Can you snort sz 789
As with other stimulants, such as amphetamine Adderall , methamphetamine, and cocaine, a person may experience a burst of energy, heightened alertness and exhilaration after taking methylphenidate. Also like cocaine, a methylphenidate high may be followed by a crash, with symptoms like extreme fatigue, exhaustion, insomnia and depression.
To avoid this, people suffering from methylphenidate addiction may take repeated doses of the drug. It is possible to overdose on methylphenidate if too much is taken at a time. It is also dangerous to take methylphenidate with other substances, as it can have adverse effects and increases the risk of overdose.
Methylphenidate comes in pill form and is usually taken orally. That being said, a study on prescription stimulant abuse among college students reports that 38 percent of people surveyed who used stimulants outside of prescription guidelines took them by snorting insufflation. Snorting methylphenidate is a faster route of administration, as blood vessels in the nose absorb it immediately. It can severely damage the inside of the nose, inflaming the nasal tissue and irritating the throat and lungs.
Over time, methylphenidate can wear away the roof of the mouth or the wall between the nostrils. Because methylphenidate is an appetite suppressant, some people abuse it as a way to lose weight. Whether this is the case or not, prolonged use can cause dangerous weight loss. The stimulant properties of methylphenidate can also lead to long-term insomnia. Not having proper nutrition or sleep can weaken the immune system and lead to poor overall health.
Prescription drugs come with side effects — negative health consequences that can happen even with regular use. Some are more serious than others, and possibly fatal. Abusing a prescription drug like methylphenidate Ritalin increases the chance of these side effects as a person takes higher doses of the drug more frequently.
People with existing behavior disorders may experience worsened psychological symptoms if they abuse methylphenidate. New psychotic symptoms like hallucinations, delusions and mania can result from this abuse as well. If a person has become addicted to methylphenidate, they may be secretive, trying to hide the problem. Still, they may show signs of methylphenidate addiction, such as:. Methylphenidate hydrochloride has not been studied in renally-impaired patients.
Methylphenidate hydrochloride has not been studied in patients with hepatic impairment. Hepatic impairment is expected to have minimal effect on the pharmacokinetics of methylphenidate since it is metabolized primarily to ritalinic acid by nonmicrosomal hydrolytic esterases that are widely distributed throughout the body.
Hepatoblastoma is a relatively rare rodent malignant tumor type. There was no increase in total malignant hepatic tumors. The mouse strain used is sensitive to the development of hepatic tumors and the significance of these results to humans is unknown.
Methylphenidate was not mutagenic in the in vitro Ames reverse mutation assay, in the in vitro mouse lymphoma cell forward mutation assay, or in the in vitro chromosomal aberration assay using human lymphocytes. Sister chromatid exchanges and chromosome aberrations were increased, indicative of a weak clastogenic response, in an in vitro assay in cultured Chinese Hamster Ovary CHO cells.
Methylphenidate was negative in vivo in males and females in the mouse bone marrow micronucleus assay. No human data on the effect of methylphenidate on fertility are available. Methylphenidate did not impair fertility in male or female mice that were fed diets containing the drug in an week continuous breeding study.
Advise patients that methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release are controlled substances, and they can be abused and lead to dependence.
Instruct patients that they should not give methylphenidate hydrochloride or methylphenidate hydrochloride sustained-release to anyone else. Advise patients to store methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release in a safe place, preferably locked, to prevent abuse.
Advise patients to comply with laws and regulations on drug disposal. Advise patients to dispose of remaining, unused, or expired methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release by a medicine take-back program if available [see Boxed Warning, Warnings and Precautions 5.
Advise patients that there is a potential serious cardiovascular risk including sudden death, myocardial infarction, stroke, and hypertension with methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release use. Instruct patients to contact a healthcare provider immediately if they develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease [see Warnings and Precautions 5.
Instruct patients that methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release can cause elevations of their blood pressure and pulse rate [see Warnings and Precautions 5. Advise patients that methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release, at recommended doses, can cause psychotic or manic symptoms, even in patients without prior history of psychotic symptoms or mania [see Warnings and Precautions 5.
