Methylphenidate hcl

From WikiMD's Wellness Encyclopedia

Methylphenidate HCl (hydrochloride) is a central nervous system (CNS) stimulant medication primarily used to treat Attention Deficit Hyperactivity Disorder (ADHD) and Narcolepsy. Methylphenidate HCl works by increasing the levels of certain chemicals in the brain that help improve attention, focus, and impulse control. It is available under various brand names, including Ritalin, Concerta, and others.

Medical Uses[edit | edit source]

Methylphenidate HCl is used to manage symptoms of ADHD, helping to increase attention and decrease impulsiveness and hyperactivity in patients. It is also prescribed for narcolepsy, a sleep disorder, to help improve wakefulness. Treatment with methylphenidate HCl should be part of a comprehensive treatment plan that includes psychological, educational, and social measures.

Pharmacology[edit | edit source]

Methylphenidate HCl acts as a norepinephrine-dopamine reuptake inhibitor (NDRI), which increases the levels of the neurotransmitters norepinephrine and dopamine in the brain. This action helps to improve concentration and reduce the symptoms of ADHD and narcolepsy.

Side Effects[edit | edit source]

Common side effects of methylphenidate HCl include insomnia, decreased appetite, weight loss, nausea, and anxiety. More serious side effects can include heart problems, psychiatric problems, and circulation problems in fingers and toes. It is important for patients to be closely monitored by their healthcare provider while taking this medication.

Contraindications[edit | edit source]

Methylphenidate HCl is contraindicated in individuals with a history of hypersensitivity to the drug or its components, glaucoma, tics or Tourette's syndrome, and in those with a history of drug dependence. It should be used with caution in patients with a history of heart problems or mental health issues.

Formulations and Dosage[edit | edit source]

Methylphenidate HCl is available in various formulations, including immediate-release tablets, extended-release capsules, and chewable tablets, allowing for flexible dosing throughout the day. The dosage of methylphenidate HCl is individualized based on the patient's medical condition and response to treatment.

Legal Status[edit | edit source]

The legal status of methylphenidate HCl varies by country but it is commonly classified as a controlled substance due to its potential for abuse and dependence. In many countries, it is available only by prescription.

See Also[edit | edit source]

Contributors: Prab R. Tumpati, MD