WARNING

Quillichew ER is an extended-release formulation of methylphenidate, a medication commonly used to treat attention deficit hyperactivity disorder (ADHD). Like any medication, Quillichew ER comes with potential risks and side effects. It’s important to note that individual responses to medication can vary, and not everyone will experience these effects. Here are some potential risks associated with Quillichew ER:

• Common Side Effects: Common side effects may include insomnia, decreased appetite, weight loss, upset stomach, nausea, and increased blood pressure. These effects are often mild and may improve over time.
• Cardiovascular Effects: Methylphenidate, the active ingredient in Quillichew ER, can lead to an increase in heart rate and blood pressure. Individuals with pre-existing cardiovascular conditions may be at a higher risk of experiencing adverse effects.
• Psychiatric Effects: Methylphenidate may exacerbate existing psychiatric conditions or lead to new psychiatric symptoms, including anxiety, agitation, aggression, mood swings, and potential for suicidal thoughts. It’s crucial to monitor individuals, especially those with a history of mental health disorders.
• Growth Suppression in Children: Long-term use of stimulant medications like Quillichew ER has been associated with a potential decrease in the rate of growth in children. Regular monitoring of height and weight is recommended.
• Abuse and Dependence: Methylphenidate has the potential for abuse and dependence, especially in individuals with a history of substance abuse. It should be used cautiously, and patients should be monitored for signs of misuse.
• Allergic Reactions: Although rare, some individuals may experience allergic reactions to Quillichew ER, including rash, itching, swelling, severe dizziness, or difficulty breathing. Seek medical attention if any of these symptoms occur.
• Tics or Tourette’s Syndrome: Stimulant medications like Quillichew ER may exacerbate tics or Tourette’s syndrome in some individuals. Careful monitoring is needed, and alternative treatments should be considered if these conditions worsen.

It’s important to discuss any concerns or potential side effects with a healthcare professional before starting Quillichew ER. The benefits of the medication, in terms of symptom management, should be weighed against potential risks, especially in individuals with pre-existing health conditions. Regular follow-ups with a healthcare provider are crucial to monitor for any adverse effects and adjust the treatment plan as needed.

Why is this medication prescribed?

Quillichew ER (extended-release methylphenidate) is a prescription medication commonly used in the treatment of attention deficit hyperactivity disorder (ADHD). It belongs to a class of drugs known as stimulants. The active ingredient, methylphenidate, works by affecting certain chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

How should this medicine be used?

Here are some key points regarding the prescription and use of Quillichew ER:

• Purpose: Quillichew ER is primarily prescribed to manage the symptoms of ADHD in children aged 6 years and older, as well as in adults. The symptoms of ADHD may include inattention, hyperactivity, and impulsivity.
• Formulation: Quillichew ER is an extended-release form of methylphenidate, which means it is designed to release the medication gradually over an extended period.
• Administration:The medication comes in the form of chewable tablets. It is typically taken once daily in the morning, with or without food. The tablets should be chewed thoroughly before swallowing.
• Dosage: The dosage of Quillichew ER is individualized based on the patient’s response to the medication and their specific needs. The healthcare provider will determine the appropriate starting dose and may adjust it over time.
• Follow Healthcare Provider’s Instructions: It is crucial to follow the healthcare provider’s instructions and the instructions on the prescription label. Do not adjust the dosage or stop taking the medication without consulting your healthcare provider.
• Monitoring: Regular check-ups with the healthcare provider are essential to monitor the effectiveness of the medication and any potential side effects.
• Side Effects and Precautions: Like any medication, Quillichew ER may cause side effects. Common side effects may include insomnia, decreased appetite, and stomachache. It’s important to inform the healthcare provider of any pre-existing medical conditions, allergies, or other medications being taken to avoid potential interactions.
• Storage: Store Quillichew ER at room temperature, away from moisture and heat.

It is important to note that the information provided here is general in nature, and specific instructions may vary based on individual cases. Patients should always follow the guidance of their healthcare provider and consult with them regarding any questions or concerns related to their medication.

Other uses for this medicine

Quillichew ER, or extended-release methylphenidate, is primarily indicated for the treatment of attention deficit hyperactivity disorder (ADHD). Its use for other conditions is generally limited, and any off-label use should be determined and monitored by a healthcare professional. It’s important to note that using medications off-label should only be done under the guidance of a qualified healthcare provider.

What special precautions should I follow?

Here are some general precautions:

• Medical History: Before starting Quillichew ER, inform your healthcare provider about your complete medical history, including any existing medical conditions and medications you are currently taking.
• Allergies: Inform your healthcare provider about any known allergies to methylphenidate or other ingredients in Quillichew ER.
• Cardiovascular Conditions: Special caution is advised in individuals with pre-existing cardiovascular conditions, such as heart problems, high blood pressure, or heart rhythm abnormalities.
• Psychiatric Conditions: Inform your healthcare provider if you have a history of psychiatric disorders, including depression, bipolar disorder, or suicidal thoughts.
• Seizures: Quillichew ER should be used with caution in individuals with a history of seizures.
• Circulation Problems: Caution is advised in individuals with circulation problems, as stimulant medications can affect blood flow.
• Substance Abuse: Individuals with a history of substance abuse or addiction should be closely monitored while using Quillichew ER.
• Growth Monitoring in Children: Children taking stimulant medications, including Quillichew ER, should have their growth monitored regularly. If growth suppression is a concern, the healthcare provider may consider adjusting the treatment plan.
• Pregnancy and Breastfeeding: Inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. The potential risks and benefits of using Quillichew ER during pregnancy and lactation should be discussed.
• Interactions with Other Medications: Inform your healthcare provider about all prescription and over-the-counter medications, as well as any herbal supplements or vitamins, that you are taking. Certain medications may interact with Quillichew ER.
• Driving and Operating Machinery: Quillichew ER may affect your ability to drive or operate machinery. Avoid these activities if you experience dizziness, blurred vision, or other side effects that may impair your ability to do so safely.

