Quillichew Er

Do not substitute for other methylphenidate products on a mg-per-mg basis. High potential for abuse and dependence; monitor. Assess cardiovascular status prior to initiation. Avoid in known structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, coronary artery disease, or other cardiac problems. Pre-existing psychotic disorder. Depression. Bipolar disorder. Screen for risk factors in developing a manic episode prior to initiating. Consider discontinuing if new psychotic or manic symptoms occur. Peripheral vasculopathy, including Raynaud's phenomenon; monitor for digital changes. Monitor growth (in children), BP, HR. Reduce dose or discontinue if paradoxical aggravation of symptoms occurs. Reevaluate periodically. Phenylketonuria. Neonates. Pregnancy. Nursing mothers: monitor infants.