What should I Know Regarding Pregnancy, Nursing and Administering Dexmethylphenidate HCL ER to Children or the Elderly?

If you are pregnant

  • Not Recommended:
  • If you are nursing

  • If you are 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.
  • Pediatric use

  • 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.
  • Severe Precaution: Risk of sudden death: avoid use in patients with underlying cardiac structural abnormality, arrhythmia, cardiomyopathy, other heart problems. Monitor appetite, growth, and behavioral changes including suicidal ideation. Rare risk of priapism. Long-term efficacy not established for pediatric patients.
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    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.