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What does it do?

Methylphenidate is used to treat ADHD (Attention Deficit Hyperactivity Disorder) and narcolepsy.

Before you start

  • Tell your doctor if you have heart or mental health problems, glaucoma, Tourette’s syndrome, high blood pressure, or if you have ever had a seizure.
  • You may have drug screening tests before starting and while taking methylphenidate.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How should you take it?

Take methyphenidate regularly as directed. You can take it with or without food.
Tablet: Take with a glass of water.
Slow-release tablet or capsule: Take with a glass of water. Swallow whole - do not crush or chew.

Do not stop taking methylphenidate without talking to your doctor first.

What if you forget a dose?

If it is nearly time for your next dose, skip the missed dose and take your next dose at the usual time. Otherwise, take the missed dose as soon as you remember. Do not take two doses at the same time.

Can you take other medicines?

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products or recreational drugs.

What side effects might you notice?

Side EffectsRecommended action

Symptoms of a fast or irregular heartbeat including: fluttering, pounding or pain in your chest, dizziness or fainting

Prolonged erection (longer than four hours)

Eye pain, severe headache

Tell your doctor immediately

Unusual behaviour or thinking, mood changes, agitation, anxiety

Strange or uncontrolled movements

Tell your doctor

Trouble sleeping

Sweating

Loss of appetite, weight loss, dry mouth

Stomach upset

Tell your doctor if troublesome

If you notice any other effects, discuss them with your doctor or pharmacist.

Other information:

  • If you are having surgery, it is important to tell your doctor that you are taking methylphenidate.
  • You may see the leftover shell of the tablet in your bowel motions – this is harmless.

This leaflet contains important, but not all, information about this medicine.

Prepared by the MyMedicines Committee at Christchurch Hospital, Te Whatu Ora - Waitaha, New Zealand. April 2026

For more general information about this sheet and its contents, see: What does a My Medicines sheet cover?

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About My Medicines

My Medicines Patient Information Leaflets (PILs) contain important, but not all, information about the medicines they describe.

For more information about the sheets, see: What does a My Medicines sheet cover?

My Medicines is developed by a team at Te Whatu Ora – Waitaha. Our team is made up of doctors, pharmacists, and a non-medical person to help us keep to plain language. We also discuss our information with specialist health professionals or groups when needed