{"id":17422,"date":"2022-01-12T08:05:08","date_gmt":"2022-01-12T08:05:08","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17422"},"modified":"2022-01-13T07:49:03","modified_gmt":"2022-01-13T07:49:03","slug":"the-medikinet","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/the-medikinet\/","title":{"rendered":"The Medikinet &#8211; Methylphenidate hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>5 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg and 60 mg&nbsp;modified-&nbsp;release&nbsp;capsules&nbsp;, hard<br>methylphenidate hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Medikinet is and what it is used for<\/h2>\n\n\n\n<p><strong>What it is used for<\/strong><br>Medikinet is used for the treatment of behavioral disorders called&nbsp;ADHD&nbsp;(Attention Deficit Hyperactivity Disorders)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>in children and adolescents between 6 years and older and in adults.<\/li><li>after other treatments that do not involve drugs have been tried, for example, treatments such as talk therapy and behavioral therapy and which have been insufficient.<\/li><\/ul>\n\n\n\n<p>The medicine should not be used to treat children under 6 years of age.<\/p>\n\n\n\n<p><strong>How it works<\/strong><br>Medikinet improves the activity in certain parts of the brain that are underactive.\u00a0The drug can improve attention, concentration and reduce impulsivity.<\/p>\n\n\n\n<p>The drug is used as part of a treatment program.\u00a0which usually consists of psychological, educational, and social measures.<\/p>\n\n\n\n<p>The treatment with Medikinet may only be initiated by and used under the supervision of a doctor who specializes in the treatment of\u00a0ADHD, such as a pediatrician, a child, an adolescent psychiatrist, or a psychiatrist.\u00a0A thorough examination is required by this physician.\u00a0If you as an adult have not been treated before, your doctor will perform tests to confirm that you have had\u00a0ADHD\u00a0since childhood.\u00a0Although there is no cure for\u00a0ADHD, it can be managed with the help of treatment programs.<\/p>\n\n\n\n<p><strong>About&nbsp;ADHD<\/strong><\/p>\n\n\n\n<p>Children and adolescents with&nbsp;ADHD&nbsp;are characterized by the fact that they:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have difficulty sitting still<\/li><li>have difficulty concentrating.<\/li><\/ul>\n\n\n\n<p>It&#8217;s not their fault if they can not do it.<\/p>\n\n\n\n<p>Patients may have&nbsp;ADHD&nbsp;to varying degrees with symptoms that include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>concentration difficulties<\/li><li>restlessness<\/li><li>hyperactivity<\/li><li>impulsivity<\/li><li>emotional instability<\/li><li>disorganized thoughts.<\/li><\/ul>\n\n\n\n<p>This is shown by, for example:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>concentration difficulties<\/li><li>oblivion<\/li><li>talkative<\/li><li>difficulties in planning and completing things<\/li><li>&#8220;Actions in the blind&#8221;<\/li><li>impatience.<\/li><\/ul>\n\n\n\n<p>ADHD&nbsp;does not affect the intelligence of children and adolescents.<\/p>\n\n\n\n<p>Methylphenidate hydrochloride contained in Medikinet may also be approved for the treatment of other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you or your child take Medikinet<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Medikinet if you or your child:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>is allergic to methylphenidate hydrochloride or any of the other ingredients of this medicine (listed in section 6)<\/li><li>have thyroid problems<\/li><li>has increased pressure in the eye (&nbsp;glaucoma&nbsp;)<\/li><li>has a&nbsp;tumor&nbsp;in the adrenal gland (&nbsp;pheochromocytoma&nbsp;)<\/li><li>have an eating disorder, which makes you not feel hungry or do not want to eat, such as&nbsp;anorexia nervosa<\/li><li>have very high&nbsp;blood pressure&nbsp;or narrowing of the blood vessels, which can cause pain in the arms and legs<\/li><li>have or have had heart problems e.g.