Daytrana

Daytrana

Generic Name: methylphenidate (transdermal) (meth il FEN ih date)

Brand Names: Daytrana

What is Daytrana?

Daytrana (methylphenidate transdermal system) is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

Daytrana is used to treat attention deficit hyperactivity disorder (ADHD). It is a transdermal skin patch that is applied to a clean, dry site on the hip.

Daytrana patches may also be used for other purposes not listed in this medication guide.

Important information about Daytrana

Do not use a Daytrana patch if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.

Do not use Daytrana if you are allergic to methylphenidate or if you have glaucoma, tics (muscle twitches) or Tourette's syndrome, or severe anxiety, tension, or agitation (methylphenidate can make these symptoms worse).

Methylphenidate is a drug of abuse and may be habit-forming. Keep track of how many Daytrana patches have been used from each new package you receive. You should be aware if anyone is using your medicine improperly or without a prescription. Using this medication improperly can cause death or serious side effects on the heart.

Keep track of the amount of Daytrana patches used from each new package. Methylphenidate is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Using this medication improperly can cause death or serious side effects on the heart.

Children using Daytrana should be warned never to remove the skin patch and place it onto another person. Serious side effects may result.

Before using Daytrana

Do not use a Daytrana patch if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.

Do not use Daytrana if you are allergic to methylphenidate or if you have:

glaucoma;

a personal or family history of tics (muscle twitches) or Tourette's syndrome;

severe anxiety, tension, or agitation (Daytrana can make these symptoms worse); or

if you have ever had a skin reaction when using any type of adhesive bandage or transdermal skin patch.

Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects.

If you have any of these other conditions, your doctor may need to adjust the dose of Daytrana or order special tests:

a congenital heart defect;

high blood pressure, heart failure, heart rhythm disorder, or recent heart attack;

a personal or family history of mental illness, psychotic disorder, bipolar illness, depression, or suicide attempt;

epilepsy or other seizure disorder;

a skin condition such as eczema or psoriasis; or

a history of drug or alcohol addiction.

Methylphenidate may be habit-forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction.

FDA pregnancy category C. It is not known whether Daytrana will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether methylphenidate passes into breast milk or if it could harm a nursing baby. Do not use Daytrana without telling your doctor if you are breast-feeding a baby.

See also: Daytrana pregnancy and breastfeeding warnings (in more detail)

Long-term use of Daytrana can slow a child's growth. Tell your doctor if the child using Daytrana is not growing or gaining weight properly.

Do not use Daytrana on a child younger than 6 years old without the advice of a doctor.

How should I use Daytrana?

Use Daytrana exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Daytrana comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the Daytrana patch, open the sealed pouch and remove the protective liner. Press the patch onto the skin and press it down with the palm of your hand for about 30 seconds. Make sure the patch is well sealed around the edges. When properly applied, the patch should stay on while swimming or bathing.

Apply the Daytrana transdermal patch to an area on the hip that is clean and dry. Avoid skin that is oily, irritated, or damaged. Avoid placing the patch on a skin area that will be rubbed by a waistband or tight clothing. The next morning, apply a new patch to the opposite hip. Do not wear a patch on the same side of the body two days in a row.

The effects of this medicine should be noticeable within 2 hours after applying the skin patch. Remove the patch 9 hours after it was applied.

If the Daytrana patch falls off, replace it with a new one. Then remove the new patch after it has been 9 hours since you applied the first patch. Your patch wearing time should be no more than 9 hours per day, even if you apply a new patch to replace one that has fallen off.

After removing a patch, fold it in half so it sticks together and flush it down the toilet or place it in a waste can with a lid. If you stop using this medicine and have any unused patches leftover, throw each patch away using this same method.

Daytrana patches come with a chart to keep track of when the patches are applied and removed. A time chart is also included to help you estimate what time to remove a patch based on what time it is applied.

