methylphenidate (transdermal) (Daytrana, Methylphenidate)

Brand Names: Daytrana

Generic Name: methylphenidate (transdermal)

• What is methylphenidate transdermal (Daytrana)?
• What are the possible side effects of methylphenidate transdermal (Daytrana)?
• What is the most important information I should know about methylphenidate transdermal (Daytrana)?
• What should I discuss with my health care provider before using methylphenidate transdermal (Daytrana)?
• How should I use methylphenidate transdermal (Daytrana)?
• What happens if I miss a dose (Daytrana)?
• What happens if I overdose (Daytrana)?
• What should I avoid while using methylphenidate transdermal (Daytrana)?
• What other drugs will affect methylphenidate transdermal (Daytrana)?
• Where can I get more information (Daytrana)?

Methylphenidate is a central nervous system stimulant that is used to treat attention deficit hyperactivity disorder (ADHD).

Methylphenidate may also be used for purposes not listed in this medication guide.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using methylphenidate and call your doctor at once if you have:

• redness, swelling, blistering, or skin color changes where the skin patch was worn (may also spread to other areas);
• a seizure;
• chest pain, trouble breathing, feeling like you might pass out;
• changes in your vision;
• hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia; or
• numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes.

Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects may include:

• dizziness, mood swings;
• tics;
• nausea, vomiting, stomach pain, loss of appetite, weight loss;
• sleep problems (insomnia); or
• skin redness, bumps, or itching where a patch was worn.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

You should not use methylphenidate if you have glaucoma, tics or Tourette's syndrome, or severe anxiety, tension, or agitation. Do not use methylphenidate if you have taken an MAO inhibitor in the past 14 days, including isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Methylphenidate may be habit forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction.

Using this medicine improperly can cause death or serious side effects on the heart.

Do not use methylphenidate if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, and tranylcypromine.

You should not use this medicine if you are allergic to methylphenidate (Ritalin, Concerta, Metadate, and others), or if you have:

• glaucoma;
• a personal or family history of tics (muscle twitches) or Tourette's syndrome;
• severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse); or
• if you have ever had a skin reaction when using any type of adhesive bandage or transdermal skin patch.

Methylphenidate is not approved for use by anyone younger than 6 years old.

Some stimulants have caused sudden death in certain people. Tell your doctor if you have:

• heart problems or a congenital heart defect;
• high blood pressure; or
• a family history of heart disease or sudden death.

Tell your doctor if you have ever had:

• a skin disorder (such as eczema, psoriasis), skin sensitivity to soaps, lotions, cosmetics, or glues;
• depression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions;
• blood circulation problems in the hands or feet;
• a seizure;
• an abnormal brain wave test (EEG); or
• drug or alcohol addiction.

Tell your doctor if you are pregnant or breast-feeding.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Using this medicine improperly can cause death or serious side effects on the heart.

Methylphenidate may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Apply the patch to a clean and dry area on your hip. The effects of this medicine may not be noticeable until 2 hours after applying the skin patch.

Wash your hands after applying a skin patch.

Remove the patch 9 hours after it was applied. Peel off slowly and fold the patch in half so it sticks together. Flush the folded patch down the toilet or place it into a waste can with a lid.

If a patch falls off, replace it with a new one. Do not wear a patch longer than 9 hours per day, even if you apply a new patch to replace one that has fallen off.

Apply a new patch to the opposite hip. Do not wear a patch on the same side of the body two days in a row.

If you have loss of appetite or trouble sleeping, try removing the skin patch earlier in the day. Never cut the skin patch to try and reduce the amount of medicine you receive while wearing it.

Children using this medicine should be warned never to remove the skin patch and place it onto another person. Serious side effects may result.

Over time, methylphenidate transdermal can cause your skin to lighten around areas where the patches are worn. This effect may be permanent. Tell your doctor if you see new areas of lighter color under or around a skin patch.

Your doctor will need to check your progress at regular visits. Your heart rate, blood pressure, height and weight may also need to be checked often.

Store at room temperature. Do not refrigerate or freeze. Keep each patch in its sealed pouch until you are ready to use it. Throw away unused patches if it has been more than 2 months since you opened the original package.

Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

If you discontinue using methylphenidate transdermal, fold together and flush any unused patches at that time.

SLIDESHOW

ADHD Symptoms in Children See Slideshow

Apply a patch as soon as you remember, and do not wear the patch for longer than 9 hours. You may need to shorten the wearing time to less than 9 hours if you apply a patch later than usual and you have sleep problems. Do not apply two patches at the same time to make up the missed dose.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Remove the patch right away and clean the skin area with soap and water. An overdose of methylphenidate can be fatal.

Overdose symptoms may include sweating, redness in your face, vomiting, shaking, confusion, agitation, hallucinations, and irregular heartbeat.

Do not expose the skin patch to heat while you are wearing it. This includes heat from a heating pad, hot tub, electric blanket, or a heated water bed. Heat can cause the skin patch to release too much medicine at one time.

Avoid placing a patch on skin that is oily, irritated, or damaged. Avoid a skin area that will be rubbed by a waistband or tight clothing.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

Tell your doctor about all your other medicines, especially:

• an antidepressant;
• blood pressure medication;
• a blood thinner such as warfarin (Coumadin, Jantoven);
• a cold or allergy medicine that contains a decongestant such as pseudoephedrine or phenylephrine; or
• seizure medicine.

This list is not complete. Other drugs may affect methylphenidate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Your pharmacist can provide more information about methylphenidate transdermal.

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