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Concerta Extended-Release Tablet (Tab ER 18 mg)
McNeil Consumer and Specialty Pharmaceuticals
Concerta Extended-Release Tablet (Tab ER 36 mg)
McNeil Consumer and Specialty Pharmaceuticals
Concerta Extended-Release Tablet (Tab ER 54 mg)
McNeil Consumer and Specialty Pharmaceuticals
Concerta Extended-Release Tablet (Tablet, Extended Release 27 mg)
McNeil Consumer and Specialty Pharmaceuticals
Daytrana Transdermal Patch (Film, Extended Release 10 mg)
Shire US Inc
Daytrana Transdermal Patch (Film, Extended Release 15 mg)
Shire US Inc
Daytrana Transdermal Patch (Film, Extended Release 20 mg)
Shire US Inc
Daytrana Transdermal Patch (Film, Extended Release 30 mg)
Shire US Inc
Metadate ER Extended-Release Tablet (Tab ER 10 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 10 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 20 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 30 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 40 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 50 mg)
UCB Pharma Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 60 mg)
UCB Pharma Inc
Metadate ER Extended-Release Tablet (Tab ER 20 mg)
UCB Pharma Inc
Methylphenidate Tablet (Tab 20 mg)
Mallinckrodt Inc Pharmaceuticals Group
Methylphenidate Tablet (Tab 5 mg)
Sandoz Pharmaceuticals
Methylphenidate Tablet (Tab 10 mg)
Mallinckrodt Inc Pharmaceuticals Group
Methylphenidate ER Extended-Release Tablet (Tab ER 10 mg)
Mallinckrodt Inc Pharmaceuticals Group
Methylphenidate ER Extended-Release Tablet (Tab ER 20 mg)
Mallinckrodt Inc Pharmaceuticals Group
Methylphenidate Tablet (Tab 10 mg)
UCB Pharma Inc
Methylphenidate Tablet (Tab 5 mg)
Mallinckrodt Inc Pharmaceuticals Group
Methylphenidate Tablet (Tab 20 mg)
Sandoz Pharmaceuticals
Methylphenidate Extended-Release Tablet (Tab ER 20 mg)
Sandoz Pharmaceuticals
Methylphenidate Extended-Release Tablet (Tab ER 20 mg)
Watson Pharmaceuticals Inc
Methylin Chewable Tablet (Tablet, Chewable 5 mg)
Alliant Pharmaceuticals a Division of Sciele Pharma, Inc
Methylin Chewable Tablet (Tablet, Chewable 10 mg)
Alliant Pharmaceuticals a Division of Sciele Pharma, Inc
Methylphenidate Tablet (Tab 20 mg)
UCB Pharma Inc
Methylphenidate Tablet (Tablet 5 mg)
Sandoz Pharmaceuticals
Methylphenidate Sustained-Release Tablet (Tablet, Extended Release 20 mg)
Sandoz Pharmaceuticals
Methylphenidate Tablet (Tab 5 mg)
Watson Pharmaceuticals Inc
Ritalin Tablet (Tablet 10 mg)
Novartis Pharmaceuticals
Ritalin Tablet (Tab 5 mg)
Physicians Total Care Inc
Ritalin SR Extended-Release Tablet (Tab ER 20 mg)
Physicians Total Care Inc
Ritalin Tablet (Tab 20 mg)
Physicians Total Care Inc
Ritalin LA Extended-Release Capsule (Capsule, Extended Release 10 mg)
Novartis Pharmaceuticals
Ritalin LA Extended-Release Capsule (Cap ER 20 mg)
Novartis Pharmaceuticals
Ritalin LA Extended-Release Capsule (Cap ER 30 mg)
Novartis Pharmaceuticals
Ritalin LA Extended-Release Capsule (Cap ER 40 mg)
Novartis Pharmaceuticals Concerta Extended-Release Tablet (Tab ER 18 mg)
Caremark Inc Concerta Extended-Release Tablet (Tab ER 36 mg)
Caremark Inc Concerta Extended-Release Tablet (Tab ER 54 mg)
Caremark Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 10 mg)
Celltech Pharmaceuticals, Inc
Metadate CD Extended-Release Capsule (Cap ER 20 mg)
Celltech Pharmaceuticals, Inc
Metadate CD Extended-Release Capsule (Capsule, Extended Release 30 mg)
Celltech Pharmaceuticals, Inc
Methylphenidate Extended-Release Tablet (Tab ER 20 mg)
Sandoz Pharmaceuticals
Methylphenidate Tablet (Tab 20 mg)
Sandoz Pharmaceuticals Methylphenidate Tablet (Tab 10 mg)
Sandoz Pharmaceuticals Ritalin Tablet (Tab 10 mg)
Novartis Pharmaceuticals Corp Ritalin Tablet (Tab 5 mg)
Novartis Pharmaceuticals Corp Ritalin SR Extended-Release Tablet (Tab ER 20 mg)
Novartis Pharmaceuticals Corp Ritalin Tablet (Tab 20 mg)
Novartis Pharmaceuticals Corp
Metadate ER Extended-Release Tablet (Tab ER 20 mg)
Celltech Pharmaceuticals, Inc Metadate ER Extended-Release Tablet (Tab ER 10 mg)
Celltech Pharmaceuticals, Inc Methylphenidate Tablet (Tab 5 mg)
Celltech Pharmaceuticals, Inc Methylin ER Extended-Release Tablet (Tab ER 10 mg)
D M Graham Laboratories Div Methylin ER Extended-Release Tablet (Tab ER 20 mg)
D M Graham Laboratories Div Methylphenidate Tablet (Tab 10 mg)
Celltech Pharmaceuticals, Inc Methylphenidate Tablet (Tab 20 mg)
Celltech Pharmaceuticals, Inc Ritalin Tablet (Tab 10 mg)
Caremark Inc < Back
Concerta Extended-Release Tablet
More Images (61) METHYLPHENIDATE (Metadate® ER, Ritalin®-SR or the once-daily brands Concerta®, Metadate® CD, Ritalin® LA) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate extended-release tablets or capsules may or may not be available, depending on the product you are taking.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•difficulty swallowing, problems with the esophagus (tube connecting mouth to stomach), or a history of blockage of the stomach or intestines
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
El METILFENIDATO (Metadate® ER, Ritalin®-SR o las marcas de dosis única diaria Concerta®, Metadate® CD o Ritalin® LA) es un estimulante. Puede mejorar la capacidad de concentración, la concentración en general y el control de las emociones y reducir la conducta inquieta o hiperactiva. Este medicamento trata el trastorno del déficit de atención (TDA) con hiperactividad. También puede ayudar en el tratamiento de un problema llamado narcolepsia, una enfermedad que dificulta el mantenerse despierto durante las horas normales del día. Las leyes federales prohíben la transferencia de metilfenidato a cualquier persona que no sea el paciente para quien el medicamento fue recetado. No comparta este medicamento con nadie. Puede o no haber tabletas de liberación prolongada o cápsulas de metilfenidato genéricas disponibles, según el producto que esté tomando. Necesita saber si usted presenta alguno de los siguientes problemas o situaciones:
