Information about Metadate ER: Includes the warnings, side effects, precautions and drug interactions.
IMPORTANT NOTE | TITLE | HOW TO PRONOUNCE | COMMON BRAND NAMES | USES | OTHER USES | HOW TO TAKE | SIDE EFFECTS | PRECAUTIONS | DRUG INTERACTIONS | OVERDOSE | NOTES | MISSED DOSE | STORAGE
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.
TITLE METHYLPHENIDATE - ORAL SUSTAINED ACTION TABLET
HOW TO PRONOUNCE (meth-ill-FEN-eh-date)
COMMON BRAND NAMES Ritalin-SR
Methylphenidate should be given cautiously to
emotionally unstable patients such as those with a history of alcohol or drug
abuse. Such patients may be more likely to increase their doses unnecessarily.
Abuse of this medication can lead to abnormal behavior. If methylphenidate must
be stopped, it should be stopped gradually over time. Do not suddenly stop this
medication because severe depression or hidden overactivity may occur. In some
people, long-term monitoring may be required after the medication is stopped.
This medication increases mental alertness. It is used
in the treatment of narcolepsy (problems staying awake). It is also used in
treatment of hyperactivity or attention deficit disorder. Additionally it is
used for treating depression in senile, post-stroke and cancer patients.
HOW TO TAKE
This medication must be swallowed whole. Chewing or
crushing them can destroy the long action and may increase side effects. This
medication is best taken 30-45 minutes before meals. If loss of appetite or
stomach upset occurs. It may be taken with or after a meal or snack. Use this
medication exactly as prescribed. Do not increase your dose, use it more
frequently or use it for a longer period of time than prescribed because this
drug can be habit-forming. Also, if used for a long period of time , do not
suddenly stop using this without first consulting your doctor. When used for
extended periods, this medication may not work as well and may require different
dosing. Consult your doctor if the medication isn't working well.
Loss of appetite, blurred vision, dizziness,
lightheadedness, dry mouth, headache, stomach upset, sleeplessness, irritability
or constipation may occur the first few days as your body adjusts to the
medication. If these effects persist or worsen, inform your doctor. Notify your
doctor if you experience: weight loss, chest pain, nervousness, pounding heart,
difficulty urinating, mood changes, yellowing eyes and skin. In the unlikely
event you have an allergic reaction to this drug, seek immediate medical
attention. Symptoms of an allergic reaction include: rash, itching, swelling,
dizziness, trouble breathing. If you notice other effects not listed above,
contact your doctor or pharmacist.
Tell your doctor your medical history, especially of:
seizures or motor tics, Tourette's disorder, glaucoma, high blood pressure,
severe anxiety, alcoholism, drug dependence, mental conditions, any allergies.
If this medication makes you dizzy or lightheaded, use caution driving or
engaging in activities requiring alertness. Methylphenidate should be used
during pregnancy only when clearly needed. Discuss the risks and benefits with
your doctor. It is not known if methylphenidate is excreted into breast milk.
Consult your doctor before breast-feeding.
Certain medications taken with this drug could result in
serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g.,
furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline,
isocarboxazid, tranylcypromine) within 2 weeks before or after treatment with
this medication. Consult your doctor or pharmacist for additional information.
Before using this medication, tell your doctor of all nonprescription and
prescription drugs you may use, especially: "blood thinners" (e.g., warfarin),
medications for seizures, medicine for depression (tricyclics such as
amitriptyline), high blood pressure medicine (e.g., guanethidine). Do not start
or stop any medicine without doctor or pharmacist approval.
If overdose is suspected, contact your local poison
control center or emergency room immediately. US residents can call the US
national poison hotline at 1-800-222-1222. Canadian residents should call their
local poison control center directly. Symptoms of overdose may include dilated
pupils, vomiting, nervousness, twitching, tremors, flushing, sweating, severe or
persistent headache, seizures, and loss of consciousness.
Do not allow anyone else to take this medication.
If you miss a dose, take as soon as remembered and take
any remaining doses for that day at evenly spaced times. Do not "double-up" the
dose to catch up.
Store at room temperature between 59 and 86 degrees F
(between 15 and 30 degrees C) away from moisture and sunlight. Do not store in