Metilfenidato

Metilfenidato Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Metilfenidato is a brand name. Its generic name is Methylphenidate.

Introduction

Metilfenidato is a central nervous system stimulant prescribed to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is available as a drug or as an extended-release oral formulation. Metilfenidato works by increasing dopamine and norepinephrine levels in the brain, which help to improve attention and reduce impulsiveness and hyperactivity.

Uses

Metilfenidato is used to treat the symptoms of attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is also sometimes used to treat cognitive impairment associated with major depressive disorder, traumatic brain injury, and Parkinson’s disease.

Mechanism of Action

Metilfenidato works by blocking the reuptake of certain neurotransmitters in the brain, such as dopamine and norepinephrine. By blocking the reuptake, it allows these neurotransmitters to stay in the brain longer, improving attention span and minimizing hyperactivity and impulsiveness.

How Long Does it Take to Work?

The effects of methylphenidate typically begin to be felt within 30 minutes of taking the drug. The effects of the medication can last up to 10 hours.

Absorption

Metilfenidato is rapidly absorbed, with peak plasma levels typically reached 1-2 hours after taking the drug.

Route of Elimination

Metilfenidato is primarily eliminated through the kidneys by glomerular filtration. It is also metabolized in the liver by a number of different pathways, including CYP2D6 and CYP3A4.

Dosage

The dosage of methylphenidate varies depending on the indication and severity of the condition being treated. For ADHD, the typical starting dose is 5-10 mg twice daily, with increments of 5-10 mg every three days, up to a maximum daily dose of 60 mg/day. The dose for narcolepsy is 5-60 mg/day taken in divided doses.

Administration

Metilfenidato can be taken orally, either as a tablet or as an extended-release capsule or tablet. It can also be taken as a dissolved solution or as an injection.

Side Effects

Common side effects of methylphenidate include nausea, vomiting, stomachache, and decreased appetite. More serious side effects may include anxiety, agitation, aggression, hostility, dizziness, blurred vision, and insomnia.

Toxicity

Overdose of methylphenidate can lead to toxicity. Symptoms of overdose may include irregular heartbeat, seizure, coma, or death.

Precautions

Metilfenidato should not be taken by patients with known or suspected cardiac problems, including arrhythmias, structural heart disease, or pain. Use of the drug may also be associated with an increased risk of psychiatric events. It is not recommended for children under 6 years of age.

Interactions

Metilfenidato may interact with other medications, such as tricyclic antidepressants, selective serotonin reuptake inhibitors, antidopaminergics, and anticholinergics. It may also interact with alcohol, caffeine, tobacco, or illicit substances.

Disease Interaction

Metilfenidato can interact with certain diseases or conditions. It should not be used by patients with glaucoma, Tourette’s syndrome, a history of drug or alcohol abuse, or a personal or family history of a psychotic disorder.

Drug Interactions

Metilfenidato can interact with certain medications. These include blood pressure medications, antipsychotics, anticonvulsants, monoamine oxidase inhibitors, and certain antibiotics.

Food Interactions

Metilfenidato may interact with certain foods, making them less effective. These include citrus fruits, foods containing tyramine, and foods high in fat or sugar.

Pregnancy Use

Metilfenidato is classified as a pregnancy category C drug, which means there is an increased risk of developmental problems in the fetus if it is used during pregnancy.

Lactation Use

Metilfenidato is not recommended for use during lactation as it can be passed into breast milk and may cause adverse effects in the nursing infant.

Acute Overdose

Symptoms of an acute overdose of methylphenidate include agitation, confusion, dilated pupils, fever, hallucinations, seizures, and coma. Treatment for an acute overdose involves immediate medical attention and supportive measures.

Contraindication

Metilfenidato should not be used by people who have had a known reaction to the drug or have a known hypersensitivity to any of its components.

Use Direction

Metilfenidato should be taken exactly according to the directions given by the prescriber. It should not be taken in larger amounts or for longer periods than prescribed.

Storage Conditions

Metilfenidato should be stored at room temperature, away from direct light and moisture. Keep out of the reach of children.

Volume of Distribution

The volume of distribution of methylphenidate is 0.11 L/kg.

