What is Daytrana?
Daytrana is a skin patch that you apply to your hip. This patch contains methylphenidate, a brain stimulant that stimulates the central nervous system. Methylphenidate alters brain chemicals and nerves, which contribute to hyperactivity. Daytrana is used for the treatment of attention deficit hyperactivity disorder (ADHD). Daytrana can help improve your attention and reduce hyperactive and impulsive behavior. Daytrana may be used in conjunction with other treatment options or counseling to treat ADHD.
Warnings
Daytrana can cause psychosis, especially in people with a mental illness or a previous history of depressive disorder. Daytrana should not be used if you suffer from glaucoma or tics, Tourette syndrome or agitation, severe anxiety, or tension. You should not take methylphenidate within 14 days if you've taken MAO inhibitors, such as isocarboxazid or linezolid. Daytrana can be addictiveInform your physician of any history of drug or alcohol abuse, including recent attempts. Store the medicine in a place where other people cannot access it. Do not share Daytrana patches, particularly with someone who has a drug addiction or abuse history. Stimulants can cause strokes, heart attacks, and sudden deaths in those with heart problems, high blood pressure, or heart defects. If you experience any of the following symptoms, call your doctor immediately: signs of heart disease—feeling faint, lightheaded, or having trouble breathing; or signs of psychosis—paranoia, aggression, or new behavioral problems.
Similar/related drugs
Adderall, Vyvanse, methylphenidate, Strattera, Ritalin, and Concerto
Before you take this drug
Daytrana should be avoided if:
- Glaucoma;
- Tics (muscle twitches);
- A personal or familial history of tourette syndrome
- Severe tension or anxiety.
- If you've ever experienced a reaction to the daytrana patch,
Certain stimulants can cause strokes, heart attacks, or sudden deaths in some people. Inform your doctor about:
- Heart problems or a congenital heart defect;
- High blood pressure
- A family history of sudden or heart-related death
Daytrana should not be used if mao inhibitors have been taken in the last 14 days. It is possible that a dangerous drug interaction will occur. There are several mao inhibitors, including isocarboxazid (linezolid), methylene blue injection, phenelzine, and selegiline. Inform your doctor of any other medications you are taking, such as opioids, herbs or medicines for mental illnesses, parkinson’s disease, or migraine headaches. A serious serotonin-related condition can be caused by an interaction between daytrana and other drugs.
Tell your doctor about any of the following to ensure that daytrana will be safe for you:
- Skin disorders, such as eczema or psoriasis; skin sensitivities to cosmetics, soaps, and lotions
- Vitiligo loss of coloration in patches in yourself or your family members;
- Depression, mental illness (bipolar disorder), psychosis, or thoughts of suicide are all examples.
- Blood circulation issues in the hands and feet
- A seizure;
- An abnormal brainwave test (eeg);
- Addiction to alcohol or drugs
If you become dependent on the medicine while pregnant, it can lead to premature births or low-weight babies. Inform your doctor whether you plan to get pregnant or are already pregnant. Your name could be added to a registry if you're pregnant in order to monitor the effects that methylphenidate has on your baby. A doctor can tell you if breastfeeding is possible while taking Daytrana. Tell your doctor, if breastfeeding, if the child shows signs such as sleep issues, agitation, or reduced weight. Daytrana should not be used by children younger than six years of age.
How to take Daytrana?
Follow all instructions listed on your prescription label and read any medication guides or instruction sheets that come with your medicine. Don't take chances, read everything that comes with the medicine to make sure it works the way it's supposed to! Sometimes your doctor will change the dose. Daytrana can be addictive. Abuse of the drug can lead to addiction, death, and overdose. Store it in an area where other people cannot reach it. It is illegal to sell or give away Daytrana. The Daytrana skin patch should be applied to an area of your hip that is clean, dry, and free from debris. It may take up to 2 hours for the effects of this medication to be felt. After applying the skin patch, wash your hands. Removing the Daytrana patches 9 hours after application is recommended. Fold the patch in half and peel it off gently. The folded patch can be flushed down the toilet or placed into a trashcan with a cover.
