DEXMETHYLPHENIDATE

(dex METH il FEN i date) Brand: Focalin, Focalin XR

What is the most significant information I must know about dexmethylphenidate?

• Do not use dexmethylphenidate if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the recent 14 days. A dangerous drug interaction could occur, leading to serious side effects.

• Till using this medicine, speak your doctor if you have severe depression, seizures or epilepsy, tall blood pressure, heart malady, a heart rhythm mess, congestive heart failure, if you have recently had a heart onslaught, or if you have a history of mental diseases or drug/alcohol addiction.

• Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Till taking dexmethylphenidate, speak your doctor if you have any type of heart problems.

• Long-term use of dexmethylphenidate can slow a child's growth. Speak your doctor if the baby using this medicine is not growing or gaining weight properly.

• Dexmethylphenidate may be habit-forming and should be used only by the face for whom it was prescribed. Hold the medicine in a secure seat where others can't get to it.

• Hold track of the amount of medication used from every new bottle. Dexmethylphenidate is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.

What is dexmethylphenidate?

• Dexmethylphenidate is a mild stimulant to the central nervous system (brain and nerves).

• Dexmethylphenidate is used to treat attention deficit hyperactivity mess (ADHD).

• Dexmethylphenidate may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking dexmethylphenidate?

• You must not take this medicine if you are allergic to dexmethylphenidate or methylphenidate (Ritalin, Concerta), or if you have:

· glaucoma;

· engine tics (twitches);

· a private or family history of Tourette's syndrome; or

· if you have important tension, agitation, or anxiety.

• To create certain you can safely take dexmethylphenidate, speak your doctor if you have any of these another conditions:

· severe depression or a history of mental illness;

· a history of drug or alcohol addiction;

· seizures or epilepsy;

· tall blood pressure;

· heart malady, heart rhythm problems, or congestive heart failure; or

· if you have recently had a heart attack.

• FDA pregnancy category C. It is not known whether dexmethylphenidate will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• It is not known whether dexmethylphenidate passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• Long-term use of dexmethylphenidate can slow a child's growth. Speak your doctor if the baby using this medicine is not growing or gaining weight properly.

• Do not give this medication to a baby younger than 6 years old without medical advice.

• Dexmethylphenidate may be habit forming and must be used only by the face for whom it was predesigned. Never share dexmethylphenidate with other face, especially somebody with a history of drug abuse or addiction. Hold the medicine in a seat where others can't get to it.

How must I take dexmethylphenidate?

• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.

• Your doctor may occasionally change your doze to create certain you get the excellent results.

• Take this medication with a full glass of water.

• This medicine is generally taken in the morning till breakfast. You may take it with or without food.

• You may open the dexmethylphenidate capsule and sprinkle the medication into a spoonful of applesauce to create swallowing easier. Swallow right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

• Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If it is nearly time for your following doze, or if it is already evening, skip the missed doze and take the medication the following morning. Taking this medication late in the day can reason sleep problems. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include dry mouth, sweating, headache, warmth or tingly feeling, vomiting, agitation, tremors, muscle twitches, confusion, hallucinations, quick or pounding heartbeats, big pupils, and seizure (convulsions).

What must I avoid while taking dexmethylphenidate?

• Avoid taking dexmethylphenidate in the evening because it may reason sleep problems (insomnia).

• This medicine may reason blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

What are the possible side effects of dexmethylphenidate?

• Get abnormal medical help if you have any of these signs of an allergic reaction: fever; hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using dexmethylphenidate and call your doctor at once if you have any of these serious side effects:

· dangerously tall blood pressure (severe headache, ringing in your ears, chest pain, numbness);

· seizure (convulsions);

· quick or uneven heart rate;

· blurred vision or another visual changes;

· unusual behavior, confusion; or

· twitching or tics.

• Smaller serious side effects may include:

· sleep problems (insomnia);

· loss of appetite;

· upset stomach;

· feeling restless, anxious, or jittery;

· dry mouth, sore throat; or

· headache.

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

What another drugs will affect dexmethylphenidate?

• Speak your doctor about all another medicines you use, especially:

· antacids;

· blood pressure medications;

· a blood thinner such as warfarin (Coumadin, Jantoven);

· clonidine (Catapres);

· seizure medications such as phenytoin (Dilantin), phenobarbital (Luminal, Solfoton), primidone (Mysoline); or

· antidepressants such as amitriptyline (Elavil, Vanatrip, Limbitrol), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan, Silenor), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil).

• This list is not complete and another drugs may interact with dexmethylphenidate. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about dexmethylphenidate.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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