{"id":17789,"date":"2022-01-25T09:26:14","date_gmt":"2022-01-25T09:26:14","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17789"},"modified":"2022-01-26T12:28:41","modified_gmt":"2022-01-26T12:28:41","slug":"methylphenidate-sandoz","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/methylphenidate-sandoz\/","title":{"rendered":"Methylphenidate Sandoz &#8211; Methylphenidate hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>18 mg, 36 mg, and 54 mg&nbsp;prolonged-release tablets&nbsp;are<br>methylphenidate hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Methylphenidate Sandoz is and what it is used for<\/h2>\n\n\n\n<p><strong>What is it used for<\/strong><\/p>\n\n\n\n<p>Sandoz Methylphenidate is used to treat&nbsp;ADHD&nbsp;(Attention Deficit Hyperactivity Disorders).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It is used in children and adolescents aged 6 to 18 years.<\/li><li>It is used only after other drug-free treatment methods have been tried, such as talk therapy and behavioral therapy.<\/li><\/ul>\n\n\n\n<p>Methylphenidate Sandoz should not be used to treat&nbsp;ADHD&nbsp;in children under 6 years of age or to start treatment in adults.&nbsp;If treatment is started at a younger age, it may be appropriate to continue Methylphenidate Sandoz when you grow up.&nbsp;Your doctor will advise you on this.<\/p>\n\n\n\n<p><strong>How it works<\/strong><\/p>\n\n\n\n<p>Methylphenidate Sandoz improves the activity in certain areas of the brain, which are underactive.&nbsp;The drug can help to improve attention (to retain attention), ability to concentrate, and to reduce impulsive behavior.<\/p>\n\n\n\n<p>The drug is given as part of a treatment program, which usually consists of:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>psychological&nbsp;therapy<\/li><li>training<\/li><li>social&nbsp;therapy<\/li><\/ul>\n\n\n\n<p>It is only prescribed by doctors who have experience with behavioral problems in children and adolescents.&nbsp;Although there is no cure for&nbsp;ADHD, the condition 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;may have:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>difficulty sitting still<\/li><li>difficulty concentrating.<\/li><\/ul>\n\n\n\n<p>It&#8217;s not their fault that they can not do these things.<\/p>\n\n\n\n<p>Many children and young people are struggling to cope with these things.&nbsp;In people with&nbsp;ADHD, problems in everyday life can occur.&nbsp;Children and adolescents with&nbsp;ADHD&nbsp;may have difficulty learning and doing homework.&nbsp;They have difficulty behaving well at home, at school, or elsewhere.<\/p>\n\n\n\n<p>ADHD&nbsp;does not affect the intelligence of a child or adolescent.<\/p>\n\n\n\n<p>Methylphenidate hydrochloride contained in Methylphenidate Sandoz may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask 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 take Methylphenidate Sandoz<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Methylphenidate Sandoz if you<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>is allergic to methylphenidate or any of the other ingredients of this medicine (listed in section 6)<\/li><li>have problems with the thyroid gland<\/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 that makes you not feel hungry or do not want to eat, such as &#8220;anorexia nervosa&#8221;<\/li><li>have very high&nbsp;blood pressure&nbsp;or have narrowing of the blood vessels, which can cause pain in the legs and arms<\/li><li>have or have had heart problems, such as heart attack, irregular heartbeat, chest pain or discomfort,&nbsp;heart failure&nbsp;, heart disease or have a congenital heart problem<\/li><li>have had problems with the blood vessels in the brain, such as&nbsp;stroke&nbsp;, dilated or weakened blood vessels in the brain (&nbsp;aneurysm&nbsp;), narrowing or blocked blood vessels, or&nbsp;inflammation&nbsp;of the blood vessels (&nbsp;vasculitis&nbsp;)<\/li><li>is currently taking an antidepressant, or has been doing so for the past 14 days (known as&nbsp;monoamine oxidase inhibitors&nbsp;&#8211;&nbsp;MAOIs&nbsp;).&nbsp;See section \u201cOther medicines and Methylphenidate Sandoz\u201d.