&nbsp;heart attack, irregular heartbeat, chest pain and discomfort,&nbsp;heart failure&nbsp;, heart disease or congenital heart problems<\/li><li>have had diseases of the blood vessels of the brain such as&nbsp;stroke&nbsp;, swelling and weakened part of blood vessels (&nbsp;aneurysm&nbsp;), narrowing or blocked blood vessels or&nbsp;inflammation&nbsp;of blood vessels (&nbsp;vasculitis&nbsp;)<\/li><li>takes or has during the last 14 days taken antidepressants, so-called&nbsp;monoamine oxidase inhibitors&nbsp;(&nbsp;MAOIs&nbsp;) (see Other medicines and Medikinet).<\/li><li>have psychiatric problems such as:<ul><li>psychopathic or&nbsp;borderline&nbsp;personality changes<\/li><li>abnormal thoughts or visions or a disease called schizophrenia<\/li><li>signs of severe mood disorders such as:<ul><li>suicidal thoughts,<\/li><li>severe depression, feeling great sadness, feeling of worthlessness and hopelessness<\/li><li>manic, is unusually elated, overactive or uninhibited.<\/li><\/ul><\/li><\/ul><\/li><li>has a history of disease with a pronounced lack of stomach acid (gastric juice in the stomach is not acidic) with a&nbsp;pH&nbsp;value above 5.5<\/li><li>take medicines to reduce gastric acid secretion or to treat excess stomach acid in the stomach (H2 receptor blockers, proton pump inhibitors or antacid treatment).<\/li><\/ul>\n\n\n\n<p>Do not take Medikinet if any of the above apply to you or your child.&nbsp;If you are not sure, talk to your doctor or pharmacist before you or your child take Medikinet as these conditions may get worse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to a doctor before you or your child use Medikinet if you or your child:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have liver or kidney problems<\/li><li>have difficulty swallowing or can not swallow whole tablets<\/li><li>have a narrowing or obstruction in the gastrointestinal tract<\/li><li>have had seizures (seizures,&nbsp;epilepsy&nbsp;) or abnormal&nbsp;EEG&nbsp;(electroencephalogram)<\/li><li>has for some period abused or been addicted to alcohol, drugs or &#8220;party drugs&#8221;<\/li><li>is a woman and has started menstruating (see section Pregnancy and breastfeeding)<\/li><li>have motor or verbal&nbsp;tics&nbsp;(difficult to control, repeated twitching in any part of the body or repeated sounds and words)<\/li><li>have high&nbsp;blood pressure<\/li><li>have a heart problem that is not mentioned in the section &#8220;Do not take&#8221; above<\/li><li>have a mental illness that is not mentioned in the section &#8220;Do not take&#8221; above.&nbsp;Other mental illnesses can be:<ul><li>mood swings (from manic to depressed, called&nbsp;bipolar disorder&nbsp;)<\/li><li>exhibits aggressive or hostile behavior, or aggravated aggression<\/li><li>see, hear or feel things that do not exist (hallucinations)<\/li><li>believe in things that are not true (delusions)<\/li><li>feels unusually suspicious (&nbsp;paranoia&nbsp;)<\/li><li>feeling upset, anxious or tense<\/li><li>feeling depressed or guilty<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Tell your doctor before starting treatment if any of the above conditions or symptoms apply to you or your child as these conditions may be aggravated by methylphenidate.&nbsp;Your doctor will check how the medicine is affecting you or your child.<\/p>\n\n\n\n<p><strong>Checks that the doctor will make before treatment with Medikinet:<\/strong><\/p>\n\n\n\n<p>To determine if Medikinet is the right medicine for you or your child, your doctor will discuss the following with you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>any medication that you or your child is taking.<\/li><li>if there is a history of sudden unresolved deaths in the family.<\/li><li>if there is any other medical condition (eg heart problem) that you, your child or your family may have.<\/li><li>how you or your child feel, e.g.&nbsp;is overly emotional, has strange thoughts and has had some such feelings in the past.<\/li><li>if&nbsp;tics&nbsp;occur within the family (difficult to control, repeated twitching in any part of the body or repeated sounds and words).<\/li><li>if you or your child or other family member has or has had a problem related to mental health or behavioral disorders.