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Jornay PM
Jornay PM (methylphenidate hydrochloride) is a central nervous system (CNS) stimulant used for the treatment of attention deficit hyperactivity disorder (ADHD). This formulation is specifically designed for once-daily evening dosing, allowing for effective symptom control during the following day.
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Frequently Asked Questions
How long does it take for Jornay PM to start working?
Jornay PM typically begins to take effect within 1 to 2 hours after administration, with effects lasting throughout the next day.
Can I take Jornay PM with other medications?
Always consult your healthcare provider before combining Jornay PM with other medications, especially antidepressants or other stimulants.
What should I do if I miss a dose of Jornay PM?
If you miss a dose, take it as soon as you remember in the evening. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Is it safe to use Jornay PM during pregnancy?
Jornay PM should be used during pregnancy only if clearly needed, and the risks and benefits should be discussed with a healthcare provider.
Can Jornay PM cause weight gain?
Weight gain is not a common side effect of Jornay PM; in fact, decreased appetite is more commonly reported. Any significant changes in weight should be discussed with a healthcare provider.
Comprehensive Drug Guide
How Does Jornay PM Work?
Methylphenidate works by increasing the levels of norepinephrine and dopamine in the brain. It does this by inhibiting their reuptake at the synaptic cleft, leading to improved focus, attention, and impulse control in individuals with ADHD.
Common Dosages
- Extended-release capsules: Common dosages include 100 mg, 200 mg, and 300 mg of methylphenidate.
Typical Dosing
- The usual starting dose for children and adolescents is 20 mg taken orally in the evening, with the option to adjust the dose based on clinical response, up to a maximum of 100 mg per day.
Typical Dosing
FDA Approved Indications
- eatment of ADHD in children and adolescents aged 6 years and older.
Who Shouldn't Take Jornay PM?
- Known hypersensitivity to methylphenidate or any components of the formulation
- Severe anxiety, tension, or agitation
- Glaucoma
- Tics or a family history of Tourette syndrome
Advice From The Pharmacist
- Patients should be instructed to take Jornay PM in the evening, preferably at the same time each day.
- Advise parents and caregivers to monitor for any changes in behavior or mood, especially during the initial treatment period.
- Inform patients about the potential for decreased appetite and insomnia, and to discuss any concerns with their healthcare provider.
Side Effects of Jornay PM
Common Side Effects
- Decreased appetite
- Insomnia
- Headache
- Dry mouth
- Stomach pain
Uncommon/Severe Side Effects
- Increased heart rate or blood pressure
- New or worsening psychiatric symptoms
- Circulation problems (e.g., Raynaud's phenomenon)
Risks and Warnings of Jornay PM
- Cardiovascular Risks: Monitor for signs of heart-related issues, particularly in patients with pre-existing heart conditions.
- Mental Health: Use caution in patients with a history of mental health disorders, as stimulants can exacerbate symptoms.
Interactions with Jornay PM
Common Drug Interactions
- Monoamine Oxidase Inhibitors (MAOIs): Concomitant use can lead to serious side effects; avoid use within 14 days of MAOI therapy.
- Antihypertensives: Methylphenidate may reduce the effectiveness of blood pressure medications.
Alternatives to Jornay PM
- Other Stimulants: Such as amphetamine salts for ADHD treatment.
- Non-stimulant Medications: Such as atomoxetine for managing ADHD symptoms.