<\/li><li>have mental health problems such as:- psychopathic or&nbsp;borderline&nbsp;personality disorder- divergent thoughts or visual experiences, or a disease called schizophreniasigns of serious mental problems, such as<ul><li>suicidal thoughts<\/li><li>severe depression, when you feel very sad, useless and have no hope<\/li><li>mania, when you are abnormally eager, overactive and uninhibited.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Do not take methylphenidate if any of the above apply to you.&nbsp;If you have any further questions, ask your doctor or pharmacist before taking methylphenidate.&nbsp;This is because methylphenidate can aggravate these problems.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Talk to your doctor before taking Methylphenidate Sandoz if you:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have liver or kidney problems<\/li><li>have difficulty swallowing or have difficulty swallowing whole tablets<\/li><li>have a narrowing or obstruction in the gastrointestinal tract or esophagus<\/li><li>have had seizures (seizures,&nbsp;epilepsy&nbsp;) or abnormal findings when measuring brain activity (&nbsp;EEC&nbsp;)<\/li><li>have ever abused or been addicted to alcohol, prescription drugs or drugs<\/li><li>is a girl and has started menstruating (see section &#8220;Pregnancy, breast-feeding and contraception&#8221; below)<\/li><li>have difficult-to-control repeated twitches in any part of the body or repeat sounds and words (&nbsp;tics&nbsp;)<\/li><li>have high&nbsp;blood pressure<\/li><li>have a heart problem not mentioned in the section above &#8220;Do not take Methylphenidate Sandoz if you&#8221;<\/li><li>have a mental health problem which is not mentioned in the above section &#8220;Do not take Methylphenidate Sandoz if you&#8221;.Other mental health problems can be:<ul><li>mood swings (from mania to depression, so-called &#8220;bipolar disorder&#8221;)<\/li><li>incipient aggression or hostility, or aggravated aggression<\/li><li>that you see, hear or feel things that do not exist (hallucinations)<\/li><li>believe in things that are not true (delusions)<\/li><li>excessive suspicion (&nbsp;paranoid&nbsp;)<\/li><li>excitement, anxiety or nervousness<\/li><li>depression or guilt.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>If any of the above applies to you, tell your doctor or pharmacist before starting treatment.&nbsp;This is because Methylphenidate Sandoz can make these problems worse.&nbsp;Your doctor will want to check how the medicine is affecting you.<\/p>\n\n\n\n<p>During treatment, boys and adolescents may unexpectedly experience prolonged&nbsp;erections.&nbsp;It can be a painful condition that can occur at any time.&nbsp;You must contact your doctor immediately if an&nbsp;erection&nbsp;lasts for more than 2 hours, especially if it is painful.<\/p>\n\n\n\n<p><strong>Checks that your doctor will do before starting treatment with Methylphenidate Sandoz<\/strong><\/p>\n\n\n\n<p>These checks are to determine if Methylphenidate Sandoz is the right drug for you.&nbsp;Your doctor will talk to you about the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are taking other medicines<\/li><li>if there have been any sudden unresolved deaths in the family<\/li><li>if there is any other medical condition (such as heart problems) in you or other people in your family<\/li><li>how you feel, e.g.&nbsp;if you are elated or depressed, have strange thoughts or if you have had any such feelings in the past<\/li><li>if there have been &#8220;tics&#8221; within the family (difficult-to-control repeated twitches in any part of the body or repetition of sounds and words)<\/li><li>if you or another family member has or has had a problem related to mental health or behavioral disorder.&nbsp;Your doctor will discuss whether you are at risk of mood swings (from being manic to becoming depressed, so-called &#8220;bipolar disorder&#8221;).&nbsp;Your previous mental health will be checked.&nbsp;It will also be checked if there has been suicide,&nbsp;bipolar disorder&nbsp;or depression in your family.<\/li><\/ul>\n\n\n\n<p>You must provide as much information as you can.&nbsp;It will help your doctor decide if methylphenidate is the right medicine for you.&nbsp;Your doctor may decide that more medical examinations are needed before you can start taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Methylphenidate Sandoz<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Do not take methylphenidate if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>take a medicine called &#8220;monoamine oxidase inhibitor&#8221; (&nbsp;MAOI&nbsp;) for depression, or have taken an&nbsp;MAOI&nbsp;for the last 14 days.