<\/li><\/ul>\n\n\n\n<p>The doctor will especially discuss whether you or your child is at risk of mood swings (from being manic to becoming depressed &#8211; called bipolar disorder).\u00a0This includes a review of mental health, including the incidence of suicide, bipolar disorder, and depression in the family.<br>You must provide as much information as you can.\u00a0It makes it easier for the doctor to decide if Medikinet is the right medicine for you or your child.\u00a0Your doctor may decide that more medical examinations are needed before you or your child are treated with this medicine.<\/p>\n\n\n\n<p>During treatment, boys and adolescents may unexpectedly experience prolonged\u00a0erections.\u00a0It can be a painful condition that can occur at any time.\u00a0You must contact your doctor immediately if an\u00a0erection\u00a0lasts for more than 2 hours, especially if it is painful<em>.<\/em><\/p>\n\n\n\n<p><strong>Surveys<\/strong><\/p>\n\n\n\n<p>This drug can give positive results in drug abuse tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Medikinet<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you or your child are taking, have taken, or might be taking other medicines.<\/p>\n\n\n\n<p><strong>Do not take Medikinet if you or your child:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>take so-called&nbsp;monoamine oxidase inhibitors&nbsp;(&nbsp;MAOIs&nbsp;) for depression, or have taken&nbsp;MAOIs&nbsp;for the past 14 days.&nbsp;Concomitant intake of&nbsp;MAO inhibitors&nbsp;and Medikinet modified-&nbsp;release&nbsp;capsules&nbsp;may cause a sudden increase in blood pressure.<\/li><\/ul>\n\n\n\n<p>If you or your child are taking other medicines at the same time, Medikinet may affect the effectiveness of these or cause\u00a0side effects.\u00a0Tell your doctor if you or your child are taking medicines to treat:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression<\/li><li>psychiatric illnesses<\/li><li>epilepsy<\/li><li>problems with&nbsp;blood pressure&nbsp;et<\/li><li>cough and colds.&nbsp;Some medicines and colds can affect&nbsp;blood pressure&nbsp;.&nbsp;It is important to consult your pharmacist when purchasing such a product<\/li><li>blood-thinning drugs that prevent blood clots.<\/li><\/ul>\n\n\n\n<p>Medikinet capsules, modified-\u00a0release\u00a0should not be taken with H\u00a0<sub>2<\/sub>\u00a0receptor blocking agents, proton pump inhibitors, or antacids used to reduce the hydrochloric acid production or counteract an excess of acid in the stomach, as it can lead to faster\u00a0release\u00a0of the total amount of active substance.<\/p>\n\n\n\n<p>If you are unsure whether any of the medicines you or your child are taking belong to the list above, consult your doctor or pharmacist before taking Medikinet.<\/p>\n\n\n\n<p><strong>Surgery<\/strong><br>Tell your doctor if you or your child are having surgery.\u00a0The medicine should not be taken on the day of surgery if a certain anesthetic is used.\u00a0Otherwise, there is a risk of a sudden increase in\u00a0blood pressure\u00a0during the operation.<\/p>\n\n\n\n<p><strong>The medicine with alcohol<\/strong><\/p>\n\n\n\n<p>Do not drink alcohol during treatment with this medicine, as alcohol may aggravate the\u00a0side effects of the\u00a0medicine.\u00a0Keep in mind that foods and medicines may contain alcohol.<\/p>\n\n\n\n<p><strong>Pregnancy and breastfeeding<\/strong><\/p>\n\n\n\n<p>Available data do not indicate an increased risk of malformations overall.&nbsp;However, it can not be ruled out that there is a small increase in the risk of heart defects when used during the first three months of pregnancy.&nbsp;Your doctor can provide more information about this risk.&nbsp;Talk to your doctor or pharmacist before using Medikinet if you or your daughter:<\/p>\n\n\n\n<p>&#8211; is sexually active.&nbsp;The doctor will discuss contraception<\/p>\n\n\n\n<p>&#8211; is pregnant or thinks you or your daughter may be pregnant.&nbsp;Your doctor will decide if Medikinet should be used.<\/p>\n\n\n\n<p>&#8211; breastfeeding or planning to breastfeed.\u00a0Incomplete data are indicating that methylphenidate hydrochloride is transferred to breast milk.