Half-Life

The half-life of methylphenidate is about 3.5 hours.

Clearance

The renal clearance of methylphenidate is 68 mL/min.

Here you find in details version of Metilfenidato

Some Frequently Asked Questions About Metilfenidato

.

What is Metilfenidato?

Metilfenidato (also known as Ritalin) is a psychostimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is a first line medication for ADHD.

How does Metilfenidato work?

Metilfenidato works by increasing the activity of neurotransmitters in the brain, particularly dopamine and norepinephrine. This leads to an increase in mental alertness and improved concentration.

Who is Metilfenidato prescribed to?

Metilfenidato is primarily prescribed to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Metilfenidato have any side effects?

Common side effects of Metilfenidato include dizziness, headache, nausea, irritability, vomiting, trouble sleeping, and an increased heart rate. It is important to talk to a doctor before taking any medication to make sure it is safe.

Can children take Metilfenidato?

Metilfenidato can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before giving any medication to a child.

Can adults take Metilfenidato?

Metilfenidato can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before taking any medication to make sure it is safe.

How long does it take for Metilfenidato to start working?

It usually takes about 1-2 hours for Metilfenidato to start working. The effects may last for up to 4-6 hours.

Is Metilfenidato safe for long-term use?

It is not recommended to use Metilfenidato for long-term use. Long-term use of stimulant medications can lead to dependence, tolerance, and withdrawal symptoms.

What happens if I miss a dose of Metilfenidato?

If you miss a dose of Metilfenidato, you should take it as soon as you remember. Do not double up on doses or take extra doses. Taking more than prescribed may result in serious side effects.

Can Metilfenidato be used to treat depression?

Metilfenidato is not usually prescribed to treat depression. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Metilfenidato be used to treat anxiety?

Metilfenidato is not usually prescribed to treat anxiety. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can I drink alcohol while taking Metilfenidato?

It is not recommended to drink alcohol while taking Metilfenidato. Alcohol can increase the side effects of the medication and may make it less effective.

Can I take Metilfenidato with other medications?

It is important to talk to a doctor before taking any other medications while taking Metilfenidato. Some medications may interact with each other, leading to serious side effects.

Are there any natural alternatives to Metilfenidato?

Yes, there are natural alternatives to Metilfenidato that can be used to treat ADHD. Some options include meditation, yoga, diet and lifestyle changes, and herbs such as ginkgo biloba, bacopa monnieri, and Rhodiola rosea.

Can I take Metilfenidato while pregnant?

It is not advised to take Metilfenidato while pregnant or nursing. Stimulant medications can be harmful to the developing baby and it is important to talk to a doctor before taking any medication during pregnancy.

Can Metilfenidato cause weight loss?

Yes, Metilfenidato can cause weight loss. It increases the activity of neurotransmitters in the brain which leads to an increase in mental alertness and improved concentration, which can lead to reduced appetite.

Is Metilfenidato a controlled substance?

Yes, Metilfenidato is a controlled substance in the United States and some other countries due to its potential for abuse and addiction.

What is the difference between Metilfenidato and Adderall?

Metilfenidato and Adderall are both psychostimulant medications used to treat attention-deficit hyperactivity disorder (ADHD). Metilfenidato is usually a longer-acting medication than Adderall, but both medications are effective in treating ADHD.

Does Metilfenidato cause a sensation of euphoria?

Yes, some people may experience a feeling of euphoria when taking Metilfenidato. This is one of the main reasons why the drug is abused and why it is a controlled substance in many countries.

How does Metilfenidato affect sleep?

Metilfenidato may make it harder to fall asleep or stay asleep. People who are taking Metilfenidato should talk to their doctor about any sleep problems they are experiencing.

Does Metilfenidato interact with caffeine?

Yes, caffeine can increase the side effects of Metilfenidato. It is best to avoid caffeine while taking Metilfenidato to avoid any undue side effects.

Can Metilfenidato cause high blood pressure?

Yes, Metilfenidato can cause increases in blood pressure. It is important to talk to a doctor before taking Metilfenidato to make sure it is safe, especially if you have a history of high blood pressure.

