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Methylphenidate Hydrochloride Oral solution

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

  • changes in vision

  • chest pain or chest tightness

  • fast, irregular heartbeat

  • fingers or toes feel numb, cool, painful

  • hallucination, loss of contact with reality

  • high blood pressure

  • males: prolonged or painful erection

  • seizures

  • severe headaches

  • shortness of breath

  • suicidal thoughts or other mood changes

  • trouble walking, dizziness, loss of balance or coordination

  • 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):

  • anxious

  • headache

  • loss of appetite

  • nausea, vomiting

  • trouble sleeping

  • weight loss

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • atomoxetine

  • lithium

  • medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl

  • other stimulant medicines like amphetamine, dextroamphetamine, dexmethylphenidate, modafinil

  • procarbazine

This medicine may also interact with the following medications:

  • medicines for blood pressure

  • caffeine

  • medicines to decrease appetite or cause weight loss

  • medicines for depression, anxiety, or psychotic disturbances

  • medicines for seizures

  • warfarin

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:

  • anxiety or panic attacks

  • circulation problems in fingers and toes

  • glaucoma

  • hardening or blockages of the arteries or heart blood vessels

  • heart disease or heart defect

  • high blood pressure

  • history of a drug or alcohol abuse problem

  • history of stroke

  • liver disease

  • mental illness

  • motor tics, family history or diagnosis of Tourette's syndrome

  • seizures

  • suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

  • thyroid disease

  • an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

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.

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.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

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.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

Online Medical Reviewer: Louise Akin, RN, BSN
Online Medical Reviewer: Daphne Pierce-Smith, RN, MSN, FNP, CCRC
Last Review Date: 2/11/2014
© 2000-2014 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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