperature.
  • Protect from light.
  • Store in a dry place. Do not store in a bathroom.
  • Quillivant™ XR: Throw away any part not used after 4 months.

Patch:

  • Keep patches in the pouch. Use within 2 months of opening tray.
  • After you take off a skin patch, be sure to fold the sticky sides of the patch to each other.
  • Throw away unused patches when they are no longer needed by flushing down a toilet or sink. Take them from the pouch, take off liner, and fold in half.
  • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.