Methylphenidate is a stimulant for the central nervous system. This medication affects the chemicals present in the brain stimulant that cause hyperactivity as well as impulse control.
This medication is specifically given to patients who have attention deficit disorder or ADD, attention deficit hyperactivity disorder or ADHD, as well as those who have narcolepsy. This medication is available in various brand names like Concerta, Methylin, Ritalin LA, Ritalin-SR, and Metadate CD.
This medication is given at least half an hour before a patient eats a meal. The extended-release types of this medication such as Medate CD, Ritalin-SR, Methylin ER, among others, can be taken even if a patient hasn't eaten. The chewable table should be chewed before being swallowed. The extended release tablet, on the other hand, should not be crushed, broken, or chewed. Instead it should be swallowed wholly since it was specially manufacture to release the medication slowly. Those who have troubles swallowing the extended release table may instead open the capsule and then sprinkle the medication into a spooon for easier swallowing.
For the liquid type, measurement of the dosage may be done with the use of a measuring cup, but not a typical tablespoon. A dose-measing device or cup can be gained from a pharmacist. Those who may be worried about not getting enough sleep with the intake of this medication may instead use this not later than 6 in the evening.
Patients should immediately contact their physician if they experience serious side effects of this medication such as fast pounding of the heart, fever, headache with peeling or skin rashes, and sore throat. Patients taking this medication may also feel like passing out. They may also experience restlessness, aggression, and unusual behavior. Likewise, patients may notice purple spots in their skin as well as unexplained bruising. There is also a risk of patients getting high blood pressure characterized by severe headache, buzzing in the ears, confusion, anxiety, blurred vision, difficulty in breathing, pain the chest, and seizures.
There are also less serious kinds of side effects that patients may experience while using this medication. These include pain the stomach, loss of appetite, nausea, and vomiting. Patients may also suffer from vision problems, dizziness, sweating and mild cases of skin rash. There are also instances when patients experience difficulty in sleeping and unexplained weight loss while using this medication.
Methylphenidate may interact negatively with medications for blood pressure. Likewise, it is possible that methylphenidate can interact with a blood thinner like warfarin, clonidine, and medications for seizures such as phenytoin, phenobarbital, and primidone. This medication can also interact with antidepressants such as amitriptyline, clomipramine, citalopram, desipramine, doxepin, fluvoxamine, fluoxetine, imipramine, sertraline, paroxetine, among others.
Patients who have glaucoma or a history of muscle twitches should never use methylphenidate. Likewise, those who have a history of severe anxiety and agitation should be cautioned against using this medication since methylphenidate can make these conditions worse.
Before using this medication, patients should tell their physicians if they are allergic to any type of drugs or if they have high blood pressure, congenital heart problem, and have had a recent heart attack.
Methylphenidate has the following structural formula:
• Molecular formula of methylphenidate is C14H19NO2
• Chemical IUPAC Name is methyl 2-phenyl-2-(2-piperidyl)acetate
• Molecular weight is 233.306 g/mol
• Methylphenidate available : 10mg patch, 15mg patch, 20mg patch and 30mg patch
Brand name(s): Calocain, Centedein, Centedrin, Centedrine, Centredin, Concerta, Focalin, Meridil, Metadate, Methylin, Methylofenidan, Methylphen, Methylphenidan, Methylphenidatum, Methypatch, Metilfenidato, Phenidylate, Plimasine, Riphenidate, Ritalin, Ritaline
Review published on: 09 September 2009
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