What is this medicine?
METHYLPHENIDATE (meth il FEN i date) is a stimulant medicine. It is used to treat attention-deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy.
How should I use this medicine?
Take this medicine by mouth. Follow the directions on the prescription label. Use a specially marked spoon or container to measure each dose. Ask your pharmacist if you do not have one. Household spoons are not accurate. It is best to take this medicine 30 to 45 minutes before meals, unless your doctor tells you otherwise. Take your medicine at regular intervals. Usually the last dose of the day will be taken at least 4 to 6 hours before bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
anxiety or severe nervousness
fast, irregular heartbeat
fever, or hot, dry skin
high blood pressure
uncontrollable head, mouth, neck, arm, or leg movements
unusual bleeding or bruising
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
What may interact with this medicine?
Do not take this medicine with any of the following medications:
medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl
other stimulant medicines like amphetamine, dextroamphetamine, dexmethylphenidate, modafinil
This medicine may also interact with the following medications:
medicines for blood pressure
medicines to decrease appetite or cause weight loss
medicines for depression, anxiety, or psychotic disturbances
medicines for seizures
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Where should I keep my medicine?
Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
family history of suicide
heart condition or recent history of a heart attack
high blood pressure
history of a drug or alcohol abuse problem
mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
motor tics, family history or diagnosis of Tourette's syndrome
taken an MAOI like Carbex, Eldepryl, Marplan, Nardil, or Parnate in last 14 days
an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.
This medicine may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your doctor or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without talking to your doctor or health care professional. Do not suddenly stop your medication. Ask your doctor or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are scheduled for any surgery, tell your healthcare provider that you are taking this medicine. You may need to stop taking this medicine before the procedure.