oshudhkosh

Methyphen 10

Rx
Dosage form:
Tablet
Pack size:
Strip (10 Tablet)

৳ 17/unit

Pack: ৳ 170

At a glance

Methylphenidate Hydrochloride — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Methylphenidate Hydrochloride is a medicine used in the treatment of attention deficit hyperactivity disorder (a behavioral disorder in children marked by poor concentration, hyperactivity, and learning difficulties). It helps to improve attention span, concentration and reduces impulsive behavior. Methylphenidate Hydrochloride may be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly as it may worsen your symptoms. Some common side effects of this medicine include headache, insomnia (difficulty sleeping), abdominal pain and nervousness. However, these side effects are temporary and usually resolve on their own in some time. Please consult your doctor if these do not subside or bother you. This medicine causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Before taking Methylphenidate Hydrochloride, inform your doctor if you have any problems with your kidneys, heart, liver, or have a history of seizures (epilepsy or fits). Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or if you have any suicidal thoughts. Methylphenidate Hydrochloride is a CNS stimulant. It works by improving the activity of certain parts of the brain by increasing the levels of certain chemicals (norepinephrine and dopamine). Methylphenidate Hydrochloride is a CNS stimulant. It works by improving the activity of certain parts of the brain by increasing the levels of certain chemicals (norepinephrine and dopamine).

Indications

• Attention deficit hyperactivity disorder (ADHD)

Mechanism of action

Methylphenidate is a central stimulant and indirect-acting sympathomimetic.

Dosage

Adult Dose: Oral Narcolepsy Adult: 20-30 mg/day PO divided q8-12hr, 30-45 minutes before meals; some patients may require 40-60 mg/day; in others, 10-15 mg/day may be adequate Attention Deficit Hyperactivity Disorder 20-30 mg/day PO divided q8-12hr, 30-45 minutes before meals; may gradually increase dose at weekly intervals; some patients may require 40-60 mg/day; in others, 10-15 mg/day may be adequate Child Dose: Oral Narcolepsy Child >6 years: 5 mg PO BID 30-45 minutes before breakfast and lunch initially; may increase by 5-10 mg/day at weekly intervals; not to exceed 60 mg/day divided BID/TID Narcolepsy 5 mg PO q12hr; may increase by 5-10 mg/day weekly; not to exceed 60 mg/day <6 years: Safety and efficacy not established

Administration

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Methylphenidate Hydrochloride may be taken with or without food, but it is better to take it at a fixed time.

Missed dose

If you miss a dose of Methylphenidate Hydrochloride, skip it and continue with your normal schedule. Do not double the dose.

Side effects

Common: • Headache • Insomnia (difficulty in sleeping) • Abdominal pain • Nervousness

Precautions & warnings

[UNSAFE] Methylphenidate Hydrochloride may cause side effects which could affect your ability to drive. You may feel dizzy, have problems focussing or have blurred vision when taking Methylphenidate Hydrochloride. This may affect your driving ability. It has high habit-forming potential. Do not take more than prescribed. Take it early in the morning to prevent insomnia later that night. Methylphenidate Hydrochloride may raise your blood pressure and pulse. Monitor your blood pressure regularly. Use caution while driving or doing anything that requires concentration as Methylphenidate Hydrochloride can cause dizziness and sleepiness. It can cause a loss of appetite, which can slow growth rate, especially in children. Monitor your child’s height and weight regularly while taking this medicine. Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts. Do not stop taking medicine without talking to your doctor first.

Contraindications

Marked anxiety, tension, agitation; glaucoma; Tourette's syndrome or tics. Known severe structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac disorders that could increase the risk of sudden death. Extended-release form: Severe hypertension, heart failure, arrhythmia, hyperthyroidism, recent MI or angina.

Drug interactions

May reduce effects of antihypertensive agents. Reduced serum level with carbamazepine. Increased serum levels or effects with CYP2D6 inhibitors e.g. chlorpromazine, delavirdine, fluoxetine, miconazole, paroxetine, pergolide, quinidine, quinine, ritonavir, ropinirole. May increase serum levels of phenytoin, TCAs. Possible severe hypertension and tachycardia with sibutramine. CNS depression with alcohol. Potentially Fatal: Severe toxic reactions with clonidine. Increased risk of hypertensive crisis with MAOIs.

Food interactions

[UNSAFE] Methylphenidate Hydrochloride may cause excessive drowsiness with alcohol.