•consume bebidas alcohólicas con frecuencia
•antecedentes de drogadicción
•dificultad al tragar, problemas con el esófago (tubo que conecta la boca con el estómago) o antecedentes de bloqueo del estómago o intestinos
•glaucoma
•insuficiencia cardiaca u otra enfermedad cardiaca
•trastorno del ritmo cardiaco
•antecedente de ataque cardiaco reciente
•alta presión arterial
•enfermedad hepática
•enfermedad mental, como, por ejemplo, ansiedad, trastorno bipolar, depresión, manía o esquizofrenia
•tics de movimiento o antecedentes familiares del tics de movimiento (espasmos dificiles de controlar en cualquier parte de su cuerpo) o tics verbales (dificil de controlar las repeticiones de sonidos o palabras)
•hipertiroidismo
•convulsiones o un EEG (electroencefalograma) anormal
•síndrome de Tourette o antecedentes familiares del síndrome de Tourette (repetición de frases o uso involuntario de lenguaje obsceno)
•una reacción alérgica o inusual al metilfenidato, a otros medicamentos, alimentos, colorantes o conservantes
•si está embarazada o buscando quedar embarazada
•si está amamantando a un bebé Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
If you are taking the Concerta™ tablets, you may notice the tablet shell in your stool. This is normal.
Efectos secundarios que debe informar a quien extiende sus recetas o a su profesional de la salud tan pronto como sea posible:
•ansiedad o nerviosismo severo
•magulladuras
•cambios en el estado de ánimo o la conducta, como, por ejemplo, ver y escuchar cosas que no existen o presentar un comportamiento de concentración excesiva, con la mirada fija
•dolor en el pecho, pulso cardiaco rápido o irregular (palpitaciones)
•fiebre o piel seca y caliente
•aumento de la presión arterial
•dolores articulares
•erupción cutánea, picazón
•movimientos incontrolables de la cabeza, boca, cuello, brazos o piernas
Efectos secundarios que, por lo general, no requieren atención médica (debe informarlos a quien extiende sus recetas o a su profesional de la salud si persisten o si son molestos):
Poco comunes o raros:
•sensación de bienestar
•visión borrosa
•sensación de mareo o aturdimiento
•calambres estomacales
Más comunes, especialmente durante las primeras semanas del tratamiento:
•poco apetito o pérdida del apetito
•dolor de cabeza
•descompostura estomacal leve
•nerviosismo, inquietud o dificultad para dormir
•pérdida de peso
Visite al profesional que extiende sus recetas o a su profesional de la salud para chequear su evolución periódicamente. Para utilizar este medicamento es necesario cumplir con ciertos procedimientos especiales ante el profesional que extiende sus recetas y en la farmacia. Deberá presentar una nueva receta escrita por su profesional cada vez que necesite más medicamento.
El metilfenidato puede afectar su concentración u ocultar signos de cansancio. No conduzca vehículos ni bicicletas, no utilice maquinaria ni haga nada que le exija permanecer en estado de alerta hasta que sepa cómo le afecta este medicamento. Si usted está teniendo dificultades para conciliar el sueño o si continua a ser un efecto secundario perisistente y molesto, comunínquese con su proveedor de atención médica.
Informe a quien extiende sus recetas o su profesional de la salud si este medicamento deja de actuar o si siente la necesidad de tomar una cantidad mayor que la recetada. No cambie la dosis sin antes consultar con quien extiende sus recetas o con su profesional de la salud. Consulte con quien extiende sus recetas o con su profesional de la salud.
Al comenzar a tomar este medicamento puede sentir poco apetito; éste es un efecto secundario frecuente. Para combatir este problema, ingiera pequeñas cantidades de comida o refrigerios con frecuencia. Si la falta de apetito persiste, consulte con quien extiende sus recetas. Se controlará cuidadosamente la evolución de la altura y del peso de los niños que toman este medicamento.
Si va a someterse a una operación u otro procedimiento médico, informe a quien extiende sus recetas o a su profesional de la salud que está tomando metilfenidato.
Si está tomando tabletas de Concerta™, tal vez pueda observar el recubrimiento vacío de la tableta en las heces. Esto es normal. The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•antacids
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Las suiguientes drogas pueden interferir con Ritalin® LA:
•anfetamina o dextroanfetamina
•antiácidos
•bretilio
•cafeína
•carbamazepina
•clonidina
•dexmetilfenidato
•furazolidona
•guaraná
•linezolid
•litio
•medicamentos para resfríos y problemas respiratorios y sinusales
•medicamentos para la hipertensión
•medicamentos llamados inhibidores de la monoamina oxidasa (IMAO), tales como fenelcina (Nardil®), tranilcipromina (Parnate®), isocarboxazida (Marplan®)
•otros medicamentos para la depresión mental o ansiedad
•medicamentos para problemas mentales y trastornos psicóticos
•medicamentos para reducir el apetito o para bajar de peso
•modafinilo
•pemolina
•procarbazina
•medicamentos para las convulsiones o la epilepsia
•warfarina
•diuréticos
Explique al profesional que extiende sus recetas o a su profesional de la salud todos los otros medicamentos que esté tomando, incluyendo los medicamentos de venta libre, suplementos nutritivos o productos a base de hierbas. Si usted consume bebidas con cafeína o alcohol de manera frecuente, si fuma o si utiliza drogas ilegales, indíqueselo también a quien extiende sus recetas o a su profesional de la salud. Estas sustancias pueden afectar el modo en que actúan sus medicamentos. Antes de comenzar a tomar cualquiera de sus medicamentos o de dejar de hacerlo, consulte con su profesional de la salud. How should I take this medicine?
