Methylphenidate extended-release tablets

Pronunciation

Generic Name: methylphenidate (METH-il-FEN-i-date)
Brand Name: Concerta

Use methylphenidate extended-release tablets with caution if you have a history of mental or mood problems or alcohol or substance abuse or dependence. Abuse of methylphenidate extended-release tablets may cause it to not work as well. Abuse may also lead to addiction and mental or mood changes. Do not suddenly stop using methylphenidate extended-release tablets. Depression and other mental problems may occur. Your doctor should slowly lower your dose over a period of time if you need to stop using it.


Methylphenidate extended-release tablets is used for:

Treating attention deficit hyperactivity disorder (ADHD). It may also be used for other conditions as determined by your doctor.

Methylphenidate extended-release tablets is a central nervous system stimulant. Exactly how it works is not known.

Do NOT use methylphenidate extended-release tablets if:

  • you are allergic to any ingredient in methylphenidate extended-release tablets
  • you have severe anxiety, agitation, or tension
  • you have glaucoma
  • you have motor tics (involuntary movements), Tourette syndrome, or a family history of Tourette syndrome
  • you have serious heart problems (eg, heart defect, irregular heartbeat)
  • you are not able to swallow the tablet whole
  • you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or have taken an MAOI within the past 14 days

Contact your doctor or health care provider right away if any of these apply to you.

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Before using methylphenidate extended-release tablets:

Some medical conditions may interact with methylphenidate extended-release tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have had an allergic reaction to dexmethylphenidate
  • if you have a history of high blood pressure, heart problems (eg, heart failure, heart defects, fast or irregular heartbeat), blood vessel problems, or heart attack, or if a family member has a history of any of these problems or sudden death
  • if you have a history of seizures or abnormal electroencephalograms (EEGs)
  • if you have a history of an overactive thyroid, chronic fatigue, cystic fibrosis, narrowing of the esophagus, or stomach or bowel problems (eg, blockage, inflammation, narrowing)
  • if you have a history of mood or mental problems (eg, agitation, anxiety, bipolar disorder, depression, psychosis, tension), abnormal thoughts, hallucinations, suicidal thoughts or attempts, or alcohol or other substance abuse or dependence, or if a family member has a history of any of these problems
  • if you have circulation problems in your hands or feet (eg, Raynaud phenomenon, thromboangiitis obliterans)

Some MEDICINES MAY INTERACT with methylphenidate extended-release tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • MAOIs (eg, phenelzine) because severe high blood pressure may occur
  • Anticoagulants (eg, warfarin), certain anticonvulsants (eg, phenobarbital, phenytoin, primidone), phenylbutazone, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or tricyclic antidepressants (eg, imipramine) because the risk of their side effects may be increased by methylphenidate extended-release tablets
  • Medicines for high blood pressure (eg, guanethidine, metoprolol) because their effectiveness may be decreased by methylphenidate extended-release tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if methylphenidate extended-release tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use methylphenidate extended-release tablets:

Use methylphenidate extended-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Methylphenidate extended-release tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get methylphenidate extended-release tablets refilled.
  • Take methylphenidate extended-release tablets by mouth in the morning with or without food.
  • Swallow methylphenidate extended-release tablets whole. Do not break, crush, or chew before swallowing.
  • Take methylphenidate extended-release tablets with a full glass (8 oz [240 mL]) of liquid (eg, water, milk, juice).
  • If you miss a dose of methylphenidate extended-release tablets, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use methylphenidate extended-release tablets.

Important safety information:

  • Methylphenidate extended-release tablets may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use methylphenidate extended-release tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Methylphenidate extended-release tablets should be used as a part of an ADHD treatment program that includes a variety of treatment measures (eg, psychological, educational, social).
  • If your condition does not get better within 1 month or if it gets worse, check with your doctor.
  • Serious effects, including heart attack, stroke, and sudden death, have occurred with the use of stimulant medicines in patients with heart defects or other serious heart problems. If you have a heart defect or another serious problem, talk with your doctor about other therapies to treat your condition.
  • Methylphenidate extended-release tablets may cause a prolonged (more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
  • Methylphenidate extended-release tablets may cause circulation problems in the hands and feet. Tell your doctor if you have any numbness, pain, tingling, cold feeling, or skin color change (eg, from pale to blue or red) in your hands or feet. Call your doctor right away if you have any unexplained sores or wounds on your fingers or toes.
  • Tell your doctor or dentist that you take methylphenidate extended-release tablets before you receive any medical or dental care, emergency care, or surgery.
  • Before you start any new medicine, check the label to see if it has a decongestant in it. If it does or if you are not sure, check with your doctor or pharmacist.
  • You may notice the tablet shell in your stool. This is normal and not a cause for concern.
  • Methylphenidate extended-release tablets may be visible on abdominal x-rays. If you will be having an abdominal x-ray, be sure your doctor and lab personnel know you are taking methylphenidate extended-release tablets.
  • Lab tests, including blood pressure, heart function, complete blood cell counts, and platelet counts, may be performed while you use methylphenidate extended-release tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Methylphenidate extended-release tablets may affect growth rate and weight gain in CHILDREN and teenagers in some cases. They may need regular growth and weight checks while they take methylphenidate extended-release tablets.
  • Caution is advised when using methylphenidate extended-release tablets in CHILDREN; they may be more sensitive to its effects, especially loss of appetite, stomach pain, weight loss, trouble sleeping, and fast heartbeat.
  • Methylphenidate extended-release tablets should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using methylphenidate extended-release tablets while you are pregnant. It is not known if methylphenidate extended-release tablets is found in breast milk. If you are or will be breast-feeding while you use methylphenidate extended-release tablets, check with your doctor. Discuss any possible risks to your baby.

When used for long periods of time or at high doses, methylphenidate extended-release tablets may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if methylphenidate extended-release tablets stops working well. Do not take more than prescribed.

Some people who use methylphenidate extended-release tablets for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. Do not suddenly stop taking methylphenidate extended-release tablets. If you do, you may have WITHDRAWAL symptoms. These may include depression or other mental problems. If you need to stop methylphenidate extended-release tablets, your doctor will lower your dose over time.

Possible side effects of methylphenidate extended-release tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; dry mouth; headache; indigestion; loss of appetite; nausea; nervousness; stomach pain; stuffy nose; trouble sleeping; vomiting; weight loss.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; joint pain; purple or brownish red spots on the skin; unusual hoarseness); blurred vision or other vision problems; chest, jaw, or arm pain; confusion; dark urine; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; new or worsening mental, mood, or behavior changes (eg, abnormal thoughts, aggression, agitation, anxiety, depression, hostility, irritability, panic attacks, persistent crying, restlessness, unusual sadness); one-sided weakness; seizures; severe or persistent dizziness or headache; shortness of breath; slurred speech; sudden, severe nausea or vomiting; suicidal thoughts or attempts; tremor; uncontrolled speech or muscle movements; unusual sweating; unusual tiredness or weakness; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; dilated pupils; exaggerated reflexes; fast or irregular heartbeat; fever; flushing; hallucinations; loss of consciousness; mental or mood changes (eg, agitation); muscle twitching; seizures; severe or persistent headache; tremors; unusual sweating; vomiting.

Proper storage of methylphenidate extended-release tablets:

Store methylphenidate extended-release tablets at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep methylphenidate extended-release tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about methylphenidate extended-release tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Methylphenidate extended-release tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take methylphenidate extended-release tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about methylphenidate extended-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to methylphenidate extended-release tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using methylphenidate extended-release tablets.

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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