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, rasagiline, selegiline, or tranylcypromine.
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, and this medicine is a drug of abuse. 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.
Before taking this medicine
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, rasagiline, selegiline, 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.
It is not known whether Quillivant XR will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
If you are pregnant, your name may be listed on a pregnancy registry to track the effects of methylphenidate on the baby.
It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.
Quillivant XR is not approved for use by anyone younger than 6 years old.
How should I take Quillivant XR?
Take Quillivant XR extended-release oral suspension exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.
Methylphenidate may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
For patients 6 years and above, recommended starting dose of Quillivant XR 25 mg/5 mL extended-release oral suspension is 20 mg (4 mL) given orally once daily in the morning. Dosage may be increased weekly in increments of 10 mg (2 mL) to 20 mg (4 mL) per day. Daily dosage above 60 mg (12 mL) is not recommended.
Read all patient information, medication guides, and instruction sheets provided to you. Ask the doctor or pharmacist if you have any questions.
Quillivant XR extended-release oral suspension can be taken with or without food. Follow the directions on the medicine label
Dosing Instructions
Remove the Quillivant XR bottle and oral dosing dispenser from the box. If the oral dosing dispenser is missing or not provided, please contact your pharmacist for a replacement;
Check and make sure that the Quillivant XR bottle contains liquid medicine. If the medicine still in powder form, do not use it. Return it to your pharmacist;
Shake the bottle well (up and down) for at least 10 seconds before each use;
Uncap the bottle and check that the bottle adapter has been inserted into the bottle;
If bottle adapter has not been inserted into the bottle, insert adapter into the bottle;
Once the bottle adapter has been inserted into the bottle, it should not be removed. If the bottle adapter has not been inserted and is missing from the box, contact your pharmacist;
Check the Quillivant XR dose in milliliters (mL) as prescribed by your doctor. Locate this number on the oral dosing dispenser;
Insert the tip of the oral dosing dispenser into the upright bottle and push the plunger all the way down;
With the oral dosing dispenser in place, turn the bottle upside down. Pull the plunger to the number of mL you need;
Measure the number of mL of medicine from the white end of the plunger;
Remove the oral dosing dispenser from the bottle adapter;
Slowly squirt Quillivant XR directly into your or your child's mouth;
Cap the bottle tightly. Store the bottle upright at 59°F to 86°F (15°C to 30°C);
Clean the oral dosing dispenser after each use by placing in the dishwasher, or by rinsing with tap water.
To prevent sleep problems, take Quillivant XR in the morning.
While using Quillivant XR, your doctor will need to check on progress at regular visits. Your or your childs heart rate, blood pressure, height and weight may also need to be checked often.
From time to time, the doctor may stop Quillivant XR treatment for a while to check ADHD symptoms.
If you need surgery, tell the surgeon ahead of time that you are using Quillivant XR. You may need to stop using the medicine for a short time.
Keep track of the amount of medicine used from each new bottle. Methylphenidate is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