Take methylphenidate extended-release tablets or capsules by mouth. Follow the directions on the prescription label. Swallow whole with a drink of water or juice; do not crush, cut, or chew. You may take this medicine with food. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 8 hours before your normal bedtime, so it will not interfere with sleep. Some brands (Concerta®, Metadate® CD, Ritalin® LA) are taken just once-daily, in the morning. Do not take your medicine more often than directed.
If swallowing a Metadate® CD or Ritalin® LA capsule is difficult, this capsule may be opened and the dose gently sprinkled on a small amount (1 tablespoon) of cool applesauce. (Do not sprinkle on warm applesauce or this may result in improper dosing.) The sprinkles should not be crushed or chewed. Take the medicine immediately after sprinkling (do not store for future use). Drink some fluids (water, milk or juice) after taking the sprinkles with applesauce.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. This medicine is commonly prescribed for children >= 6 years old.
What if I miss a dose?
If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
¿Cómo debo tomar este medicamento?
Tome las cápsulas o tabletas de liberación prolongada de metilfenidato por vía oral. Siga las instrucciones de la etiqueta del medicamento. Ingiera las tabletas enteras con un vaso de agua o jugo, sin triturarlas, cortarlas ni masticarlas. Este medicamento se puede tomar con alimentos. Tome sus dosis a intervalos regulares. Por lo general, la última dosis del día se debe tomar por lo menos 8 horas antes de la hora a la que habitualmente se va a dormir, para que no interfiera con el sueño. Algunas marcas (Concerta®, Metadate® CD o Ritalin® LA) tienen una dosis única diaria que se toma a la mañana. No tome su medicamento con una frecuencia mayor que la indicada.
Si le cuesta tragar las cápsulas de Metadate® CD o Ritalin® LA, puede abrirlas y espolvorear la dosis sobre una pequeña cantidad (1 cucharada) de puré de manzanas frío. (No la espolvoree sobre puré de manzanas caliente, puesto que la dosis puede no ser la adecuada.) El contenido de las cápsulas no debe triturarse ni masticarse. Tome el medicamento inmediatamente después de espolvorearlo (no lo guarde para usar más tarde). Ingiera líquidos (agua, leche o jugo) luego de tomar las cápsulas espolvoreadas en puré de manzanas.
Comuníquese con su pediatra o con su profesional de la salud para informarse acerca del uso de este medicamento en niños. Puede requerir atención especial. Este medicamento se receta comúnmente a niños de 6 años de edad o mayores.
¿Qué sucede si me olvido de tomar una dosis?
Si es casi la hora de la próxima dosis, tome sólo esa dosis. No tome dosis adicionales o dobles.
Concerta Extended-Release Tablet
More Images (61) METHYLPHENIDATE (Methylin™) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate oral solution is not yet available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual reaction to Methylphenidate, medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
How should this medicine be used?
Take this medicine by mouth. Follow the directions on the prescription label. Use a specially marked spoon or dropper to measure your medicine. Tell your pharmacist if you do not have one; household spoons are not always accurate. It is best to take methylphenidate 30 to 45 minutes before meals, unless directed otherwise by your prescriber or health care professional. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 4—6 hours before your normal bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Concerta Extended-Release Tablet
More Images (61) METHYLPHENIDATE TRANSDERMAL SYSTEM (Daytrana™) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic Methylphenidate skin patches are not yet available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease; a heart structural abnormality
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
Side effects that you should report to your prescriber or health care professional as soon as possible:
•abnormal or extreme weight loss
•anxiety or severe nervousness
•blurred vision
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching, irritation, swelling or redness at the site where you applied the patch
•skin rash or peeling of your skin at any area; redness, blistering, peeling or loosening of the skin, including inside the mouth
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•dizziness or lightheadedness
•stomachache or cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•minor weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
If you notice a rash, irritation, redness, itching or swelling around the site of your patch that does not go away after 1—2 days, contact your health care provider. You may have allergy or just irritation. Your health care provider can best determine if you should continue using methylphenidate. If you notice peeling of your skin, or blisters in your mouth, contact your health care provider immediately. If you have previously had an allergy to the methylphenidate patch, you may not be able to use the oral tablets. Tell your health care provider if you have ever had an allergy to methylphenidate.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping or have weight loss, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are using methylphenidate patches.
The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•antacids
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•mecasermin, recombinant, rh-IGF-1
•medicines for attention deficit hyperactivity disorder (ADHD)
•medicines for colds, sinus, and breathing difficulties (for example, pseudoephedrine)
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety, such as the Selective Serotonin Reuptake Inhibitors (SSRIs) or the tricyclic antidepressants (TCAs), duloxetine, nefazodone, or venlafaxine
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•radiopaque contrast agents
•seizure (convulsion) or epilepsy medicine, such as phenytoin, primidone or phenobarbital
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
How should this medicine be used?
Methylphenidate skin patches are for external use only. Follow the directions on the prescription label. Use exactly as directed. Do not cut or trim the patch. Apply patch to the hip area. Apply to a clean, dry, area, free of irritations or cuts. Avoid the waistline, since clothing may cause the patch to rub off. After the patch is applied, record the time on the administration chart on each carton, and use the timetable to calculate what time the patch should be removed, or follow your prescriber's instructions for removal of the patch. Always wash your hands after handling a patch. Replace each patch at the same time each day (usually in the early morning), and remove it at the time you are told by your health care provider. When applying a new patch the next morning, use the opposite hip. Do not stop using except on your prescriber's advice. Do not use your medicine more often than directed.
After you apply the patch correctly, bathing, swimming, or showering should not affect the patch or make it fall off. If a patch falls off, a new patch may be applied to a different area of the same hip. If a new patch is applied you should remove it at the same time the original patch was to be removed.
Contact your pediatrician or health care professional regarding the use of this medicine in children less than 6 years of age. This patch is not normally used in young children. Special care may be needed.
What if I miss a dose?
If the patch falls off, you may replace it with another patch at a different site on the same hip. You must remove that patch also at the same time; do not wear it for a longer period of time.
If you forget to apply a patch in the morning, you may do so later in the day, but you should remove the patch at the same time of day you normally remove the patch to reduce the possibility of side effects late in the day or at night.