Advise patients of the possibility of painful or prolonged penile erections priapism. Instruct them to seek immediate medical attention in the event of priapism [see Warnings and Precautions 5. Instruct patients to report to their physician any new numbness, pain, skin color change, or sensitivity to temperature in fingers or toes. Instruct patients to call their physician immediately with any signs of unexplained wounds appearing on fingers or toes while taking methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release.
Advise patients that methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release may cause slowing of growth and weight loss [see Warnings and Precautions 5. What is the most important information I should know about methylphenidate hydrochloride?
Methylphenidate hydrochloride is a federal controlled substance CII because it can be abused or lead to dependence. Keep methylphenidate hydrochloride in a safe place to prevent misuse and abuse. Selling or giving away methylphenidate hydrochloride may harm others and is against the law.
Tell your doctor if you or your child have abused or been dependent on alcohol, prescription medicines, or street drugs. The following have been reported with use of methylphenidate hydrochloride and other stimulant medicines:. Tell your doctor if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems.
Your doctor should check you or your child carefully for heart problems before starting methylphenidate hydrochloride. Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking methylphenidate hydrochloride.
Tell your doctor about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.
Call your doctor right away if you or your child have any new or worsening mental symptoms or problems while taking methylphenidate hydrochloride, especially seeing or hearing things that are not real, believing things that are not real, or are suspicious.
It is not known if methylphenidate hydrochloride is safe and effective in children under 6 years of age. Methylphenidate hydrochloride should not be taken if you or your child:. Methylphenidate hydrochloride may not be right for you or your child. Tell your doctor about all of the medicines that you or your child takes including prescription and over-the-counter medicines, vitamins, and herbal supplements. Methylphenidate hydrochloride and some medicines may interact with each other and cause serious side effects.
Sometimes the doses of other medicines will need to be adjusted while taking methylphenidate hydrochloride.
Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist. Do not start any new medicine while taking methylphenidate hydrochloride without talking to your doctor first.
What are the possible side effects of methylphenidate hydrochloride? Methylphenidate hydrochloride may cause serious side effects, including:. Tell your doctor if you or your child have, numbness, pain, skin color change, or sensitivity to temperature in the fingers or toes. Call your doctor for medical advice about side effects.
You may report side effects to FDA at. General information about the safe and effective use of methylphenidate hydrochloride. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. You can ask your pharmacist or doctor for information about methylphenidate hydrochloride that is written for healthcare professionals. Do not use methylphenidate hydrochloride for a condition for which it was not prescribed. Do not give methylphenidate hydrochloride to other people, even if they have the same symptoms that you have.
It may harm them and it is against the law. What are the ingredients in methylphenidate hydrochloride tablets? DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed. DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. Due to inconsistencies between the drug labels on DailyMed and the pill images provided by RxImage , we no longer display the RxImage pill images associated with drug labels.
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Approval: In adults, sudden death, stroke, and myocardial infarction have been reported. Avoid use in patients with known structural cardiac abnormalities, cardiomyopathy, serious heart rhythm arrhythmias, or coronary artery disease 5.
Consider the benefits and risk in patients for whom an increase in blood pressure or heart rate would be problematic 5. Evaluate for preexisting psychotic or bipolar disorder prior to methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release use 5. Immediate medical attention should be sought if signs or symptoms of prolonged penile erections or priapism are observed 5. Careful observation for digital changes is necessary during treatment with ADHD stimulants 5.
Methylphenidate Hydrochloride Sustained-Release Tablets Methylphenidate hydrochloride sustained-release tablets have a duration of action of approximately 8 hours. Hypersensitivity reactions such as angioedema and anaphylactic reactions have been reported in patients treated with methylphenidate [see Adverse Reactions 6.
