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Methylphenidate
Methylphenidate is a wellknown treatment for attention deficit hyperactivity disorder (ADHD) and narcolepsy, thanks to its ability to enhance focus and attention span and reduce impulsivity and hyperactivity. Do speak with your doctor about precautions, as it may lead to side effects like increased heart rate, increased blood pressure, and occasionally, mood changes.
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Frequently Asked Questions
Can I drink alcohol while taking Methylphenidate?
It is generally not recommended, as alcohol can potentially interact with methylphenidate, increasing the risk of side effects.
Can I just stop taking Methylphenidate?
No. Stopping suddenly can bring on withdrawal symptoms. Always consult your doctor if you want to discontinue the medication.
Can I take a Methylphenidate twice a day?
Only if your doctor specifically instructs you to do so. This medication is typically taken once daily in the morning.
I forgot to take a dose, what should I do?
If the next dose is not too close, you can take the missed dose as soon as you remember. However, if it's close to the time for the next dose, skip the missed dose.
Comprehensive Drug Guide
How Does Methylphenidate Work?
Methylphenidate is a CNS stimulant that works by modifying the concentrations of particular natural substances in the brain, thereby balancing neurotransmission.
What is Methylphenidate Used For?
FDA Indications: Methylphenidate is majorly used for the treatment of ADHD and narcolepsy.
Offlabel uses: It's also used offlabel for cases of treatmentresistant depression and in enhancing cognitive performance.
Common Dosages
Tablets: 5mg, 10mg, 20mg
Extendedrelease tablets: 18mg, 27mg, 36mg, 54mg
Liquid suspension: 5mg/mL
Typical Dosing
FDA Approved Indications
- For ADHD: 10 to 60mg per day the actual dose depends on the severity of the condition and the patient's response to the drug.
- For Narcolepsy: 10 to 60mg per day depending on the severity of the sleep disorder.
Who Shouldn't Take Methylphenidate?
- If you have severe hypertension or heart disease.
- If you're currently taking or have recently taken MAO inhibitors (a type of antidepressant).
- If you have a history of drug addiction.
- If you're anxious, tense, or agitated.
- If you're pregnant, planning to become pregnant, or breastfeeding.
- If you have glaucoma.
- If you have a history of seizures.
- If you have a mental health condition like bipolar disorder or severe depression.
- If you have a history of tics or Tourette's syndrome.
Advice From The Pharmacist
- Methylphenidate should ideally be taken 3045 minutes before a meal unless your doctor tells you otherwise.
- With methylphenidate having the potential to be habitforming, it should be taken exactly as directed.
- Regular doctor checkups are vital for monitoring methylphenidate's effectiveness and side effects.
- If you're thinking about stopping the medication, consult your doctor. They'll guide you through a safe process to avoid the withdrawal symptoms.
- Make sure to report if you experience any mental (mood/behavior) changes or new/worsening agitations.
Side Effects of Methylphenidate
Common Side Effects
- weight loss, loss of appetite, stomach pain, and nausea.
Uncommon/Severe Side Effects
- In some cases, this drug might elevate blood pressure and bring about irregular heartbeat, mood/behavior changes, or circulation problems.
- Poses a slight risk for rare but serious (occasionally fatal) heart problems.
Risks and Warnings of Methylphenidate
- Besides mirroring the effects of natural substances in the brain, methylphenidate can cause a few side effects that range from being mildly uncomfortable to severe.
- It holds a potential risk for substance abuse and addiction. Dosing should always be carefully monitored.
- It's also advised to monitor blood pressure regularly during treatment.
Interactions with Methylphenidate
Common Drug Interactions
- Antidepressants
- Antihypertensives
- Antipsychotics
- Some antacids
Alternatives to Methylphenidate
- Dexmethylphenidate
- Dextroamphetamine
- Atomoxetine
- Lisdexamfetamine
- Amphetamine
- Modafinil
