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  • Generic Name: (methylphenidate hydrochloride)
    Other Brands: N/A
  • Last Revised: 03/2014
    • What is this medication and its most common uses?

      Metadate CD is a medicine used to treat attention-deficit hyperactivity disorder (ADHD).

      Metadate CD is a federally controlled substance because it has abuse potential.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Metadate CD is an extended-release medicine (releases medicine into your body throughout the day). Metadate CD works by changing the amount of certain chemicals in your brain, thereby improving symptoms of ADHD.

      What are the beneficial effects of this medication and when should I begin to have results?

      What: Metadate CD is an important part of a total treatment program for people with ADHD that may include counseling or other therapies. Metadate CD may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD.

      When: Metadate CD has been shown to be effective in both the morning and in the afternoon.

      How do I know it is working?

      You may start to notice an improvement in your symptoms. This is a good indicator that your medication is working. Your healthcare provider may ask you questions from time to time to assess how well your medicine is working and to check for improvement of your condition.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      Metadate CD is a federally controlled substance because it can be abused or lead to dependence. Keep Metadate CD in a safe place to prevent misuse and abuse. Selling or giving away Metadate CD may harm others, and is against the law.

      More common side effects may include: headache, stomach pain, loss of appetite, trouble sleeping.

      Less common side effects may include:

      Sudden death in people who have heart problems or heart defects; stroke and heart attack in adults; increased blood pressure and heart rate with symptoms such as chest pain, shortness of breath, or fainting.

      Mental problems with symptoms such as new or worsening behavior and thought problems, bipolar illness, aggressive behavior, or hostility. Children and teenagers may also begin to hear voices, believe in things that are not true, or become suspicious.

      Slowing of growth (height and weight) in children.

      Seizures, mainly in people with a history of seizures.

      Eyesight changes or blurred vision.

      Prolonged and painful erections.

      Circulation problems in your fingers or toes, with symptoms such as feeling numb, cool, or painful, or changing color (such as from pale to blue to red).

    • Who should not take this medication?

      Do not take Metadate CD if you are allergic to it, any of its ingredients, or to similar products.

      Do not take Metadate CD if you are very anxious, tense, or agitated.

      Do not take Metadate CD if you have glaucoma (high pressure in the eye), tics (repeated movements or sounds that cannot be controlled), Tourette's syndrome (a brain disorder characterized by tics), or a family history of Tourette's syndrome.

      Do not take Metadate CD if you have high blood pressure, heart problems, or hyperthyroidism (an overactive thyroid gland).

      Do not take Metadate CD if you are taking an antidepressant medication called a monoamine oxidase inhibitor (MAOI) (such as phenelzine or selegiline) or have taken any within the past 14 days.

    • What should I tell my healthcare provider before I take the first dose of this medication?

      Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Metadate CD. Also, talk to your healthcare provider about your complete medical history, including heart problems, heart defects, high blood pressure, mental problems (such as psychosis, mania, bipolar disorder, or depression) or a family history of these problems; tics or Tourette's syndrome; circulation problems in your fingers and toes; seizures; or if you have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Children ≥6 years: The recommended starting dose is 20 milligrams once a day. Your healthcare provider may increase your dose as appropriate.

    • How should I take this medication?

      Take Metadate CD exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Metadate CD without first talking to your healthcare provider.

      Take Metadate CD in the morning before breakfast. Swallow capsules whole with water or other liquids.

      If you cannot swallow capsules, open the Metadate CD capsule and sprinkle the medicine over a spoonful of applesauce. Swallow the applesauce and medicine mixture without chewing. Follow it with a drink of water or other liquid.

    • What should I avoid while taking this medication?

      Do not drive or operate dangerous machinery until you know how Metadate CD affects you.

      Do not drink alcohol while you are taking Metadate CD.

    • What are the possible food and drug interactions associated with this medication?

      If Metadate CD is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Metadate CD with any of the following: blood pressure medicines, blood thinners (such as warfarin), certain antidepressants known as tricyclic antidepressants (such as amitriptyline or imipramine) or selective serotonin reuptake inhibitors (SSRIs) (such as fluoxetine or sertraline), phenylbutazone, or seizure medications (such as phenobarbital, phenytoin, or primidone).

    • May I receive this medication if I am pregnant or breastfeeding?

      The effects of Metadate CD during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What should I do if I miss a dose of this medication?

      If you miss a dose of Metadate CD, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

    • How should I store this medication?

      Store at room temperature.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.