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> Methylphenidate - Oral

Methylphenidate - Transdermal - Patient Medicine Information

> Why do I need this medicine?
> How do I use this medicine?
> What should I do if I have forgotten to use this medicine?
> When should I not use this medicine?
> What should I take note of while using this medicine?
> What side effects could I experience?
> Can I use this with other medicines?
> What special dietary instructions should I follow?
> How should I store this medicine?

 

Why do I need this medicine?

Methylphenidate is used to treat attention deficit hyperactive disorder (ADHD). People with ADHD may have problems concentrating on a given task and may have short attention spans. They may also be impulsive, restless and hyperactive.

This medicine is meant to be taken as part of a complete ADHD care programme which includes psychological, educational and social measures.

How do I use this medicine?

Apply Methylphenidate patch exactly as instructed by your doctor or according to the instructions on the label. Do not apply more or less than directed by your doctor.

Make sure that the area of skin is not oily, cut, blistered or irritated. The skin should also be free of any powder, creams or lotions.

How to use:

1. Remove the patch from the protective foil pouch and peel away half of the liner. Do not touch the sticky side with your fingers.
2. Apply the patch to a clean, dry area on your hip. Make sure that the area of skin is not oily, cut, blistered or irritated. The skin should be free of any powder, creams or lotions. Peel away the other half of the liner.
3. Press firmly on the skin for 30 seconds to ensure that the patch stays on the skin. Do not put the patch near the waistline or where your belt or clothes may rub against it.
4. Throw away the used patch by folding the sticky sides together and putting it in a rubbish bin. Do not throw it into the toilet bowl.
5. Wash your hands thoroughly after handling the patch.

Change the site of application everyday. For example, if you put the patch on your right hip on the first day, put it on your left hip on the second day, and so on.

Your doctor will instruct you to remove the patch after a fixed number of hours. Follow your doctor's instructions carefully and do not leave the patch on for longer than instructed. In any case, do not leave the patch on for more than 9 hours.

What should I do if I have forgotten to use this medicine?

Apply the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

If you forget to apply a patch in the morning, you can apply it later in the day. However, you should still remove the patch at the usual time.

DO NOT double a dose under any circumstances.

If you often forget to apply your medicine, let your doctor and pharmacist know.

When should I not use this medicine?

Alert your doctor if you have the following conditions:

- heart disease
- glaucoma (increased pressure in the eyes)
- marked anxiety, tension or agitatation
- hyperthyroidism (overactive thyroid)
as this medicine may not be suitable for you.

Alert your doctor if you or your family ever had movement or speech tics (uncontrolled movements or sounds), or Tourette's syndrome.

Do not use Methylphenidate if you are currently taking or have previously taken a medicine called a MAOI (monoamine oxidase inhibitor) in the last 14 days. Some examples of MAOIs are moclobemide (a mood medicine) and selegiline (a Parkinson's disease medicine).

What should I take note of while using this medicine?

Inform your doctor if you have:

- history of heart disease in your family
- drug or alcohol dependence
- epilepsy (fits or seizures)
- mood or psychiatric disorders

Let your doctor know if you are pregnant or breastfeeding.

While you are being treated with Methylphenidate, you will need to see your doctor regularly to monitor your response to the medicine. Your doctor may also need to adjust your dosage, especially during the first few months of treatment.

Do not expose the application site to direct heat sources such as heat packs, heat lamps, electric blankets, sauna or hot baths.

What side effects could I experience?

Methylphenidate patch may cause some mild skin redness or itching at the spot on which the patch was applied. This is normal and is usually not a cause for worry. However, if your skin becomes swollen, blistered or very itchy, remove the patch and alert your doctor quickly.

Other side effects may include any of the following: problems sleeping, stomach discomfort, decreased appetite, nausea, weight loss, vomiting, blocked nose and headache.

Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:

- unusual changes in mood or behaviour (being too depressed, agitated, or having thoughts of self-harm)
- continuous uncontrollable sounds and movements such as twitching and jerking
- chest pain, fast or irregular heartbeat
- unusual bleeding or bruising, frequent and persistent sore throat with fever

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I use this with other medicines?

Do not use Methylphenidate if you are currently taking or have previously taken a medicine called a MAOI (monoamine oxidase inhibitor) in the last 14 days. Some examples of MAOIs are moclobemide (a mood medicine) and selegiline (a Parkinson's disease medicine).

Inform your doctor and pharmacist if you are taking any of these medicines:

- high blood pressure medicines e.g. captopril, atenolol, amlodipine
- mood medicines e.g. chlorpromazine, thioridazine
- epilepsy medicines such as phenytoin, carbamazepine
- warfarin (a blood-thinning medicine)

This list does not include all medicines that may interact with Methylphenidate.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.

What special dietary instructions should I follow?

Avoid alcohol.

How should I store this medicine?

Store in a cool, dry place away from the reach of children.

Keep the patches in the protective foil pouch.

Medicines must not be used past the expiry date.

This information is independently developed by MIMS based on Methylphenidate - Transdermal and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2019 MIMS. All rights reserved. Powered by MIMS.com

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