Methylphenidate hydrochloride
This medicinal product is subject to additional monitoring. This will allow for the quick identification of new safety information. The user of the medicinal product can also help by reporting any adverse reactions that occur after taking the medicinal product. To find out how to report adverse reactions, see section 4.
Table of contents of the leaflet
Adehader is used to treat attention deficit hyperactivity disorder (ADHD) in children aged 6 and above and in adults.
Adehader should not be used to treat ADHD in children under 6 years of age.
Adehader improves the reduced activity of certain areas of the brain. The medicinal product may help to prolong attention span, improve concentration, and reduce impulsive behavior. It is used as part of a treatment program that usually includes psychotherapy, educational treatment, and social therapy.
Children and adolescents with ADHD have difficulty:
This is not their fault, as these activities are extremely difficult for them. ADHD can occur in patients with varying degrees of severity, with symptoms such as:
This can manifest in various ways, such as:
ADHD does not negatively affect the patient's intelligence.
If any of the above situations apply to the patient, they should not take methylphenidate. In case of doubts, the patient should consult their doctor or pharmacist before taking methylphenidate. This is important because methylphenidate may worsen the above-mentioned problems.
During treatment, boys and young men may experience unexpected, prolonged erections. This can be painful and can occur at any time. If an erection lasts longer than 2 hours, especially if it is painful, the patient should immediately consult their doctor.
The examination aims to determine whether methylphenidate is a suitable medicinal product for the patient. The doctor will discuss with the patient:
The doctor will discuss with the patient the risk of mood swings (from mania to depression - bipolar disorder). The doctor will also take a mental health history of the patient and determine if there have been any cases of suicide, bipolar disorder, or depression in the patient's family. It is essential to provide the doctor with as much information as possible. Based on this information, the doctor will determine whether methylphenidate is a suitable medicinal product for the patient and decide if any additional medical examinations are necessary before starting treatment.
This medicinal product may cause a positive result in drug tests.
The patient should inform their doctor or pharmacist about all medicinal products they are currently taking or plan to take.
If the patient is taking other medicinal products, methylphenidate may affect their action or cause adverse reactions. The patient should inform their doctor or pharmacist if they are taking medicinal products for:
The patient should not take Adehader with H2 receptor antagonists, proton pump inhibitors, or antacids, as this may lead to faster release of the active substance into the body. If the patient is unsure whether a medicinal product is on the above list, they should consult their doctor or pharmacist before taking methylphenidate.
The patient should inform their doctor about any planned surgery. Methylphenidate should not be taken on the day of surgery if a certain type of anesthesia is used, as this may cause a sudden increase in blood pressure during surgery.
The patient should not consume alcohol while taking this medicinal product. Alcohol may increase the adverse reactions of this medicinal product. The patient should remember that alcohol is also present in some food products and medicinal products.
Available data do not indicate an increased risk of congenital malformations overall, although a slight increase in the risk of cardiac malformations during the first three months of pregnancy cannot be ruled out. The doctor will provide the patient with more information about this risk. Before taking methylphenidate, the patient should inform their doctor or pharmacist if:
While taking methylphenidate, the patient may experience dizziness, drowsiness, difficulty focusing, blurred vision, hallucinations, or other adverse reactions affecting the central nervous system. If these symptoms occur, the patient should not perform activities such as driving, operating machinery, cycling, or horse riding, as this may be dangerous.
If the patient has been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicinal product.
The medicinal product contains less than 1 mmol (23 mg) of sodium per capsule, which means it is considered "sodium-free".
Adehader should always be taken as directed by the doctor. In case of doubts, the patient should consult their doctor or pharmacist.
Use in children:
Use in adults:
Adult patients who have not taken Adehader before:
This medicinal product is intended for oral use.
Children take Adehader in the morning, during or after breakfast.
Adults take Adehader in the morning and at lunchtime, during or after a meal.
Adehader is a modified-release formulation, which means that the active substance is released into the body slowly over a longer period. Taking the capsule during or after meals is crucial for achieving this prolonged action.
The capsule can be swallowed whole with water. The capsule can also be opened, and the contents can be sprinkled onto a small amount (one tablespoon) of applesauce or yogurt and taken immediately. The contents of the capsule should not be stored for later use.
The capsule or its contents should not be crushed or chewed.
If the patient's condition does not improve after 1 month of treatment, they should inform their doctor. The doctor may decide to change the treatment.
There is no need to take Adehader indefinitely. If the patient has been taking Adehader for more than a year, the doctor should interrupt treatment at least once a year for a short period. For children, it is recommended to plan this interruption during school vacations. This will allow the doctor to assess whether continued treatment is necessary.
Incorrect use of Adehader may lead to abnormal behavior. It may also cause the patient to become dependent on the medicinal product. If the patient has a history of alcohol, prescription medication, or drug abuse, they should inform their doctor. This medicinal product is intended only for the person it has been prescribed to. It should not be given to others, even if their symptoms are similar.
If the patient takes too much of the medicinal product, they should immediately consult their doctor or call the emergency services. They should inform their doctor about the amount of medicinal product taken. Treatment may be necessary.
Symptoms of overdose may include: vomiting, feeling overstimulated, tremors, increased involuntary movements, muscle twitching, seizures (which may be followed by coma), feeling extremely happy, disorientation, seeing, hearing, or feeling things that do not exist (hallucinations), sweating, flushing, headache, high fever, changes in heart rate (slow, fast, or irregular), high blood pressure, dilated pupils, dryness of the mouth and throat, muscle spasms, fever, and brownish-red urine, which may be a sign of abnormal muscle breakdown (rhabdomyolysis).