Concerta Extended-Release Tablet
More Images (61) METHYLPHENIDATE (Methylin™, Ritalin®) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate tablets are available, but generic chewable tablets are not available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
El METILFENIDATO (Methylin™, Ritalin®) es un estimulante. Puede mejorar la capacidad de concentración, la concentración en general y el control de las emociones y reducir la conducta inquieta o hiperactiva. Este medicamento trata el trastorno del déficit de atención (TDA) con hiperactividad. También puede ayudar en el tratamiento de un problema llamado narcolepsia, una enfermedad que dificulta el mantenerse despierto durante las horas normales del día. Las leyes federales prohíben la transferencia de metilfenidato a cualquier persona que no sea el paciente para quien el medicamento fue recetado. No comparta este medicamento con nadie. Hay tabletas genéricas de metilfenidato disponibles, aún no hay tabletas masticables genéricas disponibles. Necesita saber si usted presenta alguno de los siguientes problemas o situaciones:
•consume bebidas alcohólicas con frecuencia
•antecedentes de drogadicción
•glaucoma
•insuficiencia cardiaca u otra enfermedad cardiaca
•trastorno del ritmo cardiaco
•antecedente de ataque cardiaco reciente
•alta presión arterial
•enfermedad hepática
•enfermedad mental, como, por ejemplo, ansiedad, trastorno bipolar, depresión, manía o esquizofrenia
•tics de movimiento o antecedentes familiares del tics de movimiento (espasmos dificiles de controlar en cualquier parte de su cuerpo) o tics verbales (dificil de controlar las repeticiones de sonidos o palabras)
•hipertiroidismo
•convulsiones o un EEG (electroencefalograma) anormal
•síndrome de Tourette o antecedentes familiares del síndrome de Tourette (repetición de frases o uso involuntario de lenguaje obsceno)
•una reacción alérgica o inusual al metilfenidato, a otros medicamentos, alimentos, colorantes o conservantes
•si está embarazada o buscando quedar embarazada
•si está amamantando a un bebé Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
Efectos secundarios que debe informar a quien extiende sus recetas o a su profesional de la salud tan pronto como sea posible:
•ansiedad o nerviosismo severo
•magulladuras
•cambios en el estado de ánimo o la conducta, como, por ejemplo, ver y escuchar cosas que no existen o presentar un comportamiento de concentración excesiva, con la mirada fija
•dolor en el pecho, pulso cardiaco rápido o irregular (palpitaciones)
•fiebre o piel seca y caliente
•aumento de la presión arterial
•dolores articulares
•erupción cutánea, picazón
•movimientos incontrolables de la cabeza, boca, cuello, brazos o piernas
Efectos secundarios que, por lo general, no requieren atención médica (debe informarlos a quien extiende sus recetas o a su profesional de la salud si persisten o si son molestos):
Poco comunes o raros:
•sensación de bienestar
•visión borrosa
•sensación de mareo o aturdimiento
•calambres estomacales
Más comunes, especialmente durante las primeras semanas del tratamiento:
•poco apetito o pérdida del apetito
•dolor de cabeza
•descompostura estomacal leve
•nerviosismo, inquietud o dificultad para dormir
•pérdida de peso
Visite al profesional que extiende sus recetas o a su profesional de la salud para chequear su evolución periódicamente. Para utilizar este medicamento es necesario cumplir con ciertos procedimientos especiales ante el profesional que extiende sus recetas y en la farmacia. Deberá presentar una nueva receta escrita por su profesional cada vez que necesite más medicamento.
El metilfenidato puede afectar su concentración u ocultar signos de cansancio. No conduzca vehículos ni bicicletas, no utilice maquinaria ni haga nada que le exija permanecer en estado de alerta hasta que sepa cómo le afecta este medicamento. Si usted está teniendo dificultades para conciliar el sueño o si continua a ser un efecto secundario persistente y molesto, comuníquese con su proveedor de atención médica.
Informe a quien extiende sus recetas o su profesional de la salud si este medicamento deja de actuar o si siente la necesidad de tomar una cantidad mayor que la recetada. No cambie la dosis sin antes consultar con quien extiende sus recetas o con su profesional de la salud. Consulte con quien extiende sus recetas o con su profesional de la salud.
Al comenzar a tomar este medicamento puede sentir poco apetito; éste es un efecto secundario frecuente. Para combatir este problema, ingiera pequeñas cantidades de comida o refrigerios con frecuencia. Si la falta de apetito persiste, consulte con quien extiende sus recetas. Se controlará cuidadosamente la evolución de la altura y del peso de los niños que toman este medicamento.
Si va a someterse a una operación u otro procedimiento médico, informe a quien extiende sus recetas o a su profesional de la salud que está tomando metilfenidato. The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Las suiguientes drogas pueden interferir con Ritalin® LA:
•anfetamina o dextroanfetamina
•bretilio
•cafeína
•carbamazepina
•clonidina
•dexmetilfenidato
•furazolidona
•linezolid
•litio
•medicamentos para resfríos y problemas respiratorios y sinusales
•medicamentos para la hipertensión
•medicamentos llamados inhibidores de la monoamina oxidasa (IMAO), tales como fenelcina (Nardil®), tranilcipromina (Parnate®), isocarboxazida (Marplan®)
•otros medicamentos para la depresión mental o ansiedad
•medicamentos para problemas mentales y trastornos psicóticos
•medicamentos para reducir el apetito o para bajar de peso
•modafinilo
•pemolina
•procarbazina
•medicamentos para las convulsiones o la epilepsia
•warfarina
•diuréticos
Explique al profesional que extiende sus recetas o a su profesional de la salud todos los otros medicamentos que esté tomando, incluyendo los medicamentos de venta libre, suplementos nutritivos o productos a base de hierbas. Si usted consume bebidas con cafeína o alcohol de manera frecuente, si fuma o si utiliza drogas ilegales, indíqueselo también a quien extiende sus recetas o a su profesional de la salud. Estas sustancias pueden afectar el modo en que actúan sus medicamentos. Antes de comenzar a tomar cualquiera de sus medicamentos o de dejar de hacerlo, consulte con su profesional de la salud.
How should I take this medicine?
Take this medicine by mouth. Follow the directions on the prescription label. Swallow the regular tablets with a drink of water. Chew or crush the chewable tablets, do not swallow whole. It is best to take methylphenidate 30 to 45 minutes before meals, unless directed otherwise by your prescriber or health care professional. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 4—6 hours before your normal bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. This medicine is commonly prescribed for children >= 6 years old.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
¿Cómo debo tomar este medicamento?
