Methylphenidate Hydrochloride Chewable tablet

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is used to treat attention-deficit hyperactivity disorder. It is also used to treat narcolepsy.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• phenylketonuria

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Chew it completely before swallowing. Follow the directions on the prescription label. It is best to take this medicine 30 to 45 minutes before meals, unless your doctor tells you otherwise. Take your medicine at regular intervals. Usually the last dose of the day will be taken at least 4 to 6 hours before bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• confusion, trouble speaking or understanding

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Methylphenidate Hydrochloride Oral capsule, biphasic release

What is this medicine?

METHYLPHENIDATE(meth il FEN i date) is used to treat attention-deficit hyperactivity disorder (ADHD).

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Do not crush, cut, or chew the capsule. You may take this medicine with food. Take your medicine at regular intervals. Do not take it more often than directed. If you take your medicine more than once a day, try to take your last dose at least 8 hours before bedtime. This well help prevent the medicine from interfering with your sleep.

If you have difficulty swallowing, the capsule may be opened and the contents 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 contents of the capsule should not be crushed or chewed. Take the medicine immediately after sprinkling on the cool applesauce. Do not store for future use. Drink a glass of water, milk or juice after taking the sprinkles with applesauce.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medicine will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• confusion, trouble speaking or understanding

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Methylphenidate Hydrochloride Oral solution

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is a stimulant medicine. It is used to treat attention-deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Use a specially marked spoon or container to measure each dose. Ask your pharmacist if you do not have one. Household spoons are not accurate. It is best to take this medicine 30 to 45 minutes before meals, unless your doctor tells you otherwise. Take your medicine at regular intervals. Usually the last dose of the day will be taken at least 4 to 6 hours before bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay away

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medication will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Methylphenidate Hydrochloride Oral suspension, extended release

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is a stimulant medicine. It is used to treat attention-deficit hyperactivity disorder (ADHD).

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of a stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Shake well before using. Use a specially marked spoon or container to measure each dose. Ask your pharmacist if you do not have one. Household spoons are not accurate. You can take it with or without food. If it upsets your stomach, take it with food. You should take this medicine in the morning. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medicine will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightnessconfusion, trouble speaking or understanding

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store between 15 and 30 degrees C (59 to 86 degrees F). Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Methylphenidate Hydrochloride Oral tablet

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is used to treat attention-deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. It is best to take this medicine 30 to 45 minutes before meals, unless your doctor tells you otherwise. Take your medicine at regular intervals. Usually the last dose of the day will be taken at least 4 to 6 hours before bedtime, so it will not interfere with sleep. Do not take your medicine more often than directed.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medicine will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Methylphenidate Hydrochloride Oral tablet, extended-release

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is used to treat attention-deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• difficulty swallowing, problems with the esophagus, or a history of blockage of the stomach or intestines

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Do not crush, cut, or chew the tablet. You may take this medicine with food. Take your medicine at regular intervals. Do not take it more often than directed. If you take your medicine more than once a day, try to take your last dose at least 8 hours before bedtime. This well help prevent the medicine from interfering with your sleep.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor 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 talking to your doctor or health care professional.

For males, contact your doctor or health care professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medicine will be monitored closely.

Do not take this medicine close to bedtime. It may prevent you from sleeping.

The tablet shell for some brands of this medicine does not dissolve. This is normal. The tablet shell may appear whole in the stool. This is not a cause for concern.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are taking this medicine. You may need to stop taking this medicine before the procedure.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• males: prolonged or painful erection

• seizures

• severe headaches

• severe stomach pain, vomiting

• shortness of breath

• suicidal thoughts or other mood changes

• trouble swallowing

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Methylphenidate Hydrochloride Transdermal Patch - 9 hour

What is this medicine?

METHYLPHENIDATE (meth il FEN i date) is used to treat attention-deficit hyperactivity disorder (ADHD).

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anxiety or panic attacks

• circulation problems in fingers and toes

• glaucoma

• hardening or blockages of the arteries or heart blood vessels

• heart disease or a heart defect

• high blood pressure

• history of a drug or alcohol abuse problem

• history of stroke

• liver disease

• mental illness

• motor tics, family history or diagnosis of Tourette's syndrome

• seizures

• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

• thyroid disease

• vitiligo or a family history of vitiligo

• an unusual or allergic reaction to methylphenidate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is for external use only. Follow the directions on the prescription label. Apply the patch to dry, smooth skin on the hip. Alternate hips each day. Avoid injured, irritated, or oily areas. Apply the patch 2 hours before the effect of the medicine is needed. Use care separating the patch from the release liner. Follow package instructions carefully. Do not apply to waistline where clothing may cause the patch to rub off. Do not use patches that have been cut or torn. Wash hands after applying this medicine. Do not heat the area where the patch is with heating pads, electric blankets or hot water beds. Do not use your medicine more often than directed.

Take this patch off after the prescribed number of hours. After removing fold the patch so it sticks to itself. Flush used patches down the toilet or throw away in a lidded trash can. Do not flush pouch and protective liner down the toilet. Throw them away in a lidded trash can.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• lithium

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• other stimulant medicines for attention disorders, weight loss, or to stay awake

• procarbazine

This medicine may also interact with the following medications:

• atomoxetine

• caffeine

• certain medicines for blood pressure, heart disease, irregular heart beat

• certain medicines for depression, anxiety, or psychotic disturbances

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• cold or allergy medicines

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or healthcare professional for regular checks on your progress. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care professional every time you need a refill.

This medicine 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.

Tell your doctor or healthcare professional right away if you notice unexplained wounds on your fingers and toes while taking this medicine. You should also tell your healthcare provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

Permanent loss of skin color may occur with the use of this medicine. Patches of lighter skin may appear in and around the area where the patch is applied. Lighter skin can also occur in places where the patch has never been applied. Monitor for signs of lighter areas of skin and report any changes in skin color to your health care professional right away.

Heat can increase the amount of medicine released from the patch. Do not get the patch hot by using heating pads, heated water beds, electric blankets, and heat lamps. You can bathe or swim while using the patch. But, do not use a sauna or hot tub. Tell your doctor or healthcare professional if you get a fever.

For males, contact your doctor or healthcare professional right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

Decreased appetite is a common side effect when starting this medicine. Eating small, frequent meals or snacks can help. Talk to your doctor if you continue to have poor eating habits. Height and weight growth of a child taking this medicine will be monitored closely.

If you are going to need surgery, a MRI, CT scan, or other procedure, tell your doctor that you are using this medicine. You may need to remove this patch before the procedure.

Do not apply this patch close to bedtime or wear longer than directed. It may prevent you from sleeping.

Tell your doctor or healthcare 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 talking to your doctor or healthcare professional.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• chest pain or chest tightness

• confusion, trouble speaking or understanding

• fast, irregular heartbeat

• fingers or toes feel numb, cool, painful

• hallucination, loss of contact with reality

• high blood pressure

• loss of skin color, especially under and around the patch

• males: prolonged or painful erection

• seizures

• severe headaches

• shortness of breath

• skin blisters, swelling at site where applied

• suicidal thoughts or other mood changes

• trouble walking, dizziness, loss of balance or coordination

• uncontrollable head, mouth, neck, arm, or leg movements

• unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxious

• headache

• loss of appetite

• nausea, vomiting

• skin redness at site where applied

• trouble sleeping

• weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep patches in the package until ready to use.

This medicine may cause accidental overdose and death if it is taken by other adults, children, or pets. Flush any unused medicine down the toilet or throw it away in a lidded trash can as instructed above to reduce the chance of harm. Do not use the medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.