\u00a0Therefore, your doctor will decide if breastfeeding can be done during treatment with Medikinet.<\/p>\n\n\n\n<p><strong>Driving and using machines<\/strong><\/p>\n\n\n\n<p>You or your child may experience dizziness, difficulty focusing your eyes, or blurred vision during treatment with Medikinet.\u00a0If this happens, it can be dangerous to perform such activities as driving a vehicle, using machines, riding, cycling, or climbing trees.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p><strong>The modified-release\u00a0medicine capsules\u00a0contain sucrose and\u00a0sodium<\/strong><\/p>\n\n\n\n<p>If you or your child cannot tolerate certain sugars, talk to your doctor before using this medicine.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)\u00a0sodium\u00a0per\u00a0dose, ie\u00a0essentially &#8216;sodium-free&#8217;.\u00a0is next to &#8220;sodium-free&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How you or your child takes Medikinet<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p><em>Use in children<\/em><\/p>\n\n\n\n<p>The maximum daily dose is 60 mg.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>your doctor will probably start treatment with a low&nbsp;dose&nbsp;of Medikinet and gradually increase your&nbsp;dose&nbsp;as needed.<\/li><li>the doctor will tell you which strength of the capsules to take each day.<\/li><li>do not divide the&nbsp;dose&nbsp;one into one capsule, take the entire contents.<\/li><li>The modified-&nbsp;release capsule&nbsp;should not be taken too late in the morning as it may cause sleep disturbances.<\/li><\/ul>\n\n\n\n<p><em>Use in adults<\/em><\/p>\n\n\n\n<p>For adults who have taken Medikinet before<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have already taken Medikinet as a child or adolescent, you can use the same daily&nbsp;dose&nbsp;(mg \/ day);&nbsp;your doctor will check you regularly to see if any adjustments need to be made<\/li><li>Adult patients may require a higher daily&nbsp;dose&nbsp;but the goal is for you to receive the lowest&nbsp;effective&nbsp;dose<\/li><li>the maximum daily&nbsp;dose&nbsp;one is i.a.&nbsp;based on your body weight (see below).<\/li><\/ul>\n\n\n\n<p>For adults who have not taken Medikinet before<\/p>\n\n\n\n<p>The recommended starting dose is 10 mg daily<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>your doctor will increase the&nbsp;dose&nbsp;one by 10 mg daily, depending on how well you tolerate the medicine and how effective it is<\/li><li>The goal is for you to get the lowest&nbsp;dose&nbsp;that is effective for you<\/li><li>the maximum daily&nbsp;dose&nbsp;one is i.a.&nbsp;based on body weight (see below)<\/li><li>your doctor will determine your maximum daily&nbsp;dose<\/li><li>the daily&nbsp;dose&nbsp;is 1 mg per kg body weight, up to a maximum of 80 mg methylphenidate daily.<\/li><\/ul>\n\n\n\n<p><strong>Your doctor will do the following when you or your child receive treatment<\/strong><\/p>\n\n\n\n<p><strong>The doctor will do some checks<\/strong><\/p>\n\n\n\n<p>\u2022 before you or your child start treatment, to ensure that Medikinet is safe and has benefits<\/p>\n\n\n\n<p>\u2022 after starting treatment, at least every 6 months, possibly more often.&nbsp;Checks will also be made when changing&nbsp;dose&nbsp;one.<\/p>\n\n\n\n<p>\u2022 the controls include the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>control of appetite<\/li><li>measurement of height and weight in children<\/li><li>measurement of weight in adults<\/li><li>measurement of&nbsp;blood pressure&nbsp;and&nbsp;heart rate<\/li><li>assessment of mood, thoughts or other unusual emotions.&nbsp;If these have worsened after Medikinet treatment has started.<\/li><\/ul>\n\n\n\n<p><strong>Method of administration The<\/strong><br>drug is intended to be taken orally.<\/p>\n\n\n\n<p>Children take Medikinet modified-release\u00a0capsules\u00a0in the morning\u00a0<strong>with or after<\/strong>\u00a0breakfast.<\/p>\n\n\n\n<p>Adults take Medikinet modified-release\u00a0capsules with\u00a0or after breakfast\u00a0<strong>and<\/strong>\u00a0lunch.<\/p>\n\n\n\n<p>The drug is a type of methylphenidate with &#8220;controlled release&#8221; which means that the drug is released for a longer time.