Blood and Lymphatic Disorders: pancytopenia Immune System Disorders: hypersensitivity reactions such as auricular swelling, bullous conditions, eruptions, exanthemas Psychiatric Disorders: affect lability, mania, disorientation and libido changes Nervous System Disorders: migraine Eye Disorders: diplopia, mydriasis Cardiac Disorders: sudden cardiac death, myocardial infarction, bradycardia, extrasystole Vascular Disorders: peripheral coldness, Raynaud's phenomenon Respiratory, Thoracic and Mediastinal Disorders: pharyngolaryngeal pain, dyspnea Gastrointestinal Disorders: diarrhea, constipation Skin and Subcutaneous Tissue Disorders: angioneurotic edema, erythema, fixed drug eruption Musculoskeletal, Connective Tissue and bone Disorders: myalgia, muscle twitching Renal and Urinary Disorders: hematuria Reproductive System and Breast Disorders: gynecomastia General Disorders: fatigue, hyperpyrexia Urogenital Disorders : priapism.
Intervention Concomitant use of methylphenidate hydrochloride or methylphenidate hydrochloride sustained-release with monoamine oxidase inhibitors MAOIs or within 14 days after discontinuing MAOI treatment is contraindicated. Examples selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue Antihypertensive Drugs Clinical Impact Methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release may decrease the effectiveness of drugs used to treat hypertension [see Warnings and Precautions 5.
Intervention Monitor blood pressure and adjust the dosage of the antihypertensive drug as needed. Examples Potassium-sparing and thiazide diuretics, calcium channel blockers, angiotensin- converting-enzyme ACE inhibitors, angiotensin II receptor blockers ARBs , beta blockers, centrally acting alpha-2 receptor agonists Halogenated Anesthetics Clinical Impact Concomitant use of halogenated anesthetics and methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release may increase the risk of sudden blood pressure and heart rate increase during surgery.
Intervention Avoid use of methylphenidate hydrochloride or methylphenidate hydrochloride sustained-release in patients being treated with anesthetics on the day of surgery.
Examples halothane, isoflurane, enflurane, desflurane, sevoflurane. Long-Term Suppression of Growth Growth should be monitored during treatment with stimulants, including methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release. Dependence Physical dependence which is manifested by a withdrawal syndrome produced by abrupt cessation, rapid dose reduction, or administration of an antagonist may occur in patients treated with CNS stimulants including methylphenidate hydrochloride and methylphenidate hydrochloride sustained-release.
Using warfarin, a blood thinner, with methylphenidate may increase the effect of warfarin in your body. This can raise your risk of bleeding. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.
Taking it again could be fatal cause death. Alcohol may increase the effects of methylphenidate. You should not use alcohol while taking this drug. This can cause more side effects and lower the effect of the medication. For people with heart problems: Methylphenidate may increase the risk of sudden death, stroke, and heart attack. If you have a heart condition, a history of heart attack, high blood pressure, or an abnormal heart rate, ask your doctor if this drug is safe for you.
For people with psychiatric disorders: Methylphenidate may make the symptoms of your condition worse. It can also cause new psychotic symptoms, especially in children and adolescents. You may need to stop taking this drug if this happens. For people with circulation problems: This drug can worsen circulation problems in your fingers and toes.
It may increase your risk of having a seizure. For people with growth issues: Methylphenidate has been shown to slow growth in children. If your child is not gaining height or weight, methylphenidate may need to be stopped. Concerta can make this problem worse. For pregnant women: Methylphenidate is a category C pregnancy drug.
That means two things:. Methylphenidate should be used during pregnancy only if the potential benefit justifies the potential risk. All possible dosages and forms may not be included here. Your dose, form, and how often you take it will depend on:. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages.
Always speak with your doctor or pharmacist about dosages that are right for you. Methylphenidate oral tablet is used for short-term or long-term treatment. This drug is usually stopped after puberty. Your doctor may try to stop your treatment with methylphenidate on occasion to see if you still need to take it. If your symptoms return, you may need to keep taking it. If your symptoms are severe, call or go to the nearest emergency room right away.
What to do if you miss a dose: If you miss a dose, take it as soon as possible. How to tell if the drug is working: For ADHD: You should be able to focus and pay attention better and be less impulsive and hyperactive. A prescription for this medication is not refillable. You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled.
Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription.
There are other drugs available to treat your condition. Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you.
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