Methylphenidate

Introduction To Methylphenidate

Methylphenidate is a medicine used in the treatment of attention deficit hyperactivity disorder (a behavioral disorder in children marked by poor concentration, hyperactivity, and learning difficulties). It helps to improve attention span, concentration and reduces impulsive behavior.

Methylphenidate may be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. This medication mustn't be stopped suddenly as it may worsen your symptoms.

Some common side effects of this medicine include headache, insomnia (difficulty sleeping), abdominal pain, and nervousness. However, these side effects are temporary and usually resolve on their own in some time. Please consult your doctor if these do not subside or bother you. This medicine causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you.

Before taking Methylphenidate, inform your doctor if you have any problems with your kidneys, heart, liver, or have a history of seizures (epilepsy or fits). Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or if you have any suicidal thoughts.

Uses of Methylphenidate

  • Attention deficit hyperactivity disorder (ADHD)

Benefits of Methylphenidate

Attention deficit hyperactivity disorder (ADHD)
Attention deficit hyperactivity disorder (ADHD) is a disorder that makes a person impulsive, restless, creates difficulty in concentrating or paying attention, and leads to behavioural issues. Methylphenidate helps you improve these symptoms, making you more alert, energetic, and focused. It is the most effective medicine for treating ADHD. It improves your behavior and enhances the quality of life.

Side effects of Methylphenidate

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Concerta

  • Headache
  • Insomnia (difficulty in sleeping)
  • Abdominal pain
  • Nervousness

How to use Methylphenidate

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Methylphenidate may be taken with or without food, but it is better to take it at a fixed time.

How Methylphenidate works

Methylphenidate is a CNS stimulant. It works by improving the activity of certain parts of the brain by increasing the levels of certain chemicals (norepinephrine and dopamine).

Quick tips

  • It has high habit-forming potential. Do not take more than prescribed.
  • Take it early in the morning to prevent insomnia later that night.
  • Methylphenidate may raise your blood pressure and pulse. Monitor your blood pressure regularly.
  • Use caution while driving or doing anything that requires concentration as Methylphenidate can cause dizziness and sleepiness.
  • It can cause a loss of appetite, which can slow growth rate, especially in children. Monitor your child’s height and weight regularly while taking this medicine.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Do not stop taking medicine without talking to your doctor first.

Safety Advice

sdsPregnancyCONSULT YOUR DOCTOR

Can I take Methylphenidate if I’m pregnant?

Methylphenidate may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

sdsBreastfeedingCONSULT YOUR DOCTOR

Can I take Methylphenidate if I’m breastfeeding?

Methylphenidate is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

sdsAlcoholUNSAFE

Is drinking alcohol while taking Methylphenidate safe?

Methylphenidate may cause excessive drowsiness with alcohol.

sdsDrivingUNSAFE

Can I drive after taking Methylphenidate?

Methylphenidate may cause side effects which could affect your ability to drive. You may feel dizzy, have problems focussing or have blurred vision when taking Methylphenidate. This may affect your driving ability.

sdsKidneyCONSULT YOUR DOCTOR

Can I take Methylphenidate if I have/had kidney diseases?

There is limited information available on the use of Methylphenidate in patients with kidney disease. Please consult your doctor. Caution should be exercised in patients with underlying kidney disease.

sdsLiverCONSULT YOUR DOCTOR

Can I take Methylphenidate if I have/had liver diseases?

There is limited information available on the use of Methylphenidate in patients with liver disease. Please consult your doctor.

Frequently Asked Questions

Q. Is Methylphenidate a monoamine oxidase inhibitor/ opiate/ amphetamine?

Methylphenidate is central nervous system stimulant drug that is used in attention deficit hyperactivity disorder (a behavioral disorder in children marked by poor concentration, hyperactivity, and learning difficulties). It is not monoamine oxidase inhibitor or an opiate. It is similar in function to amphetamine, but milder in nature

Q. Does Methylphenidate keep you awake or help you focus?

Yes, Methylphenidate increases wakefulness, vigilance and attention span

Q. Does Methylphenidate make you high?

Methylphenidate has the ability to alter mood and feelings such that the effects are perceived by some as pleasant or ‘high'. Methylphenidate belongs to a sub schedule X consisting psychotropic and habit forming substances. It is available strictly as per the prescription and should always be used as advised by doctor

Q. Does Methylphenidate expire/ go bad?

Like all other medicines, Methylphenidate expires.The expiry date is mentioned on the pill-box or strip. Methylphenidate should not be used beyond this date of expiry.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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