If you are:
Only When Necessary:
Precaution: INSUFF HUMAN DATA; CHEMICALLY SIMILAR DRUG EXCRETED IN LOW AMOUNTS
An adult over 60:
management or monitoring precaution: Neuro/Psych-Generally not recommended in the elderly. Risk for worsening cognitive impairment. Cardiovascular-May exacerbate pre-existing hypertension or coronary insufficiency and cause peripheral vasculopathy. Gastrointestinal-Anorexia may cause significant weight loss.
Giving dexmethylphenidate HCL to a child under 12:
Severe Precaution: No safety and efficacy and not indicated age < 6 years. Risks associated with cardiac structural and rhythm abnormalities. Behavioral changes reported. Effects on growth rate.
management or monitoring precaution: Warning with underlying cardiac structural defects, arrhythmia, cardiomyopathy. Monitor growth and behavior. Rare risk of priapism. Long term effects of treatment unknown.