&nbsp;Taking&nbsp;MAOIs&nbsp;together with methylphenidate can lead to a sudden increase in&nbsp;blood pressure&nbsp;.<\/li><\/ul>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking any of the following medicines for depression or anxiety:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>tricyclic antidepressant&nbsp;drugs<\/li><li>selective serotonin reuptake inhibitors (&nbsp;SSRIs&nbsp;)<\/li><li>serotonin&nbsp;and norepinephrine reuptake inhibitors (&nbsp;SNRIs&nbsp;).<\/li><\/ul>\n\n\n\n<p>Taking methylphenidate with these types of drugs can result in a life-threatening increase in&nbsp;serotonin&nbsp;in the brain (serotonergic syndrome), which can lead to a feeling of confusion or restlessness, sweating, tremors, muscle twitching, or rapid heartbeat.&nbsp;If you develop these&nbsp;side effects, consult your doctor immediately.<\/p>\n\n\n\n<p>If you are taking other medicines, methylphenidate may affect how well they work or cause&nbsp;side effects.<\/p>\n\n\n\n<p>If you are taking any of the following medicines, you must consult your doctor or pharmacist before taking methylphenidate:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines for serious mental problems<\/li><li>medicines for&nbsp;Parkinson&#8217;s disease&nbsp;(such as&nbsp;levodopa&nbsp;)<\/li><li>antiepileptic&nbsp;drugs<\/li><li>medicines for high or low&nbsp;blood pressure<\/li><li>certain cough medicines and cold medicines that can affect&nbsp;blood pressure&nbsp;.&nbsp;It is important to consult the pharmacy staff before buying any such product.<\/li><li>blood-thinning drugs that prevent blood clots.<\/li><\/ul>\n\n\n\n<p>If you are not sure if any of the medicines you are taking are included in the list above, consult your doctor or pharmacist before taking methylphenidate.<\/p>\n\n\n\n<p><strong>Operation<\/strong><\/p>\n\n\n\n<p>Tell your doctor if you will have surgery.&nbsp;Methylphenidate should not be taken on the day of surgery if a special type of anesthetic\/anesthetic is used.&nbsp;This is because there is a risk of a sudden increase in&nbsp;blood pressure&nbsp;and a sudden increase in the number of heartbeats during the operation.<\/p>\n\n\n\n<p><strong>Drug tests<\/strong><\/p>\n\n\n\n<p>This drug can give positive results in drug abuse tests.&nbsp;This also applies to tests performed at sports events.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Methylphenidate Sandoz with alcohol<\/h2>\n\n\n\n<p>Do not drink alcohol during treatment with this medicine.&nbsp;Alcohol can aggravate the&nbsp;side effects of the drug.&nbsp;Keep in mind that certain foods and medicines may contain alcohol.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and contraception<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/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;Tell your doctor or pharmacist before using Methylphenidate Sandoz if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>is sexually active.&nbsp;Your doctor will discuss contraception.<\/li><li>is pregnant or thinks you may be pregnant.&nbsp;Your doctor will decide if methylphenidate should be used.<\/li><li>breastfeeding or planning to breastfeed.&nbsp;Methylphenidate passes into breast milk.&nbsp;Therefore, your doctor will decide if you are breast-feeding during treatment with methylphenidate.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel dizzy, have trouble focusing, or have blurred vision when using methylphenidate.&nbsp;If this happens, it can be risky to do things like drive a vehicle and use machines, bike, ride, or climb 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.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Methylphenidate Sandoz contains lactose and sodium<\/h2>\n\n\n\n<p>This medicine contains&nbsp;lactose&nbsp;(a type of sugar).&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<p>Methylphenidate Sandoz 18 mg prolonged-release tablets:<\/p>\n\n\n\n<p>This medicine contains 7.8 mg&nbsp;sodium&nbsp;(the main ingredient in table salt\/table salt) per&nbsp;prolonged-release tablet.&nbsp;This corresponds to 0.39% of the maximum recommended daily&nbsp;sodium&nbsp;intake&nbsp;for adults.