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methylphenidate (oral)

Pronunciation: METH il FEN i date

Brand: Aptensio XR, Concerta, Cotempla XR-ODT, Metadate CD, Metadate ER, Methylin, QuilliChew ER, Quillivant XR, Ritalin

Ritalin LA

slide 1 of 41, Ritalin LA,

20 mg/24 hr, capsule, white, imprinted with NVR R20

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Ritalin LA

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30 mg/24 hours, capsule, yellow, imprinted with NVR R30

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Ritalin LA

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10 mg/24 hr, capsule, yellow/white, imprinted with NVR, R10

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Ritalin

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10 mg, round, green, imprinted with CIBA, 3

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Methylphenidate Hydrochloride CD

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50 mg/24 hours, capsule, blue/white, imprinted with 93 5292

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Methylphenidate Hydrochloride CD

slide 6 of 41, Methylphenidate Hydrochloride CD,

60 mg/24 hours, capsule, white, imprinted with 93 5293

 Image of Methylphenidate Hydrochloride CD
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Methylphenidate Hydrochloride CD

slide 7 of 41, Methylphenidate Hydrochloride CD,

10 mg/24 hr, capsule, green/white, imprinted with 93 5295

 Image of Methylphenidate Hydrochloride CD
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Methylphenidate Hydrochloride CD

slide 8 of 41, Methylphenidate Hydrochloride CD,

20 mg/24 hr, capsule, blue/white, imprinted with 93 5296

 Image of Methylphenidate Hydrochloride CD
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Methylphenidate Hydrochloride CD

slide 9 of 41, Methylphenidate Hydrochloride CD,

30 mg/24 hours, capsule, brown/white, imprinted with 93 5297

 Image of Methylphenidate Hydrochloride CD
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Methylphenidate Hydrochloride CD

slide 10 of 41, Methylphenidate Hydrochloride CD,

40 mg/24 hr, capsule, brown/white, imprinted with 93 5298

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Methylphenidate Hydrochloride ER

slide 11 of 41, Methylphenidate Hydrochloride ER,

36 mg/24 hr, oval, white, imprinted with M 36

 Image of Methylphenidate Hydrochloride ER
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Methylphenidate Hydrochloride ER

slide 12 of 41, Methylphenidate Hydrochloride ER,

54 mg/24 hr, oval, red, imprinted with M 54

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Methylphenidate Hydrochloride ER

slide 13 of 41, Methylphenidate Hydrochloride ER,

20 mg/8 hr, round, white, imprinted with M, 1451

 Image of Methylphenidate Hydrochloride ER
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Methylphenidate Hydrochloride ER

slide 14 of 41, Methylphenidate Hydrochloride ER,

18 mg/24 hr, oblong, yellow, imprinted with Alza 18

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Methylphenidate Hydrochloride ER

slide 15 of 41, Methylphenidate Hydrochloride ER,

36 mg/24 hr, oblong, white, imprinted with Alza 36

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Methylphenidate Hydrochloride ER

slide 16 of 41, Methylphenidate Hydrochloride ER,

54 mg/24 hr, oblong, red, imprinted with Alza 54

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Methylphenidate Hydrochloride

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20 mg, round, peach, imprinted with 5884, DAN 20

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Concerta

slide 18 of 41, Concerta,

18 mg/24 hr, oval, yellow, imprinted with alza 18

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Concerta

slide 19 of 41, Concerta,

36 mg/24 hr, oval, white, imprinted with alza 36

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Concerta

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27 mg/24 hr, oval, white, imprinted with alza 27

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Methylphenidate Hydrochloride

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10 mg, round, turquoise, imprinted with 530, MD

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Methylphenidate Hydrochloride

slide 22 of 41, Methylphenidate Hydrochloride,

5 mg, round, yellow, imprinted with 531, MD

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Methylphenidate Hydrochloride

slide 23 of 41, Methylphenidate Hydrochloride,

20 mg, round, orange, imprinted with MD, 532

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Concerta

slide 24 of 41, Concerta,

18 mg/24 hr, oblong, yellow, imprinted with alza 18

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Concerta

slide 25 of 41, Concerta,

36 mg/24 hr, oblong, white, imprinted with alza 36

 Image of Concerta
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Concerta

slide 26 of 41, Concerta,

54 mg/24 hr, oblong, red, imprinted with alza 54

 Image of Concerta
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Methylphenidate Hydrochloride

slide 27 of 41, Methylphenidate Hydrochloride,

10 mg, round, white, imprinted with 10, M

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Methylphenidate Hydrochloride

slide 28 of 41, Methylphenidate Hydrochloride,

20 mg, round, white, imprinted with 20, M

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Methylin

slide 29 of 41, Methylin,

5 mg, round, white, imprinted with 5, M inside square

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Methylphenidate Hydrochloride

slide 30 of 41, Methylphenidate Hydrochloride,

10 mg, round, blue, imprinted with MD, 530

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Methylphenidate Hydrochloride

slide 31 of 41, Methylphenidate Hydrochloride,

10 mg, round, yellow, imprinted with MD, 531

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Methylphenidate Hydrochloride