\u00a0It is very important to take the capsule with or after a meal so that the effect is delayed.<\/p>\n\n\n\n<p>The capsules can be swallowed whole with a glass of water.<\/p>\n\n\n\n<p>Alternatively, the capsule can be opened and the contents distributed over a small amount (tablespoon) of apple puree or yogurt, which is taken immediately.\u00a0May not be saved to be given at a later time.<\/p>\n\n\n\n<p>The capsules or capsule contents should not be crushed or chewed.<\/p>\n\n\n\n<p><strong>If no improvement occurs after 1 month of treatment<\/strong><br>If you or your child does not feel better, talk to your doctor.&nbsp;The doctor may decide to give another treatment.<\/p>\n\n\n\n<p><strong>Long-term treatment<\/strong><\/p>\n\n\n\n<p>Treatment with Medikinet does not have to be forever.&nbsp;If treatment with Medikinet lasts for more than one year, the doctor should discontinue treatment at least once a year for a short time.&nbsp;In children, this could be done during a school holiday.&nbsp;This is to check if the medicine is still needed.<\/p>\n\n\n\n<p><strong>Improper use of Medikinet<\/strong><br>If Medikinet is not used properly, it may cause abnormal behavior.\u00a0It can also be a sign of tolerance development for the drug.\u00a0Tell your doctor if you or your child have ever abused or been addicted to alcohol, drugs, or narcotics.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you or your child have taken too much Medikinet<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if e.g.\u00a0a child ingested the medicine by mistake, contact a doctor, hospital.<br><\/p>\n\n\n\n<p>Signs of\u00a0acute\u00a0overdose may include the following: vomiting, agitation, tremors, increased uncontrolled movements, muscle twitching, convulsions (which may be followed by\u00a0coma\u00a0),\u00a0euphoria, confusion, hallucinations (seeing, feeling, or hearing things that do not exist), sweating, reddening of the skin, headache, high fever, changes in\u00a0heart rate\u00a0(slow, fast or irregular), high\u00a0blood pressure, dilated\u00a0pupils\u00a0and dry mucous membranes of the nose and mouth.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you or your child have forgotten to take Medikinet<\/h2>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.\u00a0If you or your child has missed a\u00a0dose, take the next\u00a0dose\u00a0at the usual time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you or your child stop taking Medikinet<\/h2>\n\n\n\n<p>If you or your child suddenly stops taking the medicine,&nbsp;ADHD&nbsp;symptoms&nbsp;may&nbsp;return or&nbsp;side effects&nbsp;such as depression may occur.&nbsp;The doctor gradually reduces the amount of medicine taken each day, before stopping treatment completely.&nbsp;Talk to your doctor before stopping treatment with Medikinet.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects,\u00a0although not everybody gets them.\u00a0Your doctor will tell you about these\u00a0side effects.<\/p>\n\n\n\n<p><strong>Some&nbsp;side effects&nbsp;can be serious.&nbsp;If you get any of the&nbsp;side effects&nbsp;listed below, seek medical attention immediately:<\/strong><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>palpitations (irregular heartbeat<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>mood swings<\/li><\/ul>\n\n\n\n<p>M&nbsp;<strong>ess common (may affect up to 1 in 100)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Mood swings<\/li><li>personality changes<\/li><li>see, feel or hear things that are not real, signs of&nbsp;psychosis<\/li><li>uncontrolled speech and uncontrolled body movements (Tourette&#8217;s syndrome) or worsening of it<\/li><li>chest pain<\/li><li>signs of&nbsp;allergy&nbsp;, such as rash,&nbsp;itching&nbsp;or hives, swelling of the face, lips and tongue or other parts of the body, shortness of breath, wheezing or difficulty breathing.<\/li><li>suicidal thoughts<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>feeling of being unusually excited, overactive and uninhibited (manic).