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Cotempla XR-ODT
Cotempla XR-ODT is an extended-release orally disintegrating tablet (ODT) used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) in children aged 6 to 17 years. The active ingredient in Cotempla XR-ODT is methylphenidate, a central nervous system stimulant that helps increase attention, focus, and impulse control in individuals with ADHD. Cotempla XR-ODT dissolves quickly in the mouth without the need for water, making it a convenient option for children who may have difficulty swallowing pills.
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Frequently Asked Questions
How long does Cotempla XR-ODT take to work?
Cotempla XR-ODT typically begins working within 30 to 60 minutes of administration, with effects lasting throughout the day due to its extended-release formulation.
Can Cotempla XR-ODT be taken with food?
Yes, Cotempla XR-ODT can be taken with or without food. However, taking it with food may help reduce stomach upset.
What should I do if I miss a dose of Cotempla XR-ODT?
If you miss a dose, skip it and take the next dose at the regular time the following day. Do not take extra doses to make up for a missed one.
Is Cotempla XR-ODT habit-forming?
Cotempla XR-ODT has the potential for abuse and dependence. It should only be used as directed by your healthcare provider and stored securely to prevent misuse.
Can Cotempla XR-ODT affect my child’s growth?
Stimulant medications like Cotempla XR-ODT can cause growth suppression in some children. Your healthcare provider will monitor your child’s growth regularly while on the medication.
Comprehensive Drug Guide
How Does Cotempla XR-ODT Work?
Methylphenidate, the active ingredient in Cotempla XR-ODT, works by increasing the levels of dopamine and norepinephrine in the brain. These neurotransmitters are involved in regulating attention, focus, and behavior. By increasing their availability, Cotempla XR-ODT helps improve symptoms of ADHD, including inattention, hyperactivity, and impulsivity.
What is Cotempla XR-ODT Used For?
Attention-Deficit/Hyperactivity Disorder (ADHD) in children aged 6 to 17 years
Common Dosages
Cotempla XR-ODT is available by prescription only and is classified as a Schedule II controlled substance due to its potential for abuse and dependence. It is available in extended-release orally disintegrating tablet form.
Cotempla XR-ODT is available in the following strengths:
- 8.6 mg
- 17.3 mg
- 25.9 mg
Typical Dosing
FDA Approved Indications
For children aged 6 to 17 years: The recommended starting dose is 17.3 mg once daily in the morning. The dose may be increased weekly by 8.6 mg to 17.3 mg based on the child’s response and tolerance, up to a maximum dose of 51.8 mg per day.
Who Shouldn't Take Cotempla XR-ODT?
Cotempla XR-ODT should not be used in individuals with the following conditions:
- Known hypersensitivity to methylphenidate or any other components of the formulation
- Glaucoma
- Current or recent use of monoamine oxidase inhibitors (MAOIs)
- Severe anxiety, tension, or agitation
Advice From The Pharmacist
- Cotempla XR-ODT should be taken once daily in the morning, with or without food. Do not take it in the afternoon or evening, as it may interfere with sleep.
- The tablet dissolves quickly on the tongue without water. Ensure the tablet is taken as soon as the blister pack is opened.
- Store Cotempla XR-ODT in a secure location to prevent misuse or abuse, as methylphenidate is a controlled substance.
- Monitor your child’s growth, appetite, and sleep patterns while on this medication, and report any significant changes to your healthcare provider.
Side Effects of Cotempla XR-ODT
Common Side Effects
- Decreased appetite
- Insomnia
- Stomach pain
- Headache
- Irritability or mood swings
Uncommon/Severe Side Effects
- Increased heart rate or blood pressure
- Psychiatric side effects (such as hallucinations or aggression)
- Growth suppression in children
- Seizures
Risks and Warnings of Cotempla XR-ODT
Risk of Abuse and Dependence: As a Schedule II controlled substance, Cotempla XR-ODT has the potential for abuse and dependence. It should only be used as prescribed and stored in a secure location to prevent misuse.
Cardiovascular Effects: Stimulants like methylphenidate may increase heart rate and blood pressure. Regular monitoring of cardiovascular function is recommended, especially in individuals with pre-existing heart conditions.
Psychiatric Effects: Methylphenidate may cause new or worsening psychiatric symptoms, including aggression, mood swings, and hallucinations. Discontinue use if significant psychiatric side effects occur.
Interactions with Cotempla XR-ODT
Common Drug Interactions
- Monoamine Oxidase Inhibitors (MAOIs): Taking Cotempla XR-ODT with MAOIs can result in dangerously high blood pressure. These medications should not be used together.
- Antihypertensives: Cotempla XR-ODT may reduce the effectiveness of medications used to lower blood pressure.
- Antidepressants: Combining Cotempla XR-ODT with certain antidepressants, especially SSRIs, may increase the risk of serotonin syndrome.
Alternatives to Cotempla XR-ODT
- Concerta (methylphenidate extended-release): A long-acting form of methylphenidate used to treat ADHD in children, adolescents, and adults.
- Adderall XR (amphetamine/dextroamphetamine extended-release): Another stimulant medication used to treat ADHD and narcolepsy.
- Vyvanse (lisdexamfetamine): A stimulant used to treat ADHD and binge-eating disorder.
- Non-stimulant medications: Such as Strattera (atomoxetine), used in cases where stimulant medications are not appropriate.