Tome las tabletas de metilfenidato por vía oral. Siga las instrucciones de la etiqueta del medicamento. Ingiera las tabletas con un vaso de agua. Es mejor tomar el metilfenidato entre 30 y 45 minutos antes de las comidas, a menos que quien extiende sus recetas o su profesional de la salud le indique lo contrario. Tome sus dosis a intervalos regulares. Por lo general, la última dosis del día se debe tomar por lo menos entre 4 y 6 horas antes de la hora a la que habitualmente se va a dormir, para que no interfiera con el sueño. No tome su medicamento con una frecuencia mayor que la indicada.
Comuníquese con su pediatra o con su profesional de la salud para informarse acerca del uso de este medicamento en niños. Puede requerir atención especial. Este medicamento se receta comúnmente a niños de 6 años de edad o mayores.
¿Qué sucede si me olvido de tomar una dosis?
Si olvida una dosis, tómela lo antes posible. Si es casi la hora de la próxima dosis, tome sólo esa dosis. No tome dosis adicionales o dobles.
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Concerta Extended-Release TabletMore Images (61) METHYLPHENIDATE (Metadate® ER, Ritalin®-SR or the once-daily brands Concerta®, Metadate® CD, Ritalin® LA) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate extended-release tablets or capsules may or may not be available, depending on the product you are taking.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•difficulty swallowing, problems with the esophagus (tube connecting mouth to stomach), or a history of blockage of the stomach or intestines
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
El METILFENIDATO (Metadate® ER, Ritalin®-SR o las marcas de dosis única diaria Concerta®, Metadate® CD o Ritalin® LA) es un estimulante. Puede mejorar la capacidad de concentración, la concentración en general y el control de las emociones y reducir la conducta inquieta o hiperactiva. Este medicamento trata el trastorno del déficit de atención (TDA) con hiperactividad. También puede ayudar en el tratamiento de un problema llamado narcolepsia, una enfermedad que dificulta el mantenerse despierto durante las horas normales del día. Las leyes federales prohíben la transferencia de metilfenidato a cualquier persona que no sea el paciente para quien el medicamento fue recetado. No comparta este medicamento con nadie. Puede o no haber tabletas de liberación prolongada o cápsulas de metilfenidato genéricas disponibles, según el producto que esté tomando. Necesita saber si usted presenta alguno de los siguientes problemas o situaciones:
•consume bebidas alcohólicas con frecuencia
•antecedentes de drogadicción
•dificultad al tragar, problemas con el esófago (tubo que conecta la boca con el estómago) o antecedentes de bloqueo del estómago o intestinos
•glaucoma
•insuficiencia cardiaca u otra enfermedad cardiaca
•trastorno del ritmo cardiaco
•antecedente de ataque cardiaco reciente
•alta presión arterial
•enfermedad hepática
•enfermedad mental, como, por ejemplo, ansiedad, trastorno bipolar, depresión, manía o esquizofrenia
•tics de movimiento o antecedentes familiares del tics de movimiento (espasmos dificiles de controlar en cualquier parte de su cuerpo) o tics verbales (dificil de controlar las repeticiones de sonidos o palabras)
•hipertiroidismo
•convulsiones o un EEG (electroencefalograma) anormal
•síndrome de Tourette o antecedentes familiares del síndrome de Tourette (repetición de frases o uso involuntario de lenguaje obsceno)
•una reacción alérgica o inusual al metilfenidato, a otros medicamentos, alimentos, colorantes o conservantes
•si está embarazada o buscando quedar embarazada
•si está amamantando a un bebé Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
If you are taking the Concerta™ tablets, you may notice the tablet shell in your stool. This is normal.
Efectos secundarios que debe informar a quien extiende sus recetas o a su profesional de la salud tan pronto como sea posible:
•ansiedad o nerviosismo severo
•magulladuras
•cambios en el estado de ánimo o la conducta, como, por ejemplo, ver y escuchar cosas que no existen o presentar un comportamiento de concentración excesiva, con la mirada fija
•dolor en el pecho, pulso cardiaco rápido o irregular (palpitaciones)
•fiebre o piel seca y caliente
•aumento de la presión arterial
•dolores articulares
•erupción cutánea, picazón
•movimientos incontrolables de la cabeza, boca, cuello, brazos o piernas
Efectos secundarios que, por lo general, no requieren atención médica (debe informarlos a quien extiende sus recetas o a su profesional de la salud si persisten o si son molestos):
Poco comunes o raros:
•sensación de bienestar
•visión borrosa
•sensación de mareo o aturdimiento
•calambres estomacales
Más comunes, especialmente durante las primeras semanas del tratamiento:
•poco apetito o pérdida del apetito
•dolor de cabeza
•descompostura estomacal leve
•nerviosismo, inquietud o dificultad para dormir
•pérdida de peso
Visite al profesional que extiende sus recetas o a su profesional de la salud para chequear su evolución periódicamente. Para utilizar este medicamento es necesario cumplir con ciertos procedimientos especiales ante el profesional que extiende sus recetas y en la farmacia. Deberá presentar una nueva receta escrita por su profesional cada vez que necesite más medicamento.
El metilfenidato puede afectar su concentración u ocultar signos de cansancio. No conduzca vehículos ni bicicletas, no utilice maquinaria ni haga nada que le exija permanecer en estado de alerta hasta que sepa cómo le afecta este medicamento. Si usted está teniendo dificultades para conciliar el sueño o si continua a ser un efecto secundario perisistente y molesto, comunínquese con su proveedor de atención médica.
Informe a quien extiende sus recetas o su profesional de la salud si este medicamento deja de actuar o si siente la necesidad de tomar una cantidad mayor que la recetada. No cambie la dosis sin antes consultar con quien extiende sus recetas o con su profesional de la salud. Consulte con quien extiende sus recetas o con su profesional de la salud.
Al comenzar a tomar este medicamento puede sentir poco apetito; éste es un efecto secundario frecuente. Para combatir este problema, ingiera pequeñas cantidades de comida o refrigerios con frecuencia. Si la falta de apetito persiste, consulte con quien extiende sus recetas. Se controlará cuidadosamente la evolución de la altura y del peso de los niños que toman este medicamento.