It’s crucial to adhere to your healthcare provider’s recommendations and attend regular follow-up appointments to monitor your response to the medication and address any concerns or side effects. If you have any questions or experience unusual symptoms, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Quillichew ER. However, it’s advisable to take the medication with or without food according to your healthcare provider’s instructions.

What should I do if I forget a dose?

• If you miss a dose of Quillichew ER, take it as soon as you remember. However, if it’s close to the time of your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
• Do not double the dose to make up for a missed one.

What side effects can this medication cause?

If you are prescribed Quillichew ER, your healthcare provider will closely monitor your response to the medication. If you notice any unusual or severe side effects, it’s essential to inform your healthcare provider promptly. Here are some common side effects associated with Quillichew ER:

Common Side Effects:

• Insomnia (Difficulty Sleeping): Stimulant medications like Quillichew ER can cause difficulty falling asleep or staying asleep. Taking the medication earlier in the day may help alleviate this side effect.
• Decreased Appetite: Some individuals may experience a reduction in appetite while taking Quillichew ER. This can lead to weight loss, especially in children. Regular monitoring of weight and nutritional status is important.
• Upset Stomach: Gastrointestinal issues, such as stomachache or nausea, may occur in some individuals.
• Headache: Headaches are a common side effect of Quillichew ER.
• Irritability or Mood Swings: Some individuals may experience changes in mood or increased irritability.

Less Common Side Effects:

• Increased Blood Pressure or Heart Rate: Stimulant medications can sometimes elevate blood pressure or heart rate. Regular monitoring is important, especially in individuals with pre-existing cardiovascular conditions.
• Dizziness or Lightheadedness: Some people may experience dizziness or a feeling of lightheadedness.
• Mood Changes: In some cases, individuals may experience changes in mood, such as nervousness or anxiety.
• Tics or Tourette’s Syndrome: Stimulant medications may exacerbate or trigger tics in individuals with Tourette’s syndrome.

Serious Side Effects (Rare):

• Allergic Reaction: Although rare, some individuals may experience an allergic reaction to Quillichew ER. Seek medical attention immediately if you experience symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing.
• Circulation Problems: In rare cases, stimulant medications can lead to circulation problems, such as fingers or toes turning white, blue, or purple. Seek medical attention if you notice these symptoms.

It’s crucial to report any side effects or concerns to your healthcare provider. Your provider will assess the risk-benefit profile and may adjust the dosage or consider alternative treatments if needed. Additionally, adherence to regular follow-up appointments is essential for monitoring your response to the medication and addressing any emerging issues.

What should I know about storage and disposal of this medication?

Storage and Disposal of Quillichew ER:

• Storage:
  • Store Quillichew ER at room temperature, away from moisture and heat.
  • Keep the medication in its original packaging, and ensure it is out of reach of children.
• Disposal:
  • Dispose of unused or expired Quillichew ER properly. Do not flush it down the toilet unless instructed to do so.
  • Check with your pharmacist or local waste disposal facility for guidance on proper disposal methods, which may include drug take-back programs.

In case of emergency/overdose

• In case of emergency or suspected overdose, seek medical attention or contact your local poison control center at 1-800-222-1222 immediately.
• Overdose symptoms may include severe restlessness, confusion, hallucinations, panic, aggression, muscle weakness, and rapid breathing.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Take Quillichew ER exactly as prescribed by your healthcare provider. Do not adjust the dosage or stop taking it without consulting your provider.
• Regular Check-ups: Attend regular follow-up appointments with your healthcare provider to monitor your response to the medication and address any concerns.
• Missed Dose: If you miss a dose, take it as soon as you remember. However, if it’s close to the next scheduled dose, skip the missed dose and resume the regular schedule. Do not double the dose to make up for a missed one.
• Inform Healthcare Provider: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as they may interact with Quillichew ER.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of Quillichew ER with your healthcare provider.
• Driving and Activities: Be cautious when driving or engaging in activities requiring alertness, as Quillichew ER may affect your ability to do so.
• Allergies: If you have a known allergy to methylphenidate or any other components of Quillichew ER, inform your healthcare provider.
• Medical Conditions: Inform your healthcare provider about any medical conditions you have, especially cardiovascular issues, seizures, or psychiatric disorders.

Always consult your healthcare provider or pharmacist if you have questions about Quillichew ER or if you experience any unexpected side effects. This information is general in nature, and specific guidance from a healthcare professional is crucial for safe and effective use.