What is this medication for?
Methylphenidate extended release belongs to the family of medications known as stimulants. It is used to treat attention deficit hyperactivity disorder (ADHD). It helps to improve attention and reduce restlessness for children 6 years of age or older, adolescents, and adults up to the age of 65 who have been diagnosed with ADHD. Other measures (e.g., psychological, educational, and social therapies) are used along with methylphenidate extended release as part of an overall treatment program for ADHD.
Your doctor may have suggested this medication for conditions other than those listed here. As well, some forms of this medication may not be used for all of the conditions discussed here. If you are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Methylin ER® is available as:
- tablet (extended release)
Some medications may have other generic brands available. Always ask your doctor or pharmacist about the safety of switching between brands of the same medication.
How should I use this medication?
The dose of methylphenidate extended release needs to be individualized according to the needs of the person taking the medication. The dose is usually started low and increased gradually in weekly increments. If you are having problems sleeping while taking methylphenidate extended release, try taking your last dose before 6 pm.
The usual recommended starting dose of methylphenidate extended release is 10 mg taken once daily in the morning with or without food. Do not exceed the recommended maximum dose of 60 mg each day.
Swallow the extended release tablets or capsules whole with a full glass of water. Do not crush or split them. The capsule form may also be opened and the contents sprinkled onto a tablespoon of applesauce, taken immediately. The applesauce and capsule contents should also be taken with a full glass of water.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store at room temperature, protect from moisture, and keep it out of the reach of children.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to methylphenidate or any ingredients of the medication
- are taking a monoamine oxidase (MAO) inhibitor (e.g., phenelzine, tranylcypromine) or have taken one in the last 14 days
- have anxiety, tension, or agitation
- have glaucoma
- have motor tics, Tourette's syndrome, or a family history of Tourette's syndrome
- have severe high blood pressure, angina, heart rhythm problems (arrhythmia), heart failure, or have recently had a heart attack