Methylin® Oral Solution-Medication Guide
Methylin® Oral Solution-Medication Guide
(methylphenidate HCl oral solution) 5 mg/5 mL and 10 mg/5 mL
Read the Medication Guide that comes with Methylin Oral Solution before you or your child starts taking it and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your doctor about your or your child’s treatment with Methylin Oral Solution.
|What is the most important information I should know about Methylin Oral Solution?
The following have been reported with use of methylphenidate HCl oral solution and other stimulant medicines.
1. Heart-related problems:
§ sudden death in patients who have heart problems or heart defects
§ stroke and heart attack in adults
§ increased blood pressure and heart rate
Tell your doctor if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems.
Your doctor should check you or your child carefully for heart problems before starting Methylin Oral Solution.
Your doctor should check you or your child’s blood pressure and heart rate regularly during treatment with Methylin Oral Solution.
Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Methylin Oral Solution.
2. Mental (Psychiatric) problems: All Patients new or worse behavior and thought problems
Children and Teenagers new psychotic symptoms (such as hearing voices, believing things that are
not true, are suspicious) or new manic symptoms
Tell your doctor about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.
Call your doctor right away if you or your child have any new or worsening mental symptoms or problems while taking Methylin Oral Solution, especially seeing or hearing things that are not real, believing things that are not real, or are suspicious.
3. Circulation problems in fingers and toes [Peripheral vasculopathy, including Raynaud’s phenomenon]: fingers or toes may feel numb, cool, painful, and/or may change color from pale, to blue, to red.
Tell your doctor if you have or your child has numbness, pain, skin color change, or sensitivity to temperature in your fingers or toes.
Call your doctor right away if you have or your child has any signs of unexplained wounds appearing on fingers or toes while taking Methylin.
What Is Methylin Oral Solution?
Methylin Oral Solution is a central nervous system stimulant prescription medicine. Methylin Oral Solution is a liquid form of medication that you take by mouth. It is used for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD). Methylin Oral Solution may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.
Methylin Oral Solution should be used as a part of a total treatment program for ADHD that may include counseling or other therapies.
Methylin Oral Solution is also used in the treatment of a sleep disorder called narcolepsy.
|Methylin Oral Solution is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Methylin Oral Solution in a safe place to prevent misuse and abuse. Selling or giving away Methylin Oral Solution may harm others, and is against the law.
Tell your doctor if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines or street drugs.
Who should not take Methylin Oral Solution?
Methylin Oral Solution should not be taken if you or your child:
- are very anxious, tense, or agitated
- have an eye problem called glaucoma
- have tics or Tourette’s syndrome, or a family history of Tourette’s syndrome. Tics are hard to control repeated movements or sounds.
- are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor or MAOI.
- are allergic to anything in Methylin Oral Solution. See the end of this Medication Guide for a complete list of ingredients.
Methylin Oral Solution should not be used in children less than 6 years old because it has not been studied in this age group.
Methylin Oral Solution may not be right for you or your child. Before starting Methylin Oral Solution tell your or your child’s doctor about all health conditions (or a family history of) including:
- heart problems, heart defects, high blood pressure
- mental problems including psychosis, mania, bipolar illness, or depression
- tics or Tourette’s syndrome
- seizures or have had an abnormal brain wave test (EEG) circulation problems in fingers and toes
- Tell your doctor if you or your child is pregnant, planning to become pregnant, or breastfeeding.
Can Methylin Oral Solution be taken with other medicines?
Tell your doctor about all of the medicines that you or your child take including prescription and nonprescription medicines, vitamins, and herbal supplements.
Methylin Oral Solution and some medicines may interact with each other and cause serious side effects. Sometimes the doses of other medicines will need to be adjusted while taking Methylin Oral Solution.
Your doctor will decide whether Methylin Oral Solution can be taken with other medicines.
Especially tell your doctor if you or your child takes:
antidepression medicines including MAOIs seizure medicines blood thinner medicines blood pressure medicines cold or allergy medicines that contain decongestants
Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist.
Do not start any new medicine while taking Methylin Oral Solution without talking to your doctor first.
How should Methylin Oral Solution be taken?
- Take Methylin Oral Solution exactly as prescribed. Your doctor may adjust the
- dose until it is right for you or your child. Methylin Oral Solution is usually taken 2 to 3 times a day. Take Methylin Oral Solution 30 to 45 minutes before meals.
- From time to time, your doctor may stop Methylin Oral Solution treatment for awhile to check ADHD symptoms.
- Your doctor may do regular checks of the blood, heart, and blood pressure while taking Methylin Oral Solution. Children should have their height and weight checked often while taking Methylin Oral Solution. Methylin Oral Solution treatment may be stopped if a problem is found during these check-ups.
- If you or your child takes too much Methylin Oral Solution or overdoses, callyour doctor or poison control center right away, or get emergency treatment.
What are possible side effects of Methylin Oral Solution?
See “What is the most important information I should know about Methylin Oral Solution?” for information on reported heart and mental problems.
Other serious side effects include:
- slowing of growth (height and weight) in children
- seizures, mainly in patients with a history of seizures
- eyesight changes or blurred vision
- Painful and prolonged erections (priapism) have occurred with methylphenidate. If you or your child develop priapism, seek medical help right away. Because of the potential for lasting damage, priapism should be evaluated by a doctor immediately.
Common side effects include:
- trouble sleeping
- decreased appetite
- stomach ache
- weight loss
- fast heart beat
Talk to your doctor if you or your child has side effects that are bothersome or do not go away.
This is not a complete list of possible side effects. Ask your doctor or pharmacist for more information.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store Methylin Oral Solution?
- Store Methylin Oral Solution in a safe place at room temperature, 68° to 77°F (20° to 25°C).
- Keep Methylin Oral Solution and all medicines out of the reach of children.
General information about Methylin Oral Solution
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Methylin Oral Solution for a condition for which it was not prescribed. Do not give Methylin Oral Solution to other people, even if they have the same condition. It may harm them and it is against the law.
This Medication Guide summarizes the most important information about Methylin Oral Solution. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information about Methylin Oral Solution that was written for healthcare professionals. For more information, please contact Shionogi Inc. at
1-800-849-9707 or visit the website at www.methylinrx.com.
What are the ingredients in Methylin Oral Solution?
Active Ingredient: methylphenidate hydrochloride USP
Inactive Ingredients: citric acid anhydrous, glycerin, N&A grape flavor, PEG 1450, and purified water.
This Medication Guide has been approved by the U.S. Food and Drug Administration.
Florham Park, NJ 07932
Manufactured by: MOS-MG-03 Mallinckrodt Inc. L20M31 Hazelwood, MO 63042 USA Rev 12/2013
Reference ID: 3420844
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