Methylphenidate Sandoz
Methylphenidate Sandoz is a medicine used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children and adolescents aged 6 to 18 years.
Form
depottabletti
Strength
54 mg
Active Ingredient
Methylphenidate hydrochloride
Manufacturer
Sandoz A/S
How to Use
Dosage
Your doctor will start with a small dose, usually 18 mg once a day, and may increase it by 18 mg weekly, aiming for the lowest effective dose.
Method
Take Methylphenidate Sandoz once daily in the morning with a glass of water. Swallow the tablet whole; do not chew, divide, or crush it. It can be taken with or without food.
Important
The maximum daily dose is 54 mg.
Possible Side Effects
COMMON
- •Headache
- •Nervousness
- •Insomnia (difficulty sleeping)
- •Nausea
- •Dry mouth
- •Joint pain
- •Blurred vision
- •Tension headache
- •Thirst
- •Fever
- •Decreased sex drive
- •Unusual hair loss or thinning
- •Muscle stiffness, muscle cramps
- •Loss or decreased appetite
- •Erectile dysfunction (inability to achieve or maintain an erection)
- •Itching, rash, or raised, red itchy rash (hives)
- •Abnormal sleepiness or drowsiness, feeling tired
- •Severe teeth grinding (bruxism)
- •Feeling of panic
- •Burning or tingling sensation or numbness on the skin
- •Increased liver enzyme levels (seen in blood tests)
- •Cough, sore throat or nose and throat irritation, upper respiratory infection, sinusitis
- •High blood pressure, fast heart rate (tachycardia)
- •Dizziness (vertigo), feeling weak, uncontrollable movements, hyperactivity
- •Feeling aggressive, agitated, worried, depressed, irritable, tense, nervous and showing abnormal behavior
- •Digestion problems or stomach upset, stomach pain, diarrhea, discomfort in the stomach and vomiting
- •Excessive sweating
- •Weight loss
RARE
- •Suicidal thoughts or feelings
- •Seeing, feeling, or hearing things that are not real (signs of psychosis)
- •Uncontrolled speech or body movements (Tourette's syndrome)
- •Allergic reaction symptoms like rash, itching, hives, swelling of the face, lips, tongue, or other body parts, shortness of breath, wheezing, or breathing difficulties
- •Exceptional agitation, hyperactivity and unrestrained behavior (mania)
- •Heart attack
- •Sudden death
- •Seizures (epilepsy)
- •Peeling skin or purplish-red patches on the skin
- •Inflammation or narrowing of brain arteries
- •Temporary paralysis or problems with movement, vision, or speech (may indicate brain blood vessel problems)
- •Uncontrolled muscle twitching in the eyes, head, neck, body, and nervous system
- •Decreased number of blood cells (red, white, and platelets), which can increase risk of infection, bleeding, and bruising
- •Sudden increase in body temperature, very high blood pressure, and severe seizures (malignant neuroleptic syndrome)
- •Persistent unwanted thoughts
- •Unexplained fainting, chest pain, shortness of breath (may indicate heart problems)
- •Prolonged and sometimes painful erections, or increased number of erections
- •Migraine
- •Dilated pupils
- •Very high fever
- •Slow, fast, or extra heartbeats
- •Severe epileptic seizure (grand mal seizure)
- •Increased eye pressure
- •Optic nerve damage due to high eye pressure blocking fluid drainage channels
- •Delusions
- •Severe abdominal pain, often with nausea and vomiting
- •Brain blood vessel problems (stroke, cerebral arteritis or occlusion)
- •Inability to control urination (incontinence)
- •Jaw muscle spasms making it difficult to open the mouth (trismus)
- •Stuttering
- •Nosebleed
- •Growth changes (slowed growth in some children)
Important Warnings
- Do not use if your child is allergic to methylphenidate or any other ingredient in this medicine.
- Do not use if your child has or has had serious heart problems, such as a heart attack, irregular heartbeat, or chest pain.
- Do not use if your child has serious mental health problems, such as psychosis, schizophrenia, suicidal thoughts, severe depression, or mania.
- Do not use if your child is currently taking or has taken certain antidepressant medicines (MAO inhibitors) in the last 14 days, as this can cause a sudden and dangerous rise in blood pressure.
- Avoid alcohol while taking this medicine, as it can worsen side effects. Some foods and medicines can also contain alcohol.