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QuilliChew ER
QuilliChew ER is an extended-release chewable tablet formulation of methylphenidate, used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children and adults. Methylphenidate is a central nervous system (CNS) stimulant that works by affecting neurotransmitters in the brain to improve focus, reduce hyperactivity, and control impulsive behavior. QuilliChew ER offers the convenience of a chewable form for patients who may have difficulty swallowing pills and provides extended symptom control throughout the day.
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Frequently Asked Questions
How long does it take for QuilliChew ER to start working?
QuilliChew ER begins working within about 30 to 60 minutes after taking it, and its effects can last up to 12 hours.
Can QuilliChew ER be taken with food?
Yes, QuilliChew ER can be taken with or without food, but it should be chewed thoroughly before swallowing.
What should I do if I miss a dose of QuilliChew ER?
If you miss a dose, take it as soon as you remember, but avoid taking it later in the day to prevent trouble sleeping. Do not double the dose to make up for a missed dose.
Can adults take QuilliChew ER for ADHD?
While QuilliChew ER is primarily prescribed for children, it can also be prescribed to adults with ADHD under a healthcare provider's supervision.
Can QuilliChew ER be used long-term?
Yes, QuilliChew ER can be used long-term for the management of ADHD, but regular follow-up appointments are important to ensure its ongoing effectiveness and safety.
Comprehensive Drug Guide
How Does QuilliChew ER Work?
QuilliChew ER works by increasing the levels of dopamine and norepinephrine in the brain, neurotransmitters that are involved in attention, focus, and impulse control. By preventing their reuptake, QuilliChew ER helps to regulate brain activity and improve symptoms of ADHD throughout the day.
Common Dosages
- 20 mg
- 30 mg
- 40 mg (chewable tablets)
Typical Dosing
- Children aged 6 and older: The usual starting dose is 20 mg once daily in the morning. The dose can be adjusted in increments of 10 mg or 20 mg per week, with a maximum dose of 60 mg per day.
- Adults: While not commonly prescribed for adults, the dosing would follow a similar schedule, adjusted based on clinical response and symptom control.
Typical Dosing
FDA Approved Indications
- Attention Deficit Hyperactivity Disorder (ADHD) in patients aged 6 years and older.
Who Shouldn't Take QuilliChew ER?
- Known hypersensitivity to methylphenidate or any components of the formulation.
- Individuals with severe anxiety, tension, or agitation, as these may worsen.
- Patients with glaucoma or tics, including a family history of Tourette’s syndrome.
- Those currently using monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuing an MAOI, due to the risk of a hypertensive crisis.
Advice From The Pharmacist
- QuilliChew ER should be taken in the morning to avoid interference with sleep.
- The tablet must be chewed thoroughly before swallowing and should not be swallowed whole.
- Avoid drinking alcohol while taking QuilliChew ER, as it may increase side effects or alter the release of the medication.
- Store QuilliChew ER at room temperature, away from moisture and heat.
- Make sure to follow up regularly with your healthcare provider to monitor the effectiveness and any potential side effects.
Side Effects of QuilliChew ER
Common Side Effects
- Decreased appetite
- Trouble sleeping (insomnia)
- Headache
- Irritability
- Stomach pain
Uncommon/Severe Side Effects
- Increased heart rate or blood pressure
- Psychiatric issues, including mood swings or increased anxiety
- Circulatory issues in fingers and toes (coldness, numbness)
Risks and Warnings of QuilliChew ER
- Cardiovascular risks: QuilliChew ER may increase heart rate and blood pressure. Patients with heart conditions or a family history of heart disease should be monitored closely.
- Abuse and dependence: QuilliChew ER is a Schedule II controlled substance due to its potential for abuse and addiction. Patients should use it only as prescribed.
- Psychiatric effects: Stimulants like QuilliChew ER can cause or worsen psychiatric symptoms, particularly in patients with pre-existing conditions like depression or bipolar disorder.
Interactions with QuilliChew ER
Common Drug Interactions
- Monoamine oxidase inhibitors (MAOIs): MAOIs can cause dangerous interactions with QuilliChew ER, including a hypertensive crisis.
- Antihypertensive medications: QuilliChew ER may reduce the effectiveness of medications used to lower blood pressure.
- Antacids: Some antacids may affect the absorption of QuilliChew ER.
- Alcohol: Alcohol should be avoided as it can increase the intensity of side effects or change how the medication is released in the body.
Alternatives to QuilliChew ER
- Concerta (methylphenidate ER): A long-acting tablet form of methylphenidate used for ADHD.
- Adderall XR (amphetamine/dextroamphetamine): A stimulant medication for ADHD and narcolepsy.
- Vyvanse (lisdexamfetamine): Another stimulant used to treat ADHD and binge eating disorder.
- Strattera (atomoxetine): A non-stimulant option for ADHD.