Use in pregnancy

[CONSULT YOUR DOCTOR] Methylphenidate Hydrochloride may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Use in lactation

[CONSULT YOUR DOCTOR] Methylphenidate Hydrochloride is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Renal / hepatic impairment

[CONSULT YOUR DOCTOR] There is limited information available on the use of Methylphenidate Hydrochloride in patients with kidney disease. Please consult your doctor. Caution should be exercised in patients with underlying kidney disease. [CONSULT YOUR DOCTOR] There is limited information available on the use of Methylphenidate Hydrochloride in patients with liver disease. Please consult your doctor.

Common questions

ADHD (inattentive type) with social anxiety disorder According to American Pychiatric Association, Attention Deficit Hyperactivity Disorder(ADHD) affects about 5 percent of children and about half of them carry those symptoms into adulthood.The basic symptoms include inattentiveness, impulsivity, and hyperactivity. ADHD in children manifests as lack of attention, being accident prone and disturbance in academic performance. In adults, fidgetiness is often sign of hyperactivity. Other common manifestations are disorganized, forgetful and clumsy adult who appears to have difficulty in handling responsibilities. Once diagnosed, management includes Medicines and psychotherapy. It is an ongoing process and not a few month course to get rid of problem. Coping is a major part of symptom management. I have attention disorder problem? please elaborate your symptoms. k/c/o ADHD with Autism and need methylphenitade tab will u arrange for help to reduce his hyperactivity It&#x27;s a schedule x drug available only after proper prescription from a licensed pharmacist. I need to diagnose myself for depression and attention disorder. Depression is a persistent state of sadness that is the result of interaction between one&#x27;s inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.Signs of ADD in Adults: * Disturbances in Focus ? Lack of focus is mostly for activities that patient is not interested in. An ADD afflicted male may become too absorbed in tastes that are stimulating and rewarding which is known as hyperfocus. * Disorganization-Due to inherent difficulty in sorting and prioritizing information, patient show poor organizational skills. They often complain of difficulty in initiating or completing tasks. Therefore, often find it difficult to work with deadlines. * Forgetfulness-Due to inability to concentrate, memory issues often prevail. * Impulse Control Problems? Impulsivity manifests itself as poor self control leading to in appropriate social behavior like interrupting others during conversation sitting still during long meetings. * Emotional Stability? Due to above mentioned issues , patients see themselves as misfits. Frustration and anger is common and they are not able to manage them leading to mood swings. * Lack of motivation? The inability to perform adequately due to unstable mood & emotions leads to dissatisfaction. This discourages individual and they appear to lack motivation. * Anxiety? Negative consequences of ADHD lead to restlessness and apprehension often exhibited as anxiety. * Physical Health Issues? Due to disorganization and emotional issues patients have poor coping skills which promotes unhealthy behavior like overeating, avoiding exercising & not taking medicines regularly leading to multiple health problems. * Substance Abuse Problems? People are often unaware of ADD as an illness and therefore patients try to self medicate themselves for restlessness, anxiety by taking alcohol/ tobacco or other drugs available to them. * Relationship Issues? The challenges faced by ADD patients make it difficult for them to sustain long term ADHD Patients suffered from adhd desease ADHD in children manifests as lack of attention, being accident prone and disturbance in academic performance. In adults, fidgetiness is often sign of hyperactivity. Other common manifestations are disorganized, forgetful and clumsy adult who appears to have difficulty in handling responsibilities. ADHS & Adult ADD are now well recognized neuropyschiatric problems and management includes both medication & psychotherapy. Please see a psychiatrist in your vicinity. Hearing deficiency started recently. Left ear deficiency is more prominent. Also have a history of mild attention deficit. What is the best way to treat? Visit ent specialist they will exmaune and let you know the reason and will treat the same Hi I can&#x27;t focus on things which are really important and suddenly start thinking of something else. I also day dream at times I have to read a sentence at least 5 times to understand coz I&#x27;m always unable to focus A psychiatrist already prescribed me a tablet named attentrol but i lost the prescription he said i have attention deficit disorder. Adult ADHD treatment includes medications, psychological counseling (psychotherapy) and treatment for any mental health conditions that occur along with ADHD. A combination of these is often the most effective treatment. These treatments can relieve many symptoms of ADHD, but they don&#x27;t cure it. It may take some time to determine what works best for you. Lack of concentration in studying. Sometimes laughs without reasons Inability to concentrate can be because of stress, anxiety, boredom, preoccupation with a bothersome thought or Attention Deficit Disorders. Identifying the cause is first step in treatment. Please see a psychiatrist.

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.