Methylphenidate hydrochloride
This medicinal product is subject to additional monitoring. This will allow for the quick identification of new safety information. You can help by reporting any side effects you may experience. See section 4 for how to report side effects.
Table of contents of the leaflet
Adehader is used to treat attention deficit hyperactivity disorder (ADHD).
Adehader is not used to treat ADHD in children under 6 years of age.
Adehader improves reduced activity in certain areas of the brain. The medicine may help to prolong attention span, improve concentration, and reduce impulsive behavior. The medicine is used as part of a treatment program that usually includes psychotherapy, educational treatment, and social therapy. Treatment with Adehader should only be initiated and continued by a specialist in the treatment of ADHD, such as a pediatrician, child and adolescent psychiatrist, or psychiatrist. A thorough examination by such a doctor is required. If the patient is an adult and has not been treated before, the doctor will conduct examinations to confirm that ADHD has been present since childhood. Although there is no cure for ADHD, the condition can be controlled with appropriate therapeutic programs.
Children and adolescents with ADHD have difficulty:
This is not their fault, as these activities are very difficult for them. ADHD can occur in patients with varying degrees of severity, with symptoms such as:
This is exemplified by, for example:
ADHD does not negatively affect the patient's intelligence.
If any of the above situations apply to the patient, they should not take methylphenidate. If in doubt, the patient should consult their doctor or pharmacist before taking methylphenidate. This is important because methylphenidate may worsen the above 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 seek medical attention immediately.
The examination aims to determine whether Adehader is a suitable medicine for the patient. The doctor will discuss the following with the patient:
The doctor will discuss the risk of mood swings (from mania to depression - bipolar disorder) with the patient. The doctor will also take a mental health history 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 medicine for the patient and decide if any additional medical examinations are necessary before starting treatment.
This medicine may cause a positive result in drug tests.
The patient should tell their doctor or pharmacist about all medicines they are currently taking or plan to take.
If the patient is taking other medicines, methylphenidate may affect their action or cause side effects. The patient should tell their doctor or pharmacist if they are taking medicines for:
Adehader should not be taken with H2 receptor antagonists, proton pump inhibitors, or antacids, as this may lead to faster release of the active substance into the body. If in doubt about whether a medicine is on the above list, the patient should ask 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 medicine. Alcohol may increase the side effects of this medicine. The patient should remember that alcohol is also contained in some food products and medicines.
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 central nervous system side effects. If these symptoms occur, performing activities such as driving, operating machinery, riding a bicycle, or horseback riding, as well as climbing trees, may be dangerous.
If the patient has been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.
The medicine 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. If in doubt, the patient should consult their doctor or pharmacist.
Use in children
The maximum daily dose is 60 mg.
Use in adults
Adult patients who have previously taken Adehader
Adult patients who have not previously taken Adehader
The recommended starting dose is 10 mg per day.
This medicine is for oral use.
Children take Adehader in the morning, during or afterbreakfast.
Adults take Adehader in the morning and at lunchtime, with or aftera snack or meal.
Adehader is a modified-release form of methylphenidate, which means that the medicine is released into the body slowly over a longer period. Taking the capsule with food or after meals is crucial for achieving this delayed prolonged action.
The capsules can be swallowed whole with water. Alternatively, the capsule can 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 capsules or their 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 for a short period at least once a year. For children, it is beneficial to plan this interruption during school vacations. This will allow for an assessment of whether continued treatment is necessary.
Incorrect use of Adehader may lead to abnormal behavior. It may also cause dependence on the medicine. If the patient has ever abused or been dependent on alcohol, prescription medicines, or drugs, they should inform their doctor. This medicine is intended only for the person it has been prescribed for. It should not be given to others, even if their symptoms are similar.
If the patient takes too much of the medicine, they should seek medical attention immediately. They should inform their doctor or pharmacist about the amount of medicine taken. Treatment may be necessary.
Symptoms of overdose may include: vomiting, feeling over-stimulated, 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 reddish-brown 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 medicine may lead to a return of ADHD symptoms or the occurrence of unexpected symptoms, such as depression. Before completely stopping the medicine, the doctor will gradually reduce the daily dose. Before stopping Adehader, the patient should consult their doctor.
If the patient has any further doubts about taking this medicine, they should consult their doctor or pharmacist.
Like all medicines, Adehader can cause side effects, although not everybody gets them. The doctor will inform the patient about these side effects.
If the patient experiences any of the above side effects, they should seek medical attention immediately.
In cases where methylphenidate is taken for more than a year, it may slow down growth in some children. This affects less than 1 in 10 children.
If the patient experiences any side effects, including those not listed in this leaflet, they should inform their doctor or pharmacist.
Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration 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
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of this medicine.
The medicine should be stored out of sight and reach of children.
Do not take this medicine 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 package to protect from moisture.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
The active substance is methylphenidate hydrochloride
Adehader, 5 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 5 mg of methylphenidate hydrochloride, which corresponds to 4.35 mg of methylphenidate.
Adehader, 10 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 10 mg of methylphenidate hydrochloride, which corresponds to 8.65 mg of methylphenidate.
Adehader, 20 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 20 mg of methylphenidate hydrochloride, which corresponds to 17.30 mg of methylphenidate.
Adehader, 30 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 30 mg of methylphenidate hydrochloride, which corresponds to 25.95 mg of methylphenidate.
Adehader, 40 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 40 mg of methylphenidate hydrochloride, which corresponds to 34.60 mg of methylphenidate.
Adehader, 50 mgmodified-release capsules, hard
Each modified-release capsule, hard, contains 50 mg of methylphenidate hydrochloride, which corresponds to 43.25 mg of methylphenidate.
Adehader, 60 mgmodified-release capsules, hard
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, silica, colloidal anhydrous, methylcellulose, potassium sorbate (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/capsule with white, opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 10 mgmodified-release capsules, hard
White, opaque body/capsule with purple-pink, opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 20 mgmodified-release capsules, hard
Purple-pink, opaque body/capsule with purple-pink, opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 30 mgmodified-release capsules, hard
Light gray, opaque body/capsule with dark purple, opaque cap (15.9 mm), the capsule contains white and blue pellets.
Adehader, 40 mgmodified-release capsules, hard
Gray, opaque body/capsule with dark purple, opaque cap (18.0 mm), the capsule contains white and blue pellets.
Adehader, 50 mgmodified-release capsules, hard
Purple, opaque body/capsule with dark purple, opaque cap (18.0 mm), the capsule contains white and blue pellets.
Adehader, 60 mgmodified-release capsules, hard
Dark purple, opaque body/capsule with dark purple, opaque cap (19.4 mm), the capsule contains white and blue pellets.
Package 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, in hard blisters of PVC/PVdC/Aluminum foil.
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, in hard blisters of PVC/PVdC/Aluminum foil.
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, in hard blisters of PVC/PVdC/Aluminum foil.
Adehader, 50 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, 40, 45, or 48 modified-release capsules, in hard blisters of PVC/PVdC/Aluminum foil.
Adehader, 60 mgmodified-release capsules, hard
Cartons containing 20, 24, 27, 28, 30, 36, or 40 modified-release capsules, in hard blisters of PVC/PVdC/Aluminum foil.
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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