<\/p>\n\n\n\n<p>Methylphenidate Sandoz 36 mg prolonged-release tablets:<\/p>\n\n\n\n<p>This medicine contains 15.6 mg&nbsp;sodium&nbsp;(the main ingredient in table salt\/table salt) per&nbsp;prolonged-release tablet.&nbsp;This corresponds to 0.78% of the maximum recommended daily&nbsp;sodium&nbsp;intake&nbsp;for adults.<\/p>\n\n\n\n<p>Methylphenidate Sandoz 54 mg prolonged-release tablets:<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per&nbsp;prolonged-release tablet, ie it is essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Methylphenidate Sandoz<\/h2>\n\n\n\n<p><strong>How much medicine to take<\/strong><\/p>\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<ul class=\"wp-block-list\"><li>usually the doctor starts the treatment with a low&nbsp;dose&nbsp;and increases gradually if necessary.<\/li><li>The highest recommended daily&nbsp;dose&nbsp;is 54 mg.<\/li><li>You should take Methylphenidate Sandoz once daily in the morning with a glass of water.&nbsp;The tablet should be swallowed whole and not chewed, divided or crushed.&nbsp;The tablet can be taken with or without food.<\/li><\/ul>\n\n\n\n<p>The tablet does not dissolve completely after all the active substance has been released.&nbsp;Sometimes the tablet shell can accompany the stool out.&nbsp;This is normal.<\/p>\n\n\n\n<p><strong>If you do not feel better after 1 month of treatment<\/strong><\/p>\n\n\n\n<p>Tell your doctor if you do not feel better.&nbsp;Your doctor may decide to use another treatment.<\/p>\n\n\n\n<p><strong>Not using Methylphenidate Sandoz properly<\/strong><\/p>\n\n\n\n<p>If Methylphenidate Sandoz is not used properly, it can lead to abnormal behavior.&nbsp;It may also mean that you may become addicted to the drug.&nbsp;Tell your doctor if you have ever abused or been addicted to alcohol, prescription drugs, or drugs.<\/p>\n\n\n\n<p>This medicine is for you only.&nbsp;Do not give it to others, even if they have symptoms similar to yours.<\/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&nbsp;side effects, although not everybody gets them.&nbsp;Although some people get&nbsp;side effects, most people find that methylphenidate helps them.&nbsp;Your doctor will talk to you about these&nbsp;side 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, contact your healthcare provider immediately:<\/strong><\/p>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>irregular heartbeat (palpitations)<\/li><li>mood swings, mood swings or personality changes.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>suicidal thoughts or feelings<\/li><li>see, feel or hear things that do not exist.&nbsp;This is a sign of&nbsp;psychosis&nbsp;.<\/li><li>uncontrollable speech or movement (&nbsp;Tourette&#8217;s syndrome&nbsp;)<\/li><li>signs of&nbsp;allergy&nbsp;such as rash,&nbsp;itching&nbsp;or&nbsp;hives&nbsp;on the skin, swelling of the face, lips, tongue or other body parts, shortness of breath, wheezing or difficulty breathing.<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>feeling unusually excited, overactive or uninhibited (mania).<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>myocardial infarction<\/li><li>sudden death<\/li><li>suicide attempt<\/li><li>seizures (seizures, epilepsy)<\/li><li>flaky skin or red, bluish rash&nbsp;<\/li><li>inflammation&nbsp;or clogging of blood vessels in the brain<\/li><li>temporary paralysis or difficulty moving, vision problems, speech difficulties (these can be signs of problems with the blood vessels in the brain)<\/li><li>uncontrollable muscle cramps that affect the eyes, head, neck, body and nervous system.&nbsp;This is due to a temporary lack of blood supply to the brain.<\/li><li>decreased number of&nbsp;blood cells&nbsp;(red and&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;), which can make you more susceptible to infections and make you bleed or get bruised more easily<\/li><li>a sudden increase in body temperature, very high&nbsp;blood pressure&nbsp;and severe seizures (malignant neuroleptic syndrome).&nbsp;It is uncertain whether this&nbsp;side effect&nbsp;is caused by methylphenidate or by other medicines that may have been taken in combination with methylphenidate.