Si va a someterse a una operación u otro procedimiento médico, informe a quien extiende sus recetas o a su profesional de la salud que está tomando metilfenidato.
Si está tomando tabletas de Concerta™, tal vez pueda observar el recubrimiento vacío de la tableta en las heces. Esto es normal. The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•antacids
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Las suiguientes drogas pueden interferir con Ritalin® LA:
•anfetamina o dextroanfetamina
•antiácidos
•bretilio
•cafeína
•carbamazepina
•clonidina
•dexmetilfenidato
•furazolidona
•guaraná
•linezolid
•litio
•medicamentos para resfríos y problemas respiratorios y sinusales
•medicamentos para la hipertensión
•medicamentos llamados inhibidores de la monoamina oxidasa (IMAO), tales como fenelcina (Nardil®), tranilcipromina (Parnate®), isocarboxazida (Marplan®)
•otros medicamentos para la depresión mental o ansiedad
•medicamentos para problemas mentales y trastornos psicóticos
•medicamentos para reducir el apetito o para bajar de peso
•modafinilo
•pemolina
•procarbazina
•medicamentos para las convulsiones o la epilepsia
•warfarina
•diuréticos
Explique al profesional que extiende sus recetas o a su profesional de la salud todos los otros medicamentos que esté tomando, incluyendo los medicamentos de venta libre, suplementos nutritivos o productos a base de hierbas. Si usted consume bebidas con cafeína o alcohol de manera frecuente, si fuma o si utiliza drogas ilegales, indíqueselo también a quien extiende sus recetas o a su profesional de la salud. Estas sustancias pueden afectar el modo en que actúan sus medicamentos. Antes de comenzar a tomar cualquiera de sus medicamentos o de dejar de hacerlo, consulte con su profesional de la salud. How should I take this medicine?
Take methylphenidate extended-release tablets or capsules by mouth. Follow the directions on the prescription label. Swallow whole with a drink of water or juice; do not crush, cut, or chew. You may take this medicine with food. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 8 hours before your normal bedtime, so it will not interfere with sleep. Some brands (Concerta®, Metadate® CD, Ritalin® LA) are taken just once-daily, in the morning. Do not take your medicine more often than directed.
If swallowing a Metadate® CD or Ritalin® LA capsule is difficult, this capsule may be opened and the dose gently sprinkled on a small amount (1 tablespoon) of cool applesauce. (Do not sprinkle on warm applesauce or this may result in improper dosing.) The sprinkles should not be crushed or chewed. Take the medicine immediately after sprinkling (do not store for future use). Drink some fluids (water, milk or juice) after taking the sprinkles with applesauce.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. This medicine is commonly prescribed for children >= 6 years old.
What if I miss a dose?
If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
¿Cómo debo tomar este medicamento?
Tome las cápsulas o tabletas de liberación prolongada de metilfenidato por vía oral. Siga las instrucciones de la etiqueta del medicamento. Ingiera las tabletas enteras con un vaso de agua o jugo, sin triturarlas, cortarlas ni masticarlas. Este medicamento se puede tomar con alimentos. Tome sus dosis a intervalos regulares. Por lo general, la última dosis del día se debe tomar por lo menos 8 horas antes de la hora a la que habitualmente se va a dormir, para que no interfiera con el sueño. Algunas marcas (Concerta®, Metadate® CD o Ritalin® LA) tienen una dosis única diaria que se toma a la mañana. No tome su medicamento con una frecuencia mayor que la indicada.
Si le cuesta tragar las cápsulas de Metadate® CD o Ritalin® LA, puede abrirlas y espolvorear la dosis sobre una pequeña cantidad (1 cucharada) de puré de manzanas frío. (No la espolvoree sobre puré de manzanas caliente, puesto que la dosis puede no ser la adecuada.) El contenido de las cápsulas no debe triturarse ni masticarse. Tome el medicamento inmediatamente después de espolvorearlo (no lo guarde para usar más tarde). Ingiera líquidos (agua, leche o jugo) luego de tomar las cápsulas espolvoreadas en puré de manzanas.
Comuníquese con su pediatra o con su profesional de la salud para informarse acerca del uso de este medicamento en niños. Puede requerir atención especial. Este medicamento se receta comúnmente a niños de 6 años de edad o mayores.
¿Qué sucede si me olvido de tomar una dosis?
Si es casi la hora de la próxima dosis, tome sólo esa dosis. No tome dosis adicionales o dobles.
Concerta Extended-Release TabletMore Images (61) METHYLPHENIDATE (Methylin™) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate oral solution is not yet available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual reaction to Methylphenidate, medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
How should this medicine be used?
Take this medicine by mouth. Follow the directions on the prescription label. Use a specially marked spoon or dropper to measure your medicine. Tell your pharmacist if you do not have one; household spoons are not always accurate. It is best to take methylphenidate 30 to 45 minutes before meals, unless directed otherwise by your prescriber or health care professional. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 4—6 hours before your normal bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Concerta Extended-Release TabletMore Images (61) METHYLPHENIDATE TRANSDERMAL SYSTEM (Daytrana™) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic Methylphenidate skin patches are not yet available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease; a heart structural abnormality
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
Side effects that you should report to your prescriber or health care professional as soon as possible:
•abnormal or extreme weight loss
•anxiety or severe nervousness
•blurred vision
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching, irritation, swelling or redness at the site where you applied the patch
•skin rash or peeling of your skin at any area; redness, blistering, peeling or loosening of the skin, including inside the mouth
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•dizziness or lightheadedness
•stomachache or cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•minor weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
If you notice a rash, irritation, redness, itching or swelling around the site of your patch that does not go away after 1—2 days, contact your health care provider. You may have allergy or just irritation. Your health care provider can best determine if you should continue using methylphenidate. If you notice peeling of your skin, or blisters in your mouth, contact your health care provider immediately. If you have previously had an allergy to the methylphenidate patch, you may not be able to use the oral tablets. Tell your health care provider if you have ever had an allergy to methylphenidate.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping or have weight loss, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are using methylphenidate patches.
The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•antacids
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•mecasermin, recombinant, rh-IGF-1
•medicines for attention deficit hyperactivity disorder (ADHD)
•medicines for colds, sinus, and breathing difficulties (for example, pseudoephedrine)
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety, such as the Selective Serotonin Reuptake Inhibitors (SSRIs) or the tricyclic antidepressants (TCAs), duloxetine, nefazodone, or venlafaxine
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•radiopaque contrast agents
•seizure (convulsion) or epilepsy medicine, such as phenytoin, primidone or phenobarbital
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
How should this medicine be used?
