Metadate CD (Generic Name: methylphenidate HCl) is a central nervous system stimulant primarily used to treat attention deficit hyperactivity disorder (ADHD or ADD) in children ages 6-12, adolescents, and adults up to age 65. Metadate CD may improve focus, and decrease impulsivity and hyperactive behavior, two hallmark symptoms in some patients with the condition.
It contains the same active ingredient as medications like Ritalin and Daytrana. According to the FDA, Metadate CD is a federally controlled substance (CII) because it can be abused or lead to dependence.
It has not been studied in children under the age of 6 years. The American Academy of Pediatrics recommends treatment with behavioral therapy before medication for children under the age of 6.
For children ages 6 to 11, the AAP says “The primary care clinician should prescribe US Food and Drug Administration–approved medications for ADHD and/or evidence-based parent- and/or teacher-administered behavior therapy as a treatment for ADHD, preferably both.” Likewise, the National Institute of Mental Health finds the most successful treatment plans use a combination of ADHD medication, like Metadate CD, and behavior therapies.
The metadate CD can also be used to treat narcolepsy.
METADATE CD also contains the following inert ingredients: Sugar spheres, povidone, hydroxypropylmethylcellulose and polyethylene glycol, ethylcellulose aqueous dispersion, dibutyl sebacate, gelatin, and titanium dioxide.
The individual capsules contain the following color agents:
- 10 mg capsules: FD&C Blue No. 2, FDA/E172 Yellow Iron Oxide
- 20 mg capsules: FD&C Blue No. 2 30 mg capsules: FD&C Blue No. 2, FDA/E172 Red Iron Oxide
- 40 mg capsules: FDA/E172 Yellow Iron Oxide
- 50 mg capsules: FD&C Blue No. 2, FDA/E172 Red Iron Oxide
How to Use Metadate CD
Before starting or refilling a Metadate CD prescription, read the medication guide included with your pills, as it may be updated with new information.
This guide should not replace a conversation with your doctor, who has a holistic view of your or your child’s medical history, other diagnoses, and other prescriptions. If you have questions, ask your doctor or pharmacist before you begin taking the medication.
Side Effects of Metadate CD
- The most common side effects of Metadate CD are as follows: headache, decreased appetite, stomach ache, nervousness, difficulty sleeping, and dizziness.
- Other serious side effects include slowing of growth in children, seizures, priapism, and eyesight changes or blurred vision.
- If side effects are bothersome or do not go away, talk to your doctor. Most people taking this medication do not experience any of these side effects.
- Report to your doctor any heart-related problems or a family history of heart and blood pressure problems. Patients with structural cardiac abnormalities and other serious heart problems have experienced sudden death, stroke, heart attack, and increased blood pressure while taking Metadate CD. Stimulants can increase blood pressure and heart rate. Physicians should monitor these vital signs closely during treatment. Call your doctor immediately if you or your child experiences warning signs such as chest pain, shortness of breath, or fainting while taking Metadate CD.
- Also disclose to your physician all mental health issues including any family history of suicide, bipolar illness, tics, or depression. Metadate CD may create new or exacerbate existing behavior problems, bipolar illness, or Tourette’s syndrome. The FDA recommends evaluating patients for bipolar disorder, tics, and Tourette’s syndrome prior to stimulant administration. It can cause psychotic or manic symptoms in children and teenagers. Call your doctor immediately if you or your child experiences new or worsening mental health symptoms including hallucinations or sudden suspicions.
- Discuss circulation problems with your doctor before taking Metadate CD, which has been known to cause numbness, coolness, or pain in fingers or toes, including Raynaud’s phenomenon. Report to your doctor any new blood-flow problems, pain, skin color changes, or sensitivities to temperature while taking Metadate CD.
- Stimulants like Metadate CD have a high potential for abuse and addiction, especially among people who do not have ADHD. It is a “Schedule II Stimulant,” a designation that the Drug Enforcement Agency uses for drugs with a high potential for abuse. Other Schedule II drugs include Dexedrine, Ritalin, and cocaine. People with a history of drug abuse should use caution when trying this medication. Taking the medication exactly as prescribed can reduce the potential for abuse.
- The above is not a complete list of potential side effects. If you notice any health changes not listed above, discuss them with your doctor or pharmacist.