<\/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 unwanted thoughts<\/li><li>unexplained fainting, chest pain or shortness of breath (may be a sign of heart problems)<\/li><li>paralysis or difficulty moving, visual or speech difficulties (may be a sign of a problem with the blood vessels in the brain)<\/li><li>prolonged erections, sometimes painful, or increased number of&nbsp;erections&nbsp;.<\/li><\/ul>\n\n\n\n<p>If you get any of the above&nbsp;side effects, seek medical advice immediately.<\/p>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;are as follows.&nbsp;If they become serious, consult a doctor or pharmacist:<\/strong><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>nervousness<\/li><li>difficulty sleeping<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>joint pain<\/li><li>dimsyn<\/li><li>tension headache<\/li><li>dry mouth&nbsp;, thirst<\/li><li>insomnia<\/li><li>fever<\/li><li>problems with sex drive<\/li><li>abnormal hair loss or thinning<\/li><li>muscle tension, muscle cramps<\/li><li>loss of appetite or decreased appetite<\/li><li>inability to get or maintain an&nbsp;erection<\/li><li>itching&nbsp;, rash or raised red itchy&nbsp;hives<\/li><li>abnormal drowsiness or drowsiness, fatigue<\/li><li>severe gnashing of teeth (bruxism), feeling of panic<\/li><li>irritating, stinging sensation or numbness in the skin<\/li><li>increased level of&nbsp;alanine aminotransferase&nbsp;(liver enzyme) in the blood<\/li><li>cough, sore throat or nose and throat irritation;&nbsp;upper respiratory tract infection, sinusitis<\/li><li>high&nbsp;blood pressure&nbsp;, fast&nbsp;pulse&nbsp;(&nbsp;tachycardia&nbsp;)<\/li><li>dizziness (&nbsp;vertigo&nbsp;), weakness, jerky, uncontrollable movements, hyperactivity<\/li><li>feel aggressive, agitated, anxious, depressed, irritated, tense, nervous and exhibit abnormal behavior<\/li><li>Stomach upset or indigestion, stomach pain, diarrhea, nausea, upset stomach and vomiting<\/li><li>toothache<\/li><li>excessive sweating.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dry eyes<\/li><li>constipation<\/li><li>feeling of discomfort in the chest<\/li><li>blood in the urine<\/li><li>lethargy<\/li><li>shaking or trembling<\/li><li>increased need to urinate<\/li><li>muscle aches, muscle twitching<\/li><li>shortness of breath or chest pain<\/li><li>feeling of warmth<\/li><li>elevated liver values \u200b\u200b(detected by blood test)<\/li><li>anger, restlessness or weeping, talking too much, excessive attention to the environment, difficulty sleeping.<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>feel disoriented or confused<\/li><li>visual disturbances or double vision<\/li><li>swelling of the breasts in men<\/li><li>reddening of the skin, red raised rash.<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people)<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle cramps<\/li><li>small red spots on the skin<\/li><li>abnormal liver function, including&nbsp;acute&nbsp;liver failure and&nbsp;coma<\/li><li>altered liver and blood levels<\/li><li>abnormal thoughts, lack of emotions, repeated compulsions, obsessions about individual things<\/li><li>loss of sensation in fingers and toes, tingling and change in color (from white to blue, then red) on cold (Raynaud&#8217;s phenomenon).<\/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>dilated&nbsp;pupil&nbsp;is<\/li><li>very high fever<\/li><li>slow, fast or extra heartbeat<\/li><li>severe seizures (&nbsp;grand mal&nbsp;cramps)<\/li><li>believe in things that do not exist<\/li><li>severe abdominal pain, usually with nausea and vomiting<\/li><li>spasm&nbsp;in the jaw muscles that makes it difficult to open the mouth (trismus)<\/li><li>inability to control urinary incontinence (&nbsp;incontinence&nbsp;)<\/li><li>stuttering.<\/li><\/ul>\n\n\n\n<p><strong>Effects on growth<\/strong><\/p>\n\n\n\n<p>When methylphenidate has been used for over a year, it can lead to slower growth in some children.&nbsp;This occurs in less than 1 in 10 children.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lack of weight gain and height growth may occur.<\/li><li>Your doctor will closely monitor your progress in terms of weight and height, as well as how well you eat.<\/li><li>If you do not grow as expected, treatment with methylphenidate may be stopped for a short time.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Methylphenidate Sandoz<\/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 label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Storage instructions after first opening:<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>Shelf life after first opening:<\/p>\n\n\n\n<p>6 months.