strategies What is Daytrana? Daytrana is a stimulant used to treat attention deficit hyperactivity disorder (ADHD) in children ages 6 to 17. How does Daytrana work? Daytrana is a stimulant that is released in the form of a transdermal patch that is applied to the hip and absorbed into the skin. Stimulants influence the parts of the brain and central nervous system that control hyperactivity and impulses. When did the U.S. Food and Drug Administration (FDA) approve Daytrana? Daytrana was first approved by the FDA in 2006. It is used for the treatment of ADHD in children and teens. Is there a generic version of Daytrana available? No, there is currently no generic version of Daytrana. This may change in the next several years. Are there any major differences between Daytrana and non-transdermal ADHD medications? There are a lot of similarities between the effects of Daytrana and other ADHD medications because many ADHD drugs are stimulants. Stimulants are habit-forming and classified as Schedule II controlled substances. Therefore, if you have a history of substance use problems, you should talk to your doctor about this before taking ADHD medication. Advantages of Daytrana are that it might be a good fit for children who don t like taking medication orally and that it may have fewer gastrointestinal side effects. Disadvantages are that the patch may cause skin irritation, rashes, or discoloration and it may take longer for effects to be felt than tablet medication. Article continues below Concerned about ADHD? Take our 2-minute Attention Deficit Hyperactivity Disorder quiz to see if you may benefit from further diagnosis and treatment. Take ADHD Quiz Can children take Daytrana? Children over the age of 6 may be prescribed Daytrana for ADHD. They should take the medication in the exact amount prescribed by their doctor, and it is recommended that adults administer the patch for children. It s also important to tell your child s doctor about other medication complications or past substance use history. Are there potential interaction issues for people taking Daytrana and any other drugs? Do not take Daytrana if you have taken an MAO inhibitor in the past two weeks, as a dangerous interaction effect could occur. There are also hundreds of drugs which are known to interact with Daytrana in major, moderate, or mild ways, so let your doctor know what other medications you are taking before you begin taking the medication. Some of these include vasopressor agents, hypotension agents, and antidepressants. Are there any other medical conditions that would make someone ineligible for Daytrana therapy? You should not take Daytrana if you have severe anxiety, Tourette s Syndrome, or glaucoma, or if you are allergic to the medication. Talk to your doctor if you or your child have heart problems, circulation problems, seizures, skin problems, or a history of vitiligo. Also, talk to your doctor about any history of mental illness or substance use. What is the typical dose that would be prescribed to someone taking Daytrana? The recommended dosage for starting Daytrana therapy is 10 mg. The medication also comes in 15, 20, and 30 mg transdermal patches. However, it s important to talk to your doctor and not adjust dosage without their recommendation. How do I administer the medication? The patch should be applied to a clean dry, area of the hip approximately 2 hours before the medication is needed, and the patch should be taken off after 9 hours. The dosage and length of application depends on the recommendation of your doctor. The FDA also recommends that parents administer the patch for their children. Patients should also avoid heat sources such as hair dryers, heating pads, electric blankets, etc. while wearing the patch. How long does it usually take for Daytrana to work? The drug is designed to work around 2 hours after application of the patch. What do I do if I miss a dose? Apply the transdermal patch when you remember to take it, but your doctor may recommended that you keep it on for a shorter time if it will affect sleep. Never apply more than one patch after a missed dose. What are Daytrana s physical side effects? Common side effects of Daytrana can include: skin problems on application site insomnia nausea or vomiting tics dizziness decreased appetite stomach pain mood swings. If you or your child experience major side effects, report them to your doctor immediately and stop using the medication. Major side effects can include slowing of growth in children, blurred vision, stroke, heart attack, high blood pressure, circulation problems, seizures, and painful or prolonged erections. The medication can also cause new or worse symptoms of mental illness, such as mania, psychosis, and aggression. You can also report side effects to the FDA at 1-800-FDA-1088 or online . Is it safe for a woman who is pregnant, about to become pregnant, or nursing to take Daytrana? There have been no human pregnancy studies on the effects of transdermal methylphenidate. It is not known whether the drug can be transferred via breast milk in small amounts or harm a baby. Therefore, talk to your doctor if you are pregnant, planning to become pregnant, or are nursing before you take Daytrana. The medication should only be taken if the benefits outweigh the risks. Can symptoms occur if Daytrana is discontinued? Withdrawal symptoms can include depressed mood, anxiety, irritability, fatigue, and sleep problems, and they can be particularly severe for those who abuse the drug. It s important to eat healthy, exercise, and have a consistent sleep routine to help alleviate withdrawal symptoms. What should I do if I overdose on Daytrana? An overdose of Daytrana could be fatal, so remove the patch, and seek immediately help. You also can call the Poison Help Line at 1-800-222-1222 if you overdose. Overdose symptoms can include seizures, muscle pain, tremors, aggression, fever, confusion, rapid breathing, hyperactivity, and hallucinations. Is Daytrana habit-forming? Daytrana is a Schedule II controlled substance and can be habit-forming, as users may develop a tolerance to the drug over time. Make sure that you keep track of the medication and never take more than prescribed. It is illegal to give or sell the medication to others. Talk to your doctor if you have a past history of substance dependence before you begin taking Daytrana. How much does Daytrana cost? Thirty patches of 30 mg of Daytrana costs approximately $320. Are there any disadvantages to Daytrana? The biggest disadvantage of Daytrana is that it may be habit-forming. If you have a history of abusing substances or have a history of substance use in your family, then the drug may not be right for you. Also, it may take longer for effects to be felt because of the transdermal patch, and the patch may also cause skin problems. DISCLAIMER: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. This article mentions drugs that were FDA-approved and available at the time of publication and may not include all possible drug interactions or all FDA warnings or alerts. The author of this page explicitly does not endorse this drug or any specific treatment method. If you have health questions or concerns about interactions, please check with your physician or go to the FDA site for a comprehensive list of warnings. Article Sources FDA Medication Guide Daytrana http://www.fda.gov/downloads/drugs/drugsafety/ucm088581.pdf FDA Highlights of Prescribing Information Daytrana. https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021514s023lbl.pdf Last Updated: Jul 10, 2017 at present
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