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Methylphenidate or Dexmethylphenidate Concerta, Ritalin and others. Know the warning signs Learn the common signs of mental illness in adults and adolescents. Mental health conditions Learn more about common mental health conditions that affect millions. What are methylphenidate or dexmethylphenidate and what do they treat? What is the most important information I should know about methylphenidate or dexmethylphenidate?
Are there specific concerns about methylphenidate or dexmethylphenidate and pregnancy? What should I discuss with my healthcare provider before taking methylphenidate or dexmethylphenidate? The most bothersome symptoms of your condition If you have thoughts of suicide or harming yourself If you experience side effects from your medications, discuss them with your provider. Some side effects may pass with time, but others may require an adjustment in the medication Any other psychiatric or medical problems you have, including heart disease All other medications you are currently taking including over the counter products, herbal and nutritional supplements and any medication allergies you have Other non-medication treatment you are receiving, such as talk therapy or substance abuse treatment.
Your provider can explain how these different treatments work with the medication. If you are pregnant, plan to become pregnant, or are breast-feeding If you drink alcohol or use drugs How should I take methylphenidate or dexmethylphenidate?
Immediate release formulations should be given two or three times a day to provide symptom coverage throughout the day. Extended release and long-acting medications that last for 8 to 12 hours should be taken once a day in the morning. The capsules with beads may be opened if a person has trouble swallowing, however, the beads should be swallowed whole without chewing.
If the beads are chewed, too much medicine is absorbed at once and the effects will not last as long. It should not be given to individuals with narrowing of the intestines or in those who have undergone stomach bypass surgery. The methylphenidate patch should be applied to a clean, hair-free area in the morning before school and removed approximately 9 hours later for an approximate hour duration of action. Be sure to use the oral dose dispenser provided and to clean the dispenser after each use.
Do not chew or crush tablet and allow it to dissolve on the tongue. What happens if I miss a dose of methylphenidate or dexmethylphenidate? Do not take a missed dose after PM, as this may interfere with sleep. What should I avoid while taking methylphenidate or dexmethylphenidate? What happens if I overdose with methylphenidate or dexmethylphenidate? What are possible side effects of methylphenidate or dexmethylphenidate?
Common side effects Upset stomach, loss of appetite, insomnia, and mild anxiety Rare side effects Contact your healthcare provider if any of the following occur while taking methylphenidate: Significant increases in blood pressure or heart rate, shortness of breath, fatigue Severe anxiety, panic attacks, mania, hallucinations, paranoia or delusions Severe muscle pain, weakness, signs of dehydration, or dark urine Prolonged or painful erection Changes of feeling or color in your fingers or toes Serious side effects Medications like methylphenidate or dexmethylphenidate should be avoided in individuals who have a heart defect structural abnormalities , uncontrolled high blood pressure, or a disorder of the heart or blood vessels.
Are there any risks for taking methylphenidate or dexmethylphenidate for long periods of time? What other medications may interact with methylphenidate or dexmethylphenidate? How long does it take for methylphenidate or dexmethylphenidate to work? You should use caution taking Metadate CD if you have a history of heart or mental problems, seizures, abnormal brain wave tests, circulation problems, or esophagus, stomach or intestine problems.
Animal studies indicate a potential risk of fetal harm. Metadate CD is passed through breastmilk, so it is recommended that mothers do not nurse while taking it. Before taking Metadate CD, discuss all other active prescription medications with your doctor. Tell your doctor if you are taking seizure medications, blood thinners, blood pressure medication, or any medication containing a decongestant.
Share a list of all vitamin or herbal supplements, and prescription and non-prescription medications you take with the pharmacist when you fill your prescription, and let all doctors and physicians know you are taking Metadate CD before having any surgery or laboratory tests.
Metadate CD can have a dangerous interaction with certain anesthetics. The above is not a complete list of all possible drug interactions. My son, age 9, has been on Metadate CD 10 mg and has done well for the past year. We added Ritalin 5 mg in the morning to give him a boost during school only. My son had been diagnosed with ADHD in at age 5.
He started taking Metadate CD at 20 mg. But as the months went by, his body became immune to it. The doctor raised it to 30 mg twice a day. Altogether, he was taking 4 different medications: Metadate, Zoloft, risperadone, and clonidine. Then the vomiting started almost everyday. We stopped the medication and the vomiting stopped. We have not encountered any negative side effects but on the first day she was very moody and easily irritated. My 7-year-old son has just been diagnosed with ADHD.
We have started him on Metadate CD 10mg. This is now the 3rd day of meds and I see no change at all. It took us 2 years to find the right medicine and dose for my 8-year-old son.
Metadate works beautifully. He is able to better focus in school and at home. The other medications made him overly emotional or aggressive. My son has been taking Metadate for 5 years now. The road had not been easy. He takes about 70 mg a day. I immediately start feeling drowsy and hazy. Side effects of ADHD medicines can impact each individual differently.
If they become difficult or impossible to manage, a doctor should adjust the medication. Stimulant drugs like Ritalin and Adderall may help a person to be more attentive, stay focused on a task, and listen to instructions. These results may not be apparent at first, and some people notice side effects before an improvement in symptoms. These should be manageable for most people, and they may fade after a few weeks of taking the medication.
Non-stimulant drugs for ADHD can also cause side effects. Sexual side effects can also occur. A person may experience a loss of interest in sex or trouble having an orgasm. While side effects show that the drug is having an effect on the body, they do not always indicate that the medicine is working.
Anyone who experiences side effects without noticing a change in their symptoms may need to see a doctor, who can alter their dosage or switch their medication. Signs that medication should be changed vary. The dosage may be too high or low, or an individual may need a different type of medicine. A mental health professional can identify patterns in behavior and help a person to work toward personal goals.
This can stimulate brain function and release pent-up energy. Chemical medications are designed to increase receptors in the brain, and exercise may have a similar effect. Mindfulness meditation can help to calm the mind. It may be a beneficial addition in a broader ADHD treatment.
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