Each new Daytrana patch should be applied to the hip on the other side. Wear only one patch. Do not cut skin patches. Replace the Daytrana patch if it falls off. Wear a patch no longer than nine hours per day. This includes replacing a fallen-off patch with a brand new one. Ask your doctor to remove the patch sooner in the day if it is causing you problems with sleep or appetite. The children who use this medication should not remove the patch from their skin and put it on another person. There may be serious side effects. Daytrana may cause skin lightening around the areas where you wear patches. The effect could be permanent. If you notice new, lighter areas under or around the skin patch or on any other part of your skin, tell your doctor. Regularly, your doctor should check on you. You may need to have your height, weight, and blood pressure checked frequently. Keep it at room temperature. Store at room temperature. Each Daytrana patch should be kept in the sealed pouch it came with until you're ready to use it. If it's been over 2 months since the package was opened, throw away any unused patches. Store your medication in an area where it cannot be misused. Fold and flush all unused Daytrana patches when you stop using them.
Details on dosage
The usual pediatric dose for attention deficit disorder:
Daytrana patches should be applied 2 hours prior to the desired effect and removed 9 hours later.
Week 1: Once a day, apply 10 mg of patch to the hips; then remove it 9 hours later.
Week 2: Apply a 15-mg patch once daily to the hip area; remove it 9 hours later.
Week 3: Apply a 20 mg patch once daily to the hip area; remove it 9 hours later.
Week 4: Once a day, apply 30 mg of patch to the hips, then remove it 9 hours later.
Patients converting to methylphenidate from another formulation should use the titration plan above.
What happens if I miss the dose?
Do not leave the patch on for more than nine hours. If you apply a patch later, it may be necessary to reduce the wear time. Wearing two patches simultaneously is not recommended.
What happens if I overdose?
Reach the Poison Help Line immediately on 1-800-222-1222 if your symptoms seem severe and/or seek emergency medical assistance immediately.Removing the patch immediately and cleaning the affected area of skin with soap and warm water is recommended. A methylphenidate overdose can lead to death. The symptoms of an overdose include shaking, sweating, confusion, anxiety, agitation, and hallucinations.
What should be avoided?
Avoid exposing the Daytrana patches to heat when you wear them. Heat from an electric blanket or heated waterbed, a hairdryer, a heating pad, and a heat-producing device such as a heater are all that's needed. The heat can make the patch release a lot of medicine all at once. Use no lotions or creams where you plan to apply the Daytrana patches. Avoid applying a Daytrana patch to skin where it will be touched by clothing or waistbands. Do not drive or engage in hazardous activities until you have a better understanding of how you will be affected by methylphenidate. You may be unable to react properly.
Side effects of Daytrana
If you experience any of the following symptoms of an allergy to Daytrana, seek immediate medical attention: itching, difficulty breathing, swelling in your lips, face, throat, tongue, or mouth.
Call your doctor immediately if:
- Redness, swelling, or blistering of the skin where a skin patch has been worn
- Blurred vision
- A seizure;
- Signs of Heart Problems: Chest Pain, Trouble Breathing and Feeling Like You Might Pass Out;
- Signs of psychosis include hallucinations, new behavioral problems, aggressiveness, hostility, and paranoia.
- Signs of Circulation Problems: Numbness, Pain, Cold Feeling, Unexplained Wounds, or Skin Color Changes (Pale, Red, or Blue Appearance) on Your Fingers or Toes
- Penis erections that are painful or last 4 hours or more
If you experience symptoms such as agitation or hallucinations; fever; sweating and shivering; rapid heartbeat; muscle rigidity; twitching; lack of coordination; vomiting; or diarrhea, seek medical help immediately. The growth of children can be affected by methylphenidate. It may be necessary to check your child's weight and height frequently. If your child's growth isn't normal, tell your doctor.
Side effects of Daytrana include the following:
- Dizziness, mood swings;
- Tics;
- Weight loss, nausea, vomiting, and stomach pain.
- Sleep problems (insomnia);
- Skin redness, bumps, or itching at the site of a worn patch.
There may be other side effects. Need advice or medical guidance about side effects? Speak to your healthcare provider immediately. Additionally, notify the FDA at 1-800-FDA-1088 by dialing this number.
Interaction with other drug
Inform your doctor of all other medications, including:
- Antidepressants are a type of medication.
- Blood pressure medications
- Warfarin (Coumadin or Jantoven);
- A cold or allergy medication that contains decongestants such as pseudoephedrine and phenylephrine
- Seizure medicine.
The list below is not exhaustive. There are other drugs that may interact with methylphenidate. These include prescription, over-the-counter, and herbal medicines. This list does not include all drug interactions.
