Quillivant XR

Generic name: Methylphenidate (oral)
Drug class: CNS stimulants

Usage of Quillivant XR

Quillivant XR is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

Quillivant XR extended-release oral suspension is used to treat attention deficit hyperactivity disorder (ADHD). The extended-release oral suspension formulation releases methylphenidate into your body throughout the day.

Quillivant XR may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD.

It is not known if Quillivant XR is safe and effective in children under 6 years of age.

Quillivant XR side effects

Get emergency medical help if you have signs of an allergic Reaction to Quillivant XR: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • signs of heart problems - chest pain, trouble breathing, feeling like you might pass out;
  • signs of psychosis - hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
  • signs of circulation problems - numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes; or
  • penis erection that is painful or lasts 4 hours or longer (rare).
  • Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate.

    Common Quillivant XR side effects may include:

  • excessive sweating;
  • mood changes, feeling nervous or irritable, sleep problems (insomnia);
  • fast heart rate, pounding heartbeats or fluttering in your chest, increased blood pressure;
  • loss of appetite, weight loss;
  • dry mouth, nausea, stomach pain; or
  • headache.
  • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Quillivant XR

    Do not use Quillivant XR if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others.

    You may not be able to use Quillivant XR if you are allergic to methylphenidate, or if you have:

  • glaucoma;
  • a personal or family history of tics (muscle twitches) or Tourette's syndrome; or
  • severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse).
  • Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:

  • heart problems or a congenital heart defect;
  • high blood pressure; or
  • a family history of heart disease or sudden death.
  • To make sure Quillivant XR is safe for you, tell your doctor if you or anyone in your family has ever had:

  • depression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions;
  • motor tics (muscle twitches) or Tourette's syndrome;
  • blood circulation problems in the hands or feet;
  • seizures or epilepsy;
  • problems with the esophagus, stomach, or intestines;
  • an abnormal brain wave test (EEG); or
  • drug or alcohol addiction.
  • Tell your doctor if you are pregnant or breastfeeding.

    Quillivant XR is not approved for use by anyone younger than 6 years old.

    Relate drugs

    How to use Quillivant XR

    Usual Adult Dose for Attention Deficit Disorder:

    Initial Dose: 20 mg orally once a day in the morning. Titrate in increments of 10 to 20 mg weekly until a well-tolerated, therapeutic dose is achieved. Maximum Dose: 60 mg/day.

    Usual Pediatric Dose for Attention Deficit Disorder:

    6 years or older: Initial Dose: 20 mg orally once a day in the morning. Titrate in increments of 10 to 20 mg weekly until a well-tolerated, therapeutic dose is achieved. Maximum Dose: 60 mg/day.

    Warnings

    You should not use Quillivant XR if you have glaucoma, tics or Tourette's syndrome, or severe anxiety, tension, or agitation.

    Do not use Quillivant XR if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others.

    Methylphenidate may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness, or bipolar disorder.

    Methylphenidate may be habit-forming, Misuse can cause addiction, overdose, or death.. Tell your doctor if you have had problems with drug or alcohol abuse.

    Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.

    You may have blood circulation problems that can cause numbness, pain, or discoloration in your fingers or toes.

    Call your doctor right away if you have: signs of heart problems - chest pain, feeling light-headed or short of breath; signs of psychosis - paranoia, aggression, new behavior problems, seeing or hearing things that are not real; signs of circulation problems - unexplained wounds on your fingers or toes.

    What other drugs will affect Quillivant XR

    Other drugs may interact with methylphenidate, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

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