Methylphenidate skin patches are for external use only. Follow the directions on the prescription label. Use exactly as directed. Do not cut or trim the patch. Apply patch to the hip area. Apply to a clean, dry, area, free of irritations or cuts. Avoid the waistline, since clothing may cause the patch to rub off. After the patch is applied, record the time on the administration chart on each carton, and use the timetable to calculate what time the patch should be removed, or follow your prescriber's instructions for removal of the patch. Always wash your hands after handling a patch. Replace each patch at the same time each day (usually in the early morning), and remove it at the time you are told by your health care provider. When applying a new patch the next morning, use the opposite hip. Do not stop using except on your prescriber's advice. Do not use your medicine more often than directed.
After you apply the patch correctly, bathing, swimming, or showering should not affect the patch or make it fall off. If a patch falls off, a new patch may be applied to a different area of the same hip. If a new patch is applied you should remove it at the same time the original patch was to be removed.
Contact your pediatrician or health care professional regarding the use of this medicine in children less than 6 years of age. This patch is not normally used in young children. Special care may be needed.
What if I miss a dose?
If the patch falls off, you may replace it with another patch at a different site on the same hip. You must remove that patch also at the same time; do not wear it for a longer period of time.
If you forget to apply a patch in the morning, you may do so later in the day, but you should remove the patch at the same time of day you normally remove the patch to reduce the possibility of side effects late in the day or at night.
Concerta Extended-Release TabletMore Images (61) METHYLPHENIDATE (Methylin™, Ritalin®) is a stimulant. It can improve attention span, concentration, and emotional control, and reduce restless or overactive behavior. This medicine treats attention-deficit hyperactivity disorder (ADHD). It can also help a condition called narcolepsy, an illness that makes it difficult to stay awake during normal daytime hours. Federal law prohibits the transfer of methylphenidate to any person other than the person for whom it was prescribed. Do not share this medicine with anyone else. Generic methylphenidate tablets are available, but generic chewable tablets are not available.
Your health care provider needs to know if you have any of these conditions:
•regularly drink beverages containing alcohol
•a history of drug abuse
•glaucoma
•heart failure or other heart disease
•heart rhythm disturbance
•history of recent heart attack
•high blood pressure
•liver disease
•mental illness, including anxiety, bipolar disorder, depression, mania or schizophrenia
•motion tics or a family history of motion tics (hard-to-control repeated twitching of any parts of your body) or verbal tics (hard-to-control repeating of sounds or words).
•overactive thyroid
•seizures (convulsions) or an abnormal EEG (electroencephalogram)
•stroke
•Tourette's syndrome or a family history of Tourette's syndrome (speech repetition or involuntary use of obscene language)
•an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
El METILFENIDATO (Methylin™, Ritalin®) es un estimulante. Puede mejorar la capacidad de concentración, la concentración en general y el control de las emociones y reducir la conducta inquieta o hiperactiva. Este medicamento trata el trastorno del déficit de atención (TDA) con hiperactividad. También puede ayudar en el tratamiento de un problema llamado narcolepsia, una enfermedad que dificulta el mantenerse despierto durante las horas normales del día. Las leyes federales prohíben la transferencia de metilfenidato a cualquier persona que no sea el paciente para quien el medicamento fue recetado. No comparta este medicamento con nadie. Hay tabletas genéricas de metilfenidato disponibles, aún no hay tabletas masticables genéricas disponibles. Necesita saber si usted presenta alguno de los siguientes problemas o situaciones:
•consume bebidas alcohólicas con frecuencia
•antecedentes de drogadicción
•glaucoma
•insuficiencia cardiaca u otra enfermedad cardiaca
•trastorno del ritmo cardiaco
•antecedente de ataque cardiaco reciente
•alta presión arterial
•enfermedad hepática
•enfermedad mental, como, por ejemplo, ansiedad, trastorno bipolar, depresión, manía o esquizofrenia
•tics de movimiento o antecedentes familiares del tics de movimiento (espasmos dificiles de controlar en cualquier parte de su cuerpo) o tics verbales (dificil de controlar las repeticiones de sonidos o palabras)
•hipertiroidismo
•convulsiones o un EEG (electroencefalograma) anormal
•síndrome de Tourette o antecedentes familiares del síndrome de Tourette (repetición de frases o uso involuntario de lenguaje obsceno)
•una reacción alérgica o inusual al metilfenidato, a otros medicamentos, alimentos, colorantes o conservantes
•si está embarazada o buscando quedar embarazada
•si está amamantando a un bebé Side effects that you should report to your prescriber or health care professional as soon as possible:
•anxiety or severe nervousness
•bruising
•changes in mood or behavior, including seeing or hearing things that are not really there or over-focused, staring-type behavior
•chest pain, fast or irregular heartbeat (palpitations)
•fever, or hot, dry skin
•increased blood pressure
•joint pain
•skin rash, itching
•uncontrollable head, mouth, neck, arm, or leg movements
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Less Common or Rare:
•a sense of well being
•blurred vision
•dizziness or lightheadedness
•stomach cramps
More Common, especially in the first few weeks of treatment:
•decreased appetite or loss of appetite
•headache
•mild stomach upset
•nervousness, restlessness, or difficulty sleeping
•weight loss
Visit your prescriber or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your prescriber and pharmacy; you will need to have a new written prescription from your prescriber every time you need a refill.
Methylphenidate may affect your concentration, or hide signs of tiredness. Until you know how this drug affects you, do not drive, ride a bicycle, use machinery, or do anything that needs mental alertness. If you are having trouble sleeping, and this continues to be a regular and bothersome side effect, contact your health care provider to discuss your options.
Tell your prescriber or health care professional if this medicine loses its effects, or if you feel you need to take more than the prescribed amount. Do not change the dosage without advice from your prescriber or health care professional. Do not suddenly stop your medication without prescriber approval. Ask your prescriber or health care professional for advice.
Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your prescriber if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.
If you are going to have surgery or other medical procedures, tell your health care professional that you are taking methylphenidate.
