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Methylphenidate

Brand Names

Ritalin, Concerta, Daytrana, Cotempla, Jornay PM, Methylin, QuilliChew, Quillivant, Relexxii  


What is methylphenidate used for? 

Methylphenidate is in a class of medications called “stimulants” that are used for attention deficit disorder (ADHD).


What are the most common side effects seen with methylphenidate? 

  • Decreased appetite 

  • Nausea

  • Dry mouth 

  • Migraine/headache 

  • Insomnia 

  • Irritability


Contraindications

  • Methylphenidate should not be taken if your child has had an anaphylactic reaction (hives or swelling of the tongue) to methylphenidate previously. 

  • Methylphenidate should not be taken if your child is currently taking or has taken a medication in a drug class called monoamine oxidase inhibitors within 14 days. Monoamine oxidase inhibitors include: 

    • Isocarboxazid

    • Phenelzine 

    • Selegiline 

    • Tranylcypromine 

    • Moclobemide


Tips & Tricks to administer methylphenidate

Methylphenidate comes in a variety of formulations (tablets, orally disintegrating tablets (ODT), capsules, liquid, patches). Each formulation should be taken in the specific manner recommended by the manufacturer and the pharmacy. 


Breast feeding considerations 

  • Methylphenidate can be present in breast milk if being taken by the mother. 

  • Although the levels of methylphenidate are typically low in the infant compared to the dose taken by the mother, the risk vs. benefits should be discussed with your child’s physician. 

  • The breastfed child should be observed for side effects of stimulant medications such as decreased appetite, insomnia and irritability. 


Storage Considerations 

Almost all ADHD medications have a high potential of abuse and misuse which can lead to addiction. Due to this risk, the Drug Enforcement Agency (DEA) has classified these medications as a controlled substance (C-II). In order to dispense these medications, pharmacies must follow a strict set of rules and regulations set by the DEA. 


At home, these medications should be stored in a safe location that cannot be easily found and accessed by guests, visitors or other family members.

 
The information in this database regarding prescription drugs is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interaction or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate, or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. See disclaimer. 
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