METHYLPHENIDATE EXTENDED-RELEASE CHEWABLE TABLET - ORAL

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METHYLPHENIDATE EXTENDED-RELEASE CHEWABLE TABLET - ORAL

PHONETIC PRONUNCIATION: (METH-il-FEN-i-date)

COMMON BRAND NAME(S): QuilliChew ER

GENERIC NAME(S): methylphenidate HCl

Uses

USES: This medication is used to treat attention deficit hyperactivity disorder - ADHD. It works by changing the amounts of certain natural substances in the brain. Methylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills.


How to use METHYLPHENIDATE EXTENDED-RELEASE CHEWABLE TABLET - ORAL

HOW TO USE: Read the Medication Guide provided by your pharmacist before you start taking methylphenidate and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Chew thoroughly and then swallow. Taking this medication late in the day may cause trouble sleeping (insomnia). Do not drink alcoholic beverages while taking this medication. Drinking alcohol may release all of the drug at once, increasing the risk of side effects. The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. During treatment, your doctor may occasionally recommend stopping the medication for a short time to see whether there are any changes in your behavior and whether the medication is still needed. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. If you suddenly stop using this medication, you may have withdrawal symptoms (such as severe tiredness, sleep problems, mental/mood changes like depression). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used this medication for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal. When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well. Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details. Tell your doctor if you do not get better or if you get worse.

Side Effects

SIDE EFFECTS: Nervousness, trouble sleeping, loss of appetite, weight loss, dizziness, nausea, vomiting, or headache may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Tell your doctor right away if you have any serious side effects, such as: signs of blood flow problems in the fingers or toes (such as coldness, numbness, pain, or skin color changes), unusual wounds on the fingers or toes, fast/pounding/irregular heartbeat, mental/mood/behavior changes (such as agitation, aggression, mood swings, abnormal thoughts, thoughts of suicide), uncontrolled muscle movements (such as twitching, shaking), sudden outbursts of words/sounds that are hard to control, vision changes (such as blurred vision). Get medical help right away if you have any very serious side effects, such as: fainting, seizure, symptoms of a heart attack (such as chest/jaw/left arm pain, shortness of breath, unusual sweating), signs of a stroke (such as weakness on one side of the body, trouble speaking, sudden vision changes, confusion). Rarely, males (including young boys and teens) may have a painful or prolonged erection lasting 4 or more hours while using this medication. Caregivers/parents should also be watchful for this serious side effect in boys. If a painful or prolonged erection occurs, stop using this drug and get medical help right away, or permanent problems could occur. Ask your doctor or pharmacist for more details. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, such as: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: See also Warning section. Before taking methylphenidate, tell your doctor or pharmacist if you are allergic to it; or to dexmethylphenidate; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: high blood pressure, stroke, personal or family history of heart problems (such as irregular heartbeat, heart attack, heart failure, heart valve problem), blood circulation problems (such as Raynaud's disease), glaucoma, personal or family history of regular use/abuse of drugs/alcohol, personal or family history of mental/mood disorders (such as bipolar disorder, depression, psychosis, suicidal thoughts), personal or family history of uncontrolled muscle movements (motor tics, Tourette's syndrome), overactive thyroid (hyperthyroidism), seizures. This medication may contain aspartame. If you have phenylketonuria (PKU) or any other condition that requires you to limit/avoid aspartame (or phenylalanine) in your diet, ask your doctor or pharmacist about using this medication safely. This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist about all the products you use (such as prescription drugs, nonprescription drugs, and herbal products). If used for a long time, this drug may affect a child's growth rate, weight, and final adult height. To reduce the risk, the doctor may recommend briefly stopping the medication from time to time. Check the child's weight and height regularly, and consult your doctor or pharmacist for more details. Older adults may be more sensitive to the side effects of this drug, especially trouble sleeping, weight loss, or chest pain. During pregnancy, methylphenidate should be used only when clearly needed. Discuss the risks and benefits with your doctor. This medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (such as prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication. Methylphenidate is very similar to dexmethylphenidate. Do not use medications containing dexmethylphenidate while using methylphenidate. This medication may interfere with certain medical/lab tests (such as brain scan for Parkinson's disease), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: vomiting, agitation, confusion, sweating, flushing, muscle twitching, hallucinations, seizures, loss of consciousness.

Images

QUILLICHEW ER 20 MG CHEW TAB
QUILLICHEW ER 20 MG CHEW TAB
QUILLICHEW ER 20 MG CHEW TAB
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QUILLICHEW ER 30 MG CHEW TAB
QUILLICHEW ER 30 MG CHEW TAB
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QUILLICHEW ER 40 MG CHEW TAB
QUILLICHEW ER 40 MG CHEW TAB
QUILLICHEW ER 40 MG CHEW TAB
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Faq for METHYLPHENIDATE EXTENDED-RELEASE CHEWABLE TABLET - ORAL

Methylphenidate extended-release chewable tablet is a medication that is used to treat attention deficit hyperactivity disorder (ADHD) in children and adults. It is available in the form of a chewable tablet that releases the medication slowly over an extended period.

Methylphenidate works by affecting certain chemicals in the brain and nerves that contribute to impulse control and hyperactivity. It helps to increase attention and decrease impulsiveness and hyperactivity in individuals with ADHD.

Some common side effects of Methylphenidate extended-release chewable tablet include decreased appetite, trouble sleeping, stomach pain, headache, and irritability. It is important to talk to the doctor if any of these side effects persist or worsen.

The medication should be taken exactly as prescribed by the doctor. It is usually taken once daily in the morning with or without food. The chewable tablet should be chewed thoroughly before swallowing. It is important to follow the instructions provided by the healthcare professional.

Methylphenidate has the potential for abuse and dependence. It is classified as a Schedule II controlled substance. Misuse or prolonged use of the medication can lead to addiction. It is vital to take the medication as prescribed and not share it with others.

Yes, Methylphenidate extended-release chewable tablet can be used in adults as well as children for the treatment of ADHD. The dosage and duration of treatment may vary depending on individual needs and response.

If a dose is missed, it should be taken as soon as remembered. However, if it is close to the next scheduled dose, it is best to skip the missed dose and continue with the regular dosing schedule. Taking double doses to make up for a missed dose is not recommended.

Methylphenidate can interact with certain medications, including monoamine oxidase inhibitors (MAOIs), antidepressants, blood pressure medications, and anticoagulants. It is important to provide a complete list of all medications being taken to the healthcare professional to avoid potential drug interactions.

The medication may start working within 30-60 minutes after taking a dose. However, the full effects may take several weeks to become noticeable. Patience and close monitoring by the healthcare professional are essential during the initial treatment phase.

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Warning

WARNING: Misuse or abuse of methylphenidate may cause serious (possibly fatal) heart and blood pressure problems. This medication can be habit-forming and should be used cautiously by people who have mental/mood disorders or a substance use disorder (such as overuse of or addiction to drugs/alcohol). Before using this medication, tell your doctor if you have a personal or family history of a substance use disorder. Do not increase your dose, use it more often, or use it for a longer time or in a different way than prescribed. Doing so may result in a decrease in the effect of this drug, drug dependence, or abnormal thoughts/behavior. Your doctor may monitor you for a while after the medication is stopped, especially if you have taken this drug for a long time or in high doses. (See also How to Use section.)


Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.