DYANAVEL XR, Quillivant XR, and QuilliChew ER are federally controlled substances (CII) because they can be abused or lead to dependence. Keep these medicines in a safe place to prevent misuse and abuse. Selling or giving away these medicines may harm others and is against the law. Tell your doctor if you, your child, or any family members have ever abused or been dependent on alcohol, prescription medicines, or street drugs.
QUILLIVANT XR® SIDE EFFECTS AND SAFETY INFORMATION
The most serious risk information to know about Quillivant XR® (methylphenidate hydrochloride)
Quillivant XR is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Quillivant XR in a safe place to prevent misuse and abuse. Selling or giving away Quillivant XR may harm others and is against the law. Tell your doctor if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines, or street drugs.
Quillivant XR should not be taken if you or your child are allergic to methylphenidate hydrochloride, or any of the ingredients in Quillivant XR, or are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor or MAOI.
Serious side effects to know about Quillivant XR
The following have been reported with the use of methylphenidate hydrochloride and other stimulant medicines:
- Heart-related problems:
- Sudden death in patients who have heart problems or heart defects
- Stroke and heart attack in adults
- Increased blood pressure and heart rate
- Your healthcare provider should check your or your child’s blood pressure and heart rate regularly during treatment with Quillivant XR
- Mental (psychiatric) problems:
- New or worse behavior and thought problems
- New or worse bipolar illness
- May cause new psychotic symptoms (such as hearing voices, believing things that are not true, are suspicious) or new manic symptoms
- Circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon):
- Fingers or toes may feel numb, cool, painful, or may change color from pale, to blue, to red
Call your healthcare provider right away if you or your child have any:
- Heart-related symptoms such as chest pain, shortness of breath, or fainting
- New or worsening mental (psychiatric) symptoms or new manic symptoms
- Signs of unexplained wounds appearing on fingers or toes while taking Quillivant XR
Children should have their height and weight checked often while taking Quillivant XR. Quillivant XR treatment may be stopped if a problem is found during check-ups.
Who should not take Quillivant XR
Quillivant XR® (methylphenidate HCl) should not be taken if you or your child:
- Are allergic to methylphenidate hydrochloride, or any of the ingredients in Quillivant XR. See the end of the Medication Guide for a complete list of ingredients in Quillivant XR
- Are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor, or MAOI
If you or your child have other health conditions...
Quillivant XR® (methylphenidate HCl) may not be right for you or your child. Before starting Quillivant XR tell your or your child’s healthcare provider about all health conditions (or a family history of) including:
- Heart problems, heart defects, high blood pressure
- Mental problems including psychosis, mania, bipolar illness, or depression
- Circulation problems in fingers and toes
- Are pregnant or plan to become pregnant. It is not known if Quillivant XR will harm your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant
- Are breastfeeding or plan to breastfeed. Quillivant XR passes into your breast milk. You and your healthcare provider should decide if you will take Quillivant XR or breastfeed
If you or your child are taking other medications...
Tell your healthcare provider about all of the medicines that you or your child takes including prescription and nonprescription medicines, vitamins, and herbal supplements. Quillivant XR® (methylphenidate HCl) and some medicines may interact with each other and cause serious side effects. Sometimes the doses of other medicines will need to be adjusted while taking Quillivant XR.
Your healthcare provider will decide whether Quillivant XR can be taken with other medicines.
Especially tell your healthcare provider if you or your child takes:
- Antidepression medicines including MAOIs
- Cold or allergy medicines that contain decongestants
- Know the medicines that you or your child takes. Keep a list of your medicines with you to show your healthcare provider and pharmacist
Do not start any new medicine while taking Quillivant XR without talking to your healthcare provider first.
Additional information you should know about Quillivant XR
- Your healthcare provider may often ask you to stop taking Quillivant XR for some time to check your ADHD symptoms
- Your healthcare provider may check your blood, heart, and blood pressure while you are taking Quillivant XR
- Children should have their height and weight checked often. If a problem is found, your healthcare provider may ask you to stop taking Quillivant XR
- In case of poisoning, immediately call 1-800-222-1222, or, go to the nearest hospital emergency room
- If you miss a dose of Quillivant XR, be sure to speak with your healthcare provider
Possible side effects of Quillivant XR
- Painful and prolonged erections, known as priapism, have occurred with methylphenidate. If they occur, seek medical help right away. Because priapism can cause lasting damage, it should be checked by a healthcare provider right away
- The most common side effects of Quillivant XR include decreased appetite, trouble sleeping, nausea, vomiting, indigestion, stomach pain, weight loss, anxiety, dizziness, irritability, mood swings, fast heart beat, increased blood pressure
- These are not all the possible side effects of Quillivant XR
Call your healthcare provider for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088.
For more information about the possible side effects of Quillivant XR, see full Prescribing Information.