<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart attack<\/li><li>seizures (epileptic seizures, convulsions)<\/li><li>skin flaking or red, bluish rash<\/li><li>muscle cramps that can not be controlled and affect the eyes, head, neck, body and nervous system due to temporary reduction of blood supply to the brain, temporary lack of&nbsp;adequate&nbsp;blood and oxygen supply (&nbsp;ischemia&nbsp;) to the brain.<\/li><li>paralysis or movement and vision difficulties, speech difficulties (may be a sign of affecting blood vessels in the brain)<\/li><li>lowering the number of&nbsp;blood cells&nbsp;(red, white and&nbsp;platelets&nbsp;) that can make you more susceptible to&nbsp;infection&nbsp;and to make bleeding and bruising easier<\/li><li>sudden increase in body temperature, very high&nbsp;blood pressure&nbsp;and severe seizures (neuroleptic malignant syndrome).&nbsp;It has not been established with certainty whether this side effect is caused by Medikinet or by other medicines taken at the same time as Medikinet.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in the unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>recurring delusions<\/li><li>unexplained fainting, chest pain, shortness of breath (may be a sign of heart disease).<\/li><\/ul>\n\n\n\n<p>If you get any of the&nbsp;side effects&nbsp;listed above, seek medical attention immediately.<\/p>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;are as follows, if any of these become serious, talk to your doctor or pharmacist:<\/strong><\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>nervousness<\/li><li>insomnia<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>reduced appetite<\/li><li>agitation<\/li><li>depression or numbness or lack of emotion or showing great interest<\/li><li>dry mouth<\/li><li>nausea<\/li><li>joint pain<\/li><li>fever<\/li><li>hair loss<\/li><li>abnormally sleepy and tired<\/li><li>panic attack<\/li><li>toothache<\/li><li>itching&nbsp;, rash or&nbsp;hives<\/li><li>cough, sore throat or nose and throat irritation<\/li><li>high&nbsp;blood pressure&nbsp;or other changes in&nbsp;blood pressure&nbsp;,<\/li><li>fast heart rhythm (&nbsp;tachycardia&nbsp;) or irregular heart rhythm (&nbsp;arrhythmia&nbsp;)<\/li><li>dizziness<\/li><li>uncontrolled movements<\/li><li>hyperactive<\/li><li>aggression, emotional instability, anxiety, stress, irritability,<\/li><li>abnormally behaved<\/li><li>abdominal pain, diarrhea, stomach discomfort, indigestion, thirst, vomiting<\/li><li>decreased appetite \/ unwillingness to eat<\/li><li>weight loss<\/li><li>severe gnashing of teeth (bruxism)<\/li><li>excessive sweating<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>tremors or tremors<\/li><li>dimsyn<\/li><li>muscle aches<\/li><li>constipation<\/li><li>inflammation&nbsp;of the mucous membranes of the stomach and small intestine<\/li><li>extra heartbeat sound (based on examination findings)<\/li><li>blood in the urine<\/li><li>double vision<\/li><li>muscle twitching<\/li><li>muscle tension<\/li><li>shortness of breath or chest pain<\/li><li>increase in liver values \u200b\u200b(detected by blood tests)<\/li><li>anger<\/li><li>weeping<\/li><li>restlessness<\/li><li>extremely aware of the environment,<\/li><li>feeling of extreme calm or drowsiness<\/li><li>problems with sleep in general<\/li><li>fatigue<\/li><li>tension<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>altered sexual desire<\/li><li>confusion<\/li><li>dilated&nbsp;pupils&nbsp;are, visual difficulties<\/li><li>breast swelling in men<\/li><li>reddening of the skin, red raised skin rash<\/li><li>pain as a result of the heart not getting enough blood<\/li><li>problems \/ changes in menstruation.