<\/p>\n\n\n\n<p>The package contains a puck with desiccant that protects the&nbsp;prolonged-release tablets&nbsp;from moisture.&nbsp;The puck with desiccant must not be swallowed.<\/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 package 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>One&nbsp;prolonged-release tablet&nbsp;contains 18 mg of methylphenidate hydrochloride.<\/p>\n\n\n\n<p>One&nbsp;prolonged-release tablet&nbsp;contains 36 mg of methylphenidate hydrochloride.<\/p>\n\n\n\n<p>One&nbsp;prolonged-release tablet&nbsp;contains 54 mg of methylphenidate hydrochloride.<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p><em>Stocks containing active substances:<\/em>&nbsp;polyethylene oxide, succinic acid, povidone (K25), butylhydroxytoluene, stearic acid<\/p>\n\n\n\n<p><em>Active substance release layer:<\/em>&nbsp;polyethylene oxide, sodium chloride, povidone (K25), butylhydroxytoluene, red iron oxide (E172), stearic acid<\/p>\n\n\n\n<p><em>Membrane layer:<\/em>&nbsp;cellulose acetate, poloxamer 188<\/p>\n\n\n\n<p><em>Active substance coating:<\/em>&nbsp;hypromellose, succinic acid<\/p>\n\n\n\n<p><em>Film coating:<\/em>&nbsp;film coating containing&nbsp;lactose monohydrate, hypromellose, titanium dioxide (E171), macrogol 4000.<\/p>\n\n\n\n<p><em>In addition, 18 mg prolonged-release tablets contain:<\/em><\/p>\n\n\n\n<p>Yellow iron oxide (E172)<\/p>\n\n\n\n<p><em>In addition, 54 mg&nbsp;prolonged-release tablets&nbsp;contain&nbsp;<\/em><em>:<\/em><\/p>\n\n\n\n<p>Red iron oxide (E172)<\/p>\n\n\n\n<p>Yellow iron oxide (E172)<\/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><em>18 mg&nbsp;prolonged-release tablets&nbsp;are<\/em>&nbsp;:<\/p>\n\n\n\n<p>Light yellow, round, film-coated tablet (diameter 8 mm) with a&nbsp;release&nbsp;opening (visible, small, round opening) on \u200b\u200bone side.<\/p>\n\n\n\n<p><em>36 mg&nbsp;prolonged-release tablets&nbsp;are<\/em>&nbsp;:<\/p>\n\n\n\n<p>White, round, film-coated tablet (diameter 10 mm) with a&nbsp;release&nbsp;opening (visible, small, round opening) on \u200b\u200bone side.<\/p>\n\n\n\n<p><em>54 mg&nbsp;prolonged-release tablets&nbsp;are<\/em>&nbsp;:<\/p>\n\n\n\n<p>Red, round, film-coated tablet (diameter 10 mm) with a&nbsp;release&nbsp;opening (visible, small, round opening) on \u200b\u200bone side.<\/p>\n\n\n\n<p>The prolonged-release tablets&nbsp;are packed in HDPE jars with a child-resistant polypropylene closure (PP screw cap) with a drying capsule.<\/p>\n\n\n\n<p>Pack sizes:<\/p>\n\n\n\n<p>28 or 30&nbsp;prolonged-release tablets&nbsp;or multiple packs: 60 (2&#215;30) or 90 (3&#215;30)&nbsp;prolonged-release tablets&nbsp;.<\/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><em>Marketing Authorisation Holder:<\/em><\/p>\n\n\n\n<p>Sandoz A \/ S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n\n\n\n<p><em>Manufacturer:<\/em><\/p>\n\n\n\n<p>Lek Pharmaceuticals dd, Verovskova 57, 1526 Ljubljana, Slovenia<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Salutas Pharma GmbH, Otto-von-Guericke-Allee 1, 39179 Barleben, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sandoz Methylphenidate is used to treat 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":[16849,17368,3956,3958,6661,17363,17367,17366,3957,17364,16848,17365],"class_list":["post-17789","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-methylphenidate-hydrochloride","tag-benefits-of-methylphenidate-sandoz","tag-methylphenidate-hydrochloride","tag-methylphenidate-hydrochloride-side-effects","tag-methylphenidate-hydrochloride-tablet","tag-methylphenidate-sandoz","tag-methylphenidate-sandoz-side-effects","tag-methylphenidate-sandoz-tablet","tag-what-is-methylphenidate-hydrochloride","tag-what-is-methylphenidate-sandoz","tag-what-methylphenidate-hydrochloride-is-used-for","tag-what-methylphenidate-sandoz-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17789","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=17789"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17789\/revisions"}],"predecessor-version":[{"id":17843,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17789\/revisions\/17843"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17789"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}