Concerta

Concerta

methylphenidate

Manufacturer:

Johnson & Johnson
Concise Prescribing Info
Contents
Methylphenidate HCl
Dosage/Direction for Use
Patient new to methylphenidate Recommended starting dose: Adult 18 or 36 mg once daily. Childn & adolescents 18 mg once daily. Patient currently using methylphenidate 10-60 mg twice or 3 times daily. 5, 10, 15 & 20 mg methylphenidate twice or 3 times daily is converted to 18, 36, 54 & 72 mg Concerta every morning, respectively.
Administration
May be taken with or without food: Swallow whole, do not divide/chew/crush.
Contraindications
Hypersensitivity. Patients w/ marked anxiety, tension, agitation; glaucoma; concomitant treatment w/ MAOIs & w/in 14 days following discontinuation of MAOIs.
Special Precautions
Patients w/ structural cardiac abnormalities. Evaluate patients for tics or Tourette's syndrome prior to initiation of treatment. Monitor for emergence or worsening of tics or Tourette's syndrome; aggressive behavior or hostility. Suppression of growth; priapism; visual disturbances. Patients w/ preexisting severe GI narrowing, dysphagia or significant difficulty in swallowing tab. May exacerbate symptoms of behavior disturbance & thought disorder. Patients w/ comorbid bipolar disorder; pre-existing HTN; heart failure; recent MI; hyperthyroidism; cardiac disease; history of drug dependence or alcoholism; history of seizure or prior EEG abnormalities. Monitor CV status & BP; CBC, differential & platelet counts. May impair ability to drive & use machines. Pregnancy & lactation. Childn <6 yr.
Adverse Reactions
Drug Interactions
Concomitant use w/ MAOIs, vasopressor agents. May inhibit metabolism of coumarin anticoagulants; anticonvulsants eg, phenobarb, phenytoin, primidone; antidepressants eg, TCAs, SSRIs.
ATC Classification
N06BA04 - methylphenidate ; Belongs to the class of centrally-acting sympathomimetics. Used as CNS stimulant.
Presentation/Packing
Form
Concerta XR captab 18 mg
Packing/Price
30's (Rp706,860/pak)
Form
Concerta XR captab 36 mg
Packing/Price
30's (Rp902,171/pak)
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