If you have sleep problems (insomnia) or loss of appetite in the evenings, try removing the Daytrana patch earlier in the day. Never cut the skin patch to try and reduce the amount of medicine you receive while wearing it.

Do not expose the skin patch to heat while you are wearing it. This includes heat from a heating pad, hot tub, electric blanket, or a heated water bed. Heat can cause the skin patch to release too much medicine at one time.

Keep the Daytrana patch in its sealed pouch until you are ready to use it. Store the patches at room temperature away from heat and moisture. Throw away any unused patches that are left over if it has been more than 30 days since you opened the original package.

Daytrana is a drug of abuse and may be habit-forming. Keep track of how many patches have been used from each new package of this medicine. You should be aware if any person in the household is using this medicine improperly or without a prescription. Using Daytrana improperly can cause death or serious side effects on the heart.

Children using Daytrana should be warned never to remove the skin patch and place it onto another person. Serious side effects may result.

What happens if I miss a dose?

Apply a patch as soon as you remember, and do not wear the patch for longer than 9 hours. You may need to shorten the wearing time to less than 9 hours if you apply a patch later than usual and you have sleep problems. Do not apply two patches at the same time to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Remove the patch right away and clean the skin area with soap and water. An overdose of methylphenidate can be fatal.

Overdose symptoms may include vomiting, agitation, tremors, muscle twitching, seizure (convusions), confusion, hallucinations, sweating, fast or pounding heartbeat, blurred vision, dry mouth and nose, and fainting.

What should I avoid while using Daytrana?

Daytrana can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Do not apply a Daytrana patch late in the day. A patch applied too late in the day can cause sleep problems (insomnia).

Daytrana side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Daytrana patches: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Daytrana and call your doctor at once if you have any of these serious side effects:

fast, pounding, or uneven heartbeats, feeling light-headed, fainting;<

feeling light-headed, fainting;

increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure);

redness, swelling, itching, or blistering where the skin patch was worn (may also spread to other areas);

headache with fever, weakness, joint pain, diarrhea, and/or vomiting;

aggression, restlessness, hallucinations, unusual behavior, or motor tics (muscle twitches); or

confusion, crying, feeling irritable.

Less serious Daytrana side effects may include:

vision problems;

mild skin redness, bumps, or itching;

nausea, vomiting;

loss of appetite, weight loss;

sleep problems (insomnia); or

stuffy nose, sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Daytrana side effects (in more detail)

What other drugs will affect Daytrana?

Before using Daytrana, tell your doctor if you are using any of the following drugs:

clonidine (Catapres) or other blood pressure medications;

a blood thinner such as warfarin (Coumadin);

seizure medicine such as phenytoin (Dilantin), phenobarbital (Luminal), primidone (Mysoline); or

an antidepressant such as clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), citalopram (Celexa), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), and others.

This list is not complete and there may be other drugs that can interact with Daytrana. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Daytrana resources

Daytrana Side Effects (in More Detail)

Daytrana Use in Pregnancy & Breastfeeding

Daytrana Drug Interactions

Daytrana Support Group

23 Reviews for Daytrana - Add your own review/rating

Daytrana Advanced Consumer (Micromedex) - Includes Dosage Information

Daytrana System MedFacts Consumer Leaflet (Wolters Kluwer)

Daytrana Prescribing Information (FDA)

Concerta Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Concerta Prescribing Information (FDA)

Metadate CD Prescribing Information (FDA)

Metadate CD Controlled-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Metadate ER Prescribing Information (FDA)

Methylin Prescribing Information (FDA)

Methylin MedFacts Consumer Leaflet (Wolters Kluwer)

Methylin ER Controlled-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Methylphenidate Hydrochloride Monograph (AHFS DI)

Ritalin Prescribing Information (FDA)

Ritalin LA Prescribing Information (FDA)

Ritalin LA Extended-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Daytrana with other medications

ADHD

Where can I get more information?

Your pharmacist can provide more information about Daytrana.