<\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;side effects&nbsp;(may affect up to 1 in 10,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart attack<\/li><li>sudden death<\/li><li>muscle cramps<\/li><li>small red spots on the skin<\/li><li>inflammation&nbsp;or clogging of blood vessels in the brain<\/li><li>abnormal liver function, including liver failure and&nbsp;coma<\/li><li>altered, test results including liver and blood values<\/li><li>suicide attempt<\/li><li>disturbed thoughts<\/li><li>repeated acts of coercion<\/li><li>obsessions about individual things<\/li><li>lack of energy<\/li><li>feeling sad for a short period of time<\/li><li>loss of sensation and cold in fingers and toes, tingling and discoloration (from white to blue, then red) on cold (Raynaud&#8217;s syndrome)<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in the unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>migraine<\/li><li>very high fever<\/li><li>slow, fast or extra heartbeat<\/li><li>severe convulsions (&nbsp;grand mal&nbsp;convulsions)<\/li><li>delusions<\/li><li>confusion<\/li><li>sad \/ dark thoughts<\/li><li>feel a physical need for the medicine or feel its absence<\/li><li>changes in the blood vessels of the brain (&nbsp;stroke&nbsp;,&nbsp;inflammation&nbsp;and blockage of the blood vessels of the brain)<\/li><li>dry skin.<\/li><li>impotence<\/li><li>long lasting&nbsp;erection&nbsp;you, sometimes painful, or number of&nbsp;erections&nbsp;you<\/li><li>quickly incoherent talk<\/li><li>voltage<\/li><li>gnashing of teeth in sleep<\/li><li>ADHD&nbsp;symptoms may return or&nbsp;side effects&nbsp;such as depression may occur after stopping treatment<\/li><li>knitting<\/li><li>language and speech problems<\/li><li>nausea<\/li><li>attention deficit disorders<\/li><li>flu-like illness<\/li><li>lack of energy \/ weakness<\/li><li>thirst<\/li><li>increase in thyroid&nbsp;stimulating hormone&nbsp;in the blood<\/li><li>pain in the mouth and throat<\/li><li>nosebleed<\/li><li>heart pleasure<\/li><li>dry eyes<\/li><li>higher&nbsp;blood pressure&nbsp;in the eye than normal<\/li><li>stress with partner \/ family<\/li><li>chest pain<\/li><li>hemorrhage \/ redness<\/li><li>ear ringing (&nbsp;tinnitus&nbsp;)<\/li><li>abuse<\/li><li>pancytopenia (abnormal decrease in the levels of all types of&nbsp;blood cells&nbsp;)<\/li><li>inability to control urinary&nbsp;incontinence&nbsp;(&nbsp;incontinence&nbsp;)<\/li><li>spasm&nbsp;in the jaw muscles that makes it difficult to open the mouth (trismus)<\/li><li>stuttering<\/li><\/ul>\n\n\n\n<p><strong>Effects on growth<\/strong><br>If methylphenidate hydrochloride is used for more than a year, it may lead to slower growth in some children.&nbsp;Less than 1 in 10 children are affected.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Slower weight gain and growth may occur.<\/li><li>Your doctor will closely monitor your or your child&#8217;s development in terms of height and weight and how you or your child eats.<\/li><li>If you or your child does not grow as expected, treatment with Medikinet can be stopped for a short time.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Medikinet<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the blister and the carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is methylphenidate hydrochloride<\/p>\n\n\n\n<p>Medikinet 5 mg, modified-release\u00a0capsules, hard<\/p>\n\n\n\n<p>One modified-release\u00a0hard\u00a0capsule\u00a0contains 5 mg<\/p>\n\n\n\n<p>methylphenidate hydrochloride, equivalent to 4.35 mg methylphenidate.<\/p>\n\n\n\n<p>Medikinet 10 mg, capsules, modified-\u00a0release\u00a0hard<br>A capsule modified\u00a0release, hard contains 10 mg methylphenidate hydrochloride, corresponding to 8.65 mg of methylphenidate.<\/p>\n\n\n\n<p>Medikinet 20 mg, capsules, modified-\u00a0release\u00a0hard<br>A capsule modified\u00a0release, hard contains 20 mg methylphenidate hydrochloride, corresponding to 17.30 mg of methylphenidate.<\/p>\n\n\n\n<p>Medikinet 30 mg, capsules, modified-\u00a0release\u00a0hard<br>A capsule modified\u00a0release, hard contains 30 mg of methylphenidate hydrochloride, corresponding to 25.95 mg of methylphenidate.<\/p>\n\n\n\n<p>Medikinet 40 mg, capsules, modified-\u00a0release\u00a0hard<br>A capsule modified\u00a0release, hard contains 40 mg of methylphenidate hydrochloride, corresponding to 34.60 mg of methylphenidate.<\/p>\n\n\n\n<p>Medikinet 50 mg, modified-release\u00a0capsules, hard<\/p>\n\n\n\n<p>A modified-release\u00a0hard\u00a0capsule\u00a0contains 50 mg of methylphenidate hydrochloride, equivalent to 43.25 mg of methylphenidate.<\/p>\n\n\n\n<p>Medikinet 60 mg, modified-release\u00a0capsules, hard<\/p>\n\n\n\n<p>A modified-release\u00a0hard\u00a0capsule\u00a0contains 50 mg of methylphenidate hydrochloride, equivalent to 51.90 mg of methylphenidate.