Is Metilfenidato habit-forming?

Yes, Metilfenidato is a habit-forming medication. Taking more than prescribed or taking it for a long period of time can lead to psychological or physical dependence.

Is Metilfenidato safe for adults over 65?

Metilfenidato is safe for adults over 65, however, it is important to talk to a doctor before taking any medication to make sure it is safe.

Can I drive a car after taking Metilfenidato?

It is not recommended to drive a car until you know how Metilfenidato affects you. This medication may cause drowsiness, dizziness, or impaired judgment, which could lead to an accident.

How soon before a job should I take Metilfenidato?

It is best to take Metilfenidato 1-2 hours before starting a job. Taking it any earlier may lead to an increase in side effects.

How long does it take for Metilfenidato to leave the body?

Metilfenidato usually leaves the body within 24 hours of taking the last dose. However, it may take longer for some people to fully metabolize the medication.

Does Metilfenidato cause constipation?

Yes, Metilfenidato can cause constipation. Drinking plenty of water and eating high-fiber foods can help prevent constipation.

Can Metilfenidato be used to treat insomnia?

No, Metilfenidato is not usually prescribed to treat insomnia. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Metilfenidato cause paranoia?

Yes, Metilfenidato can cause paranoia. It is important to talk to a doctor if you are feeling paranoid or if you experience any other unusual side effects.

Can Metilfenidato be used for weight loss?

Metilfenidato is not usually prescribed for weight loss. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can I take Metilfenidato with antidepressants?

It is important to talk to your doctor before taking any other medications while taking Metilfenidato. Some medications including antidepressants can interact with Metilfenidato, leading to serious side effects.

Does Metilfenidato cause depression?

Metilfenidato can cause depression in some people, especially when taken for a long-term period. It is important to talk to a doctor if you are feeling depressed while taking Metilfenidato.

Does Metilfenidato have stimulant effects?

Yes, Metilfenidato is a stimulant medication that increases activity in the brain to help with focus and concentration.

Does Metilfenidato have any long-term effects?

Long-term use of Metilfenidato may lead to dependence, tolerance, and withdrawal symptoms. It is important to talk to a doctor before taking any medication, and to use caution when using Metilfenidato.

What kind of drug is Metilfenidato?

Metilfenidato is a psychostimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Metilfenidato be taken with other medications?

It is important to talk to a doctor before taking any other medications while taking Metilfenidato. Some medications may interact with each other, leading to serious side effects.

Is Metilfenidato safe for children?

Metilfenidato can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before giving any medication to a child.

Can Metilfenidato be used to treat bipolar disorder?

Metilfenidato is not usually prescribed to treat bipolar disorder. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Metilfenidato cause liver damage?

Metilfenidato has not been shown to cause liver damage. However, if you experience any pain or other symptoms that could indicate liver damage while taking Metilfenidato, you should talk to your doctor immediately.

Can Metilfenidato be used to treat narcolepsy?

Yes, Metilfenidato is used to treat narcolepsy. It works by increasing the activity of neurotransmitters in the brain, leading to an increase in mental alertness and improved concentration.

Can Metilfenidato be used to treat anxiety disorder?

Metilfenidato is not usually prescribed to treat anxiety disorder. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Metilfenidato be used to treat ADD?

Yes, Metilfenidato is used to treat attention deficit hyperactivity disorder (ADHD), which is commonly referred to as ADD.

Does Metilfenidato cause impulsivity?

Metilfenidato can increase impulsivity in some people. This is one of the reasons why it is used to treat attention deficit hyperactivity disorder (ADHD).

Can Metilfenidato be used to treat insomnia?

No, Metilfenidato is not usually prescribed to treat insomnia. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Metilfenidato cause suicidal thoughts?

Yes, Metilfenidato can cause suicidal thoughts and behavior. It is important to talk to a doctor immediately if you experience any changes in behavior or mood while taking Metilfenidato.

Can Metilfenidato cause hallucinations?

Yes, Metilfenidato can cause hallucinations in some people. It is important to talk to a doctor immediately if you experience any hallucinations while taking Metilfenidato.