slide 32 of 41, Methylphenidate Hydrochloride,

10 mg, round, green, imprinted with 5883, DAN 10

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Methylphenidate Hydrochloride

slide 33 of 41, Methylphenidate Hydrochloride,

20 mg, round, orange, imprinted with MD, 532

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Methylphenidate Hydrochloride

slide 34 of 41, Methylphenidate Hydrochloride,

20 mg, round, orange, imprinted with MD, 532

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Methylphenidate Hydrochloride

slide 35 of 41, Methylphenidate Hydrochloride,

20 mg, round, peach, imprinted with 5884, DAN 20

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Methylphenidate Hydrochloride

slide 36 of 41, Methylphenidate Hydrochloride,

5 mg, round, yellow, imprinted with MD, 531

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Methylphenidate Hydrochloride

slide 37 of 41, Methylphenidate Hydrochloride,

5 mg, round, blue, imprinted with MD, 530

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Methylphenidate Hydrochloride

slide 38 of 41, Methylphenidate Hydrochloride,

5 mg, round, lavender, imprinted with 5882, DAN 5

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Methylphenidate Hydrochloride SR

slide 39 of 41, Methylphenidate Hydrochloride SR,

20 mg/8 hr, oval, white, imprinted with 3111, WPI

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Ritalin

slide 40 of 41, Ritalin,

10 mg, round, green, imprinted with CIBA, 3

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Ritalin

slide 41 of 41, Ritalin,

5 mg, round, yellow, imprinted with CIBA, 7

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What is the most important information I should know about methylphenidate?

Methylphenidate may be habit-forming. Tell your doctor if you have had problems with drug or alcohol abuse.

Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.

Do not use methylphenidate if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.

Methylphenidate may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness, or bipolar disorder.

You may have blood circulation problems that can cause numbness, pain, or discoloration in your fingers or toes.

Call your doctor right away if you have: signs of heart problems --chest pain, feeling light-headed or short of breath; signs of psychosis --paranoia, aggression, new behavior problems, seeing or hearing things that are not real; signs of circulation problems --unexplained wounds on your fingers or toes.

What is methylphenidate?

Methylphenidate is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

Methylphenidate is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy.

Methylphenidate may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking methylphenidate?

Do not use methylphenidate if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

You should not use methylphenidate if you are allergic to it, or if you have:

  • glaucoma;
  • a personal or family history of tics (muscle twitches) or Tourette's syndrome; or
  • severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse).

Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:

  • heart problems or a congenital heart defect;
  • high blood pressure; or
  • a family history of heart disease or sudden death.

Tell your doctor if you or anyone in your family has ever had:

  • depression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions;
  • motor tics (muscle twitches) or Tourette's syndrome;
  • blood circulation problems in the hands or feet;
  • seizures or epilepsy;
  • problems with the esophagus, stomach, or intestines;
  • an abnormal brain wave test (EEG); or
  • drug or alcohol addiction.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.

Methylphenidate is not approved for use by anyone younger than 6 years old.

How should I take methylphenidate?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Methylphenidate may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.

To prevent sleep problems, take this medicine in the morning.

Follow the directions on your medicine label about taking methylphenidate with or without food.

Swallow the capsule or tablet whole and do not crush, chew, or break it.

To make swallowing easier, you may open the capsule and sprinkle the medicine into a spoonful of pudding or applesauce. Swallow right away without chewing. Do not save the mixture for later use.

The chewable tablet must be chewed before you swallow it.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

To take the orally disintegrating tablet (ODT):

  • Remove a tablet from its blister pack only when you are ready to take the tablet. Use dry hands and take care not to damage a tablet while pushing it out of the blister.
  • Place the tablet in your mouth and allow it to dissolve, without chewing or swallowing it whole. You may sip liquid if needed to help swallow the dissolved tablet.

Your doctor will need to check your progress on a regular basis. Tell any doctor who treats you that you are using this medicine.

If you need surgery, tell your surgeon you currently use this medicine. You may need to stop for a short time.

Store at room temperature away from moisture and heat.

Keep track of your medicine. Methylphenidate is a drug of abuse and you should be aware if anyone is using it improperly or without a prescription.

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is later than 6:00 p.m. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of methylphenidate could be fatal.

What should I avoid while taking methylphenidate?

Avoid drinking alcohol. Alcohol may cause extended-release methylphenidate to be released into the bloodstream too fast.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

What are the possible side effects of methylphenidate?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • signs of heart problems --chest pain, trouble breathing, feeling like you might pass out;
  • signs of psychosis --hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
  • signs of circulation problems --numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;
  • a seizure (convulsions);
  • muscle twitches (tics);
  • changes in your vision; or
  • penis erection that is painful or lasts 4 hours or longer (rare).

Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects may include:

  • mood changes, feeling nervous or irritable, sleep problems (insomnia);
  • fast heart rate, increased blood pressure;
  • loss of appetite, weight loss;
  • nausea, stomach pain; or
  • headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect methylphenidate?

Ask your doctor before using a stomach acid medicine (including Alka-Seltzer or sodium bicarbonate). Some of these medicines can change the way your body absorbs methylphenidate, and may increase side effects.

Many drugs can affect methylphenidate. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Your pharmacist can provide more information about methylphenidate.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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