<\/p>\n\n\n\n<p>Other ingredients:<\/p>\n\n\n\n<p>Capsule contents:<br>Sugar spheres (containing sucrose and corn starch<br>Methacrylic acid-ethyl acrylate copolymer (1: 1)<br>Talc<br>Triethyl<br>Poly (vinyl alcohol)<br>Macrogol 3350<br>Polysorbate 80<br>Sodium hydroxide<br>Sodium<\/p>\n\n\n\n<p>Simethicone<br>Silica,\u00a0colloidal, anhydrous<br>Methylcellulose<br>Sorbic acid<br>Indigo carmine, aluminum lacquer (E132)<\/p>\n\n\n\n<p>Capsule shell:<br>Gelatin<br>Titanium dioxide (E127)<br>Sodium lauryl sulfate<br>Purified water<\/p>\n\n\n\n<p>Other excipients in Medikinet modified-&nbsp;release&nbsp;capsules&nbsp;10 mg \/ 20 mg:<br>Erythrosin (E127), patent blue V (E131)<br>Other excipients in Medikinet modified-&nbsp;release&nbsp;capsules&nbsp;30 mg \/ 40 mg \/ 50 mg \/ 60 mg:<br>Erythrosine (E127), black iron oxide (E172), indigo carmine (E132)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Medikinet 5 mg modified-release\u00a0capsule, hard<\/p>\n\n\n\n<p>White opaque capsule body \/ white opaque top (15.9 mm) containing white and blue grains.<\/p>\n\n\n\n<p>Medikinet 10 mg modified-release\u00a0capsules, hard<br>White opaque capsule body \/ purple opaque body (15.9 mm) containing white and blue grains.<\/p>\n\n\n\n<p>Medikinet 20 mg modified-release\u00a0hard\u00a0capsules<\/p>\n\n\n\n<p>Purple opaque capsule body \/ purple opaque upper part (15.9 mm) containing white and blue grains.<\/p>\n\n\n\n<p>Medikinet 30 mg modified-release\u00a0hard\u00a0capsules<\/p>\n\n\n\n<p>Light gray opaque capsule body \/ dark violet opaque upper part (15.9 mm) containing white and blue grains.<\/p>\n\n\n\n<p>Medikinet 40 mg modified-release\u00a0capsules, hard<br>Gray opaque capsule body \/ dark violet opaque body (18.0 mm) containing white and blue granules.<\/p>\n\n\n\n<p>Medikinet 50 mg modified-release\u00a0capsule, hard<\/p>\n\n\n\n<p>Violet opaque capsule body \/ dark violet opaque top (18 mm) containing white and blue grains.<\/p>\n\n\n\n<p>Medikinet 60 mg modified-release\u00a0capsule, hard<\/p>\n\n\n\n<p>Dark violet opaque capsule body \/ dark violet opaque top (19.4 mm) containing white and blue grains.<\/p>\n\n\n\n<p><em>Pack sizes:<\/em><\/p>\n\n\n\n<p>Medikinet 5 mg modified-release\u00a0capsule, hard<\/p>\n\n\n\n<p>Carton with 20, 30, or 50 hard capsules with modified-release\u00a0in PVC \/ PVdC blisters sealed with aluminum foil.<\/p>\n\n\n\n<p>Medikinet 10 mg, 20 mg, 30 mg, or 40 mg modified-release\u00a0capsule, hard<\/p>\n\n\n\n<p>Carton with 20, 28, 30, and 50 hard capsules with modified-release\u00a0in PVC \/ PVdC blisters sealed with aluminum foil.<\/p>\n\n\n\n<p>Medikinet 50 mg \/ 60 mg modified-release\u00a0capsule\u00a0, hard<\/p>\n\n\n\n<p>Carton with 20, 28, 30, or 40 hard capsules with modified-release\u00a0in PVC \/ PVdC blister sealed with aluminum foil.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>MEDICE Arzneimittel<br>P\u00fctter GmbH &amp; Co.&nbsp;KG<\/p>\n\n\n\n<p>Kuhloweg 37-39<\/p>\n\n\n\n<p>DE-58638<br>Iserlohn, Germany<\/p>\n\n\n\n<p><strong>Agent:<\/strong><br>Evolan Pharma AB<br>Box 120<br>182 12 Danderyd<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medikinet is used for the treatment of behavioral disorders called ADHD (Attention Deficit Hyperactivity Disorders)<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[16849,16854,3956,3958,16850,16853,3957,16851,16848,16852],"class_list":["post-17422","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-methylphenidate-hydrochloride","tag-benefits-of-the-medikinet","tag-methylphenidate-hydrochloride","tag-methylphenidate-hydrochloride-side-effects","tag-the-medikinet","tag-the-medikinet-side-effects","tag-what-is-methylphenidate-hydrochloride","tag-what-is-the-medikinet","tag-what-methylphenidate-hydrochloride-is-used-for","tag-what-the-medikinet-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17422"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17422\/revisions"}],"predecessor-version":[{"id":17453,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17422\/revisions\/17453"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}