The patient should not take a double dose to make up for a missed dose. If a dose is missed, the next dose should be taken at the usual time.
Suddenly stopping treatment with this medicinal product may lead to a recurrence of ADHD symptoms or the appearance of unexpected symptoms, such as depression. Before completely stopping treatment, the doctor will gradually reduce the daily dose. Before stopping Adehader, the patient should consult their doctor.
Like all medicinal products, Adehader can cause adverse reactions, although not everybody gets them. The doctor will inform the patient about these adverse reactions.
If the patient experiences any of the above adverse reactions, they should immediately consult their doctor.
In the case of long-term use of methylphenidate (more than one year), the medicinal product may slow down growth in some children. This affects less than 1 in 10 children.
If the patient experiences any adverse reactions, including those not listed in this leaflet, they should inform their doctor or pharmacist.
Adverse reactions can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C, 02-222 Warsaw
Tel: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Adverse reactions can also be reported to the marketing authorization holder.
Reporting adverse reactions will help to gather more information on the safety of the medicinal product.
The medicinal product should be stored out of sight and reach of children.
Do not use this medicinal product after the expiry date stated on the blister pack and carton after "EXP". The expiry date refers to the last day of the month stated.
Do not store above 30°C.
Store in the original packaging to protect from moisture.
Medicinal products should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicinal products that are no longer needed. This will help protect the environment.
The active substance is methylphenidate hydrochloride.
Each modified-release capsule, hard, contains 5 mg of methylphenidate hydrochloride, which corresponds to 4.35 mg of methylphenidate.
Each modified-release capsule, hard, contains 10 mg of methylphenidate hydrochloride, which corresponds to 8.65 mg of methylphenidate.
Each modified-release capsule, hard, contains 20 mg of methylphenidate hydrochloride, which corresponds to 17.30 mg of methylphenidate.
Each modified-release capsule, hard, contains 30 mg of methylphenidate hydrochloride, which corresponds to 25.95 mg of methylphenidate.
Each modified-release capsule, hard, contains 40 mg of methylphenidate hydrochloride, which corresponds to 34.60 mg of methylphenidate.
Each modified-release capsule, hard, contains 50 mg of methylphenidate hydrochloride, which corresponds to 43.25 mg of methylphenidate.
Each modified-release capsule, hard, contains 60 mg of methylphenidate hydrochloride, which corresponds to 51.90 mg of methylphenidate.
Sucrose, pellets (containing sucrose and cornstarch), methacrylic acid and ethyl acrylate copolymer (1:1), talc, triethyl citrate, polyvinyl alcohol, macrogol 3350, polysorbate 80, sodium hydroxide, sodium lauryl sulfate, simethicone, anhydrous colloidal silica, methylcellulose, sorbic acid (E 200), indigo carmine (E 132)
Gelatin, titanium dioxide (E 171), sodium lauryl sulfate, purified water
In addition to the capsule shell of Adehader 10 mg and 20 mg:
Erythrosine (E 127), patent blue V (E 131)
In addition to the capsule shell of Adehader 30 mg, 40 mg, 50 mg, and 60 mg:
Erythrosine (E 127), iron oxide black (E 172); indigo carmine (E 132)
Adehader, 5 mgmodified-release capsules, hard
White, opaque body of the capsule/white opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 10 mgmodified-release capsules, hard
White, opaque body of the capsule/purple-pink opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 20 mgmodified-release capsules, hard
Purple-pink, opaque body of the capsule/purple-pink opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 30 mgmodified-release capsules, hard
Light gray, opaque body of the capsule/dark purple opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 40 mgmodified-release capsules, hard
Gray, opaque body of the capsule/dark purple opaque cap (18.0 mm), the capsule contains white and blue pellets.
Adehader, 50 mgmodified-release capsules, hard
Purple, opaque body of the capsule/dark purple opaque cap (18.0 mm), the capsule contains white and blue pellets.
Adehader, 60 mgmodified-release capsules, hard
Dark purple, opaque body of the capsule/dark purple opaque cap (19.4 mm), the capsule contains white and blue pellets.
Pack sizes:
Adehader, 5 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 30, 36, 45, 48, 50, 54, 60, 90, 96, or 99 modified-release capsules, hard, in PVC/PVdC/Aluminum blisters.
Adehader, 10 mg/20 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, 45, 48, 50, 54, 60, 90, 96, or 99 modified-release capsules, hard, in PVC/PVdC/Aluminum blisters.
Adehader, 30 mg/40 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, 45, 48, 50, 54, or 60 modified-release capsules, hard, in PVC/PVdC/Aluminum blisters.
Adehader, 50 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, 40, 45, or 48 modified-release capsules, hard, in PVC/PVdC/Aluminum blisters.
Adehader, 60 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, or 40 modified-release capsules, hard, in PVC/PVdC/Aluminum blisters.
Not all pack sizes may be marketed.
Humantis GmbH
Kuhloweg 37, 58638 Iserlohn
Germany
Tel: +48 (22) 370 21 05
MEDICE Arzneimittel Pütter GmbH & Co. KG
Kuhloweg 37, 58638 Iserlohn
Germany
Germany:
Methylphenidat Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, Hartkapseln mit veränderter Wirkstofffreisetzung
Denmark:
Methylphenidathydrochlorid Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg
Iceland:
Methylphenidathydrochlorid Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, hart hylki með breyttan losunarhraða
Netherlands:
Methylfenidaat HCl Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, capsule met gereguleerde afgifte, hard
Norway:
Methylphenidate Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, Kapsel med modifisert frisetting, hard
Poland:
Adehader, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg
Sweden:
Methylphenidate Humantis, 5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, Kapsel med modifierad frisättning, hård
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