Efectos secundarios que debe informar a quien extiende sus recetas o a su profesional de la salud tan pronto como sea posible:
•ansiedad o nerviosismo severo
•magulladuras
•cambios en el estado de ánimo o la conducta, como, por ejemplo, ver y escuchar cosas que no existen o presentar un comportamiento de concentración excesiva, con la mirada fija
•dolor en el pecho, pulso cardiaco rápido o irregular (palpitaciones)
•fiebre o piel seca y caliente
•aumento de la presión arterial
•dolores articulares
•erupción cutánea, picazón
•movimientos incontrolables de la cabeza, boca, cuello, brazos o piernas
Efectos secundarios que, por lo general, no requieren atención médica (debe informarlos a quien extiende sus recetas o a su profesional de la salud si persisten o si son molestos):
Poco comunes o raros:
•sensación de bienestar
•visión borrosa
•sensación de mareo o aturdimiento
•calambres estomacales
Más comunes, especialmente durante las primeras semanas del tratamiento:
•poco apetito o pérdida del apetito
•dolor de cabeza
•descompostura estomacal leve
•nerviosismo, inquietud o dificultad para dormir
•pérdida de peso
Visite al profesional que extiende sus recetas o a su profesional de la salud para chequear su evolución periódicamente. Para utilizar este medicamento es necesario cumplir con ciertos procedimientos especiales ante el profesional que extiende sus recetas y en la farmacia. Deberá presentar una nueva receta escrita por su profesional cada vez que necesite más medicamento.
El metilfenidato puede afectar su concentración u ocultar signos de cansancio. No conduzca vehículos ni bicicletas, no utilice maquinaria ni haga nada que le exija permanecer en estado de alerta hasta que sepa cómo le afecta este medicamento. Si usted está teniendo dificultades para conciliar el sueño o si continua a ser un efecto secundario persistente y molesto, comuníquese con su proveedor de atención médica.
Informe a quien extiende sus recetas o su profesional de la salud si este medicamento deja de actuar o si siente la necesidad de tomar una cantidad mayor que la recetada. No cambie la dosis sin antes consultar con quien extiende sus recetas o con su profesional de la salud. Consulte con quien extiende sus recetas o con su profesional de la salud.
Al comenzar a tomar este medicamento puede sentir poco apetito; éste es un efecto secundario frecuente. Para combatir este problema, ingiera pequeñas cantidades de comida o refrigerios con frecuencia. Si la falta de apetito persiste, consulte con quien extiende sus recetas. Se controlará cuidadosamente la evolución de la altura y del peso de los niños que toman este medicamento.
Si va a someterse a una operación u otro procedimiento médico, informe a quien extiende sus recetas o a su profesional de la salud que está tomando metilfenidato. The following drugs may interact with Ritalin® LA:
•amphetamine or dextroamphetamine
•bretylium
•caffeine
•carbamazepine
•clonidine
•dexmethylphenidate
•furazolidone
•guarana
•linezolid
•lithium
•medicines for colds, sinus, and breathing difficulties
•medicines for high blood pressure
•medicines called MAO inhibitors- examples: phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®)
•other medicines for mental depression or anxiety
•medicines for mental problems and psychotic disturbances
•medicines to decrease appetite or cause weight loss
•modafinil
•pemoline
•procarbazine
•seizure (convulsion) or epilepsy medicine
•warfarin
•water pills (diuretics)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Las suiguientes drogas pueden interferir con Ritalin® LA:
•anfetamina o dextroanfetamina
•bretilio
•cafeína
•carbamazepina
•clonidina
•dexmetilfenidato
•furazolidona
•linezolid
•litio
•medicamentos para resfríos y problemas respiratorios y sinusales
•medicamentos para la hipertensión
•medicamentos llamados inhibidores de la monoamina oxidasa (IMAO), tales como fenelcina (Nardil®), tranilcipromina (Parnate®), isocarboxazida (Marplan®)
•otros medicamentos para la depresión mental o ansiedad
•medicamentos para problemas mentales y trastornos psicóticos
•medicamentos para reducir el apetito o para bajar de peso
•modafinilo
•pemolina
•procarbazina
•medicamentos para las convulsiones o la epilepsia
•warfarina
•diuréticos
Explique al profesional que extiende sus recetas o a su profesional de la salud todos los otros medicamentos que esté tomando, incluyendo los medicamentos de venta libre, suplementos nutritivos o productos a base de hierbas. Si usted consume bebidas con cafeína o alcohol de manera frecuente, si fuma o si utiliza drogas ilegales, indíqueselo también a quien extiende sus recetas o a su profesional de la salud. Estas sustancias pueden afectar el modo en que actúan sus medicamentos. Antes de comenzar a tomar cualquiera de sus medicamentos o de dejar de hacerlo, consulte con su profesional de la salud.
How should I take this medicine?
Take this medicine by mouth. Follow the directions on the prescription label. Swallow the regular tablets with a drink of water. Chew or crush the chewable tablets, do not swallow whole. It is best to take methylphenidate 30 to 45 minutes before meals, unless directed otherwise by your prescriber or health care professional. Take your doses at regular intervals. Usually the last dose of the day will be taken at least 4—6 hours before your normal bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. This medicine is commonly prescribed for children >= 6 years old.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
¿Cómo debo tomar este medicamento?
Tome las tabletas de metilfenidato por vía oral. Siga las instrucciones de la etiqueta del medicamento. Ingiera las tabletas con un vaso de agua. Es mejor tomar el metilfenidato entre 30 y 45 minutos antes de las comidas, a menos que quien extiende sus recetas o su profesional de la salud le indique lo contrario. Tome sus dosis a intervalos regulares. Por lo general, la última dosis del día se debe tomar por lo menos entre 4 y 6 horas antes de la hora a la que habitualmente se va a dormir, para que no interfiera con el sueño. No tome su medicamento con una frecuencia mayor que la indicada.
Comuníquese con su pediatra o con su profesional de la salud para informarse acerca del uso de este medicamento en niños. Puede requerir atención especial. Este medicamento se receta comúnmente a niños de 6 años de edad o mayores.
¿Qué sucede si me olvido de tomar una dosis?
Si olvida una dosis, tómela lo antes posible. Si es casi la hora de la próxima dosis, tome sólo esa dosis. No tome dosis adicionales o dobles.
NOTE: This information is not intended to cover all possible uses, precautions, interactions, or adverse effects for this drug. If you have question about the drug(s) you are taking, check with your health care professional.
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