{"id":2131,"date":"2025-09-24T18:29:40","date_gmt":"2025-09-24T16:29:40","guid":{"rendered":"https:\/\/rxquora.com\/en\/?p=2131"},"modified":"2025-09-24T18:29:44","modified_gmt":"2025-09-24T16:29:44","slug":"contramyl-xr-uses-side-effects-warnings-precautions","status":"publish","type":"post","link":"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/","title":{"rendered":"CONTRAMYL XR : Uses,Side Effects,Warnings,Precautions"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>It<\/strong> is an extended-release form of <strong>methylphenidate hydrochloride<\/strong>, a medicine used to manage <strong>Attention Deficit Hyperactivity Disorder (ADHD)<\/strong>. It works on areas of the brain that are under-active in ADHD to help improve attention, focus, and impulse control. Because it is extended-release, each tablet is taken <strong>once daily in the morning<\/strong> and releases medicine throughout the day.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_it_is_and_what_it_is_used_for\"><\/span>What it is and what it is used for<span class=\"ez-toc-section-end\"><\/span><\/h2><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#What_it_is_and_what_it_is_used_for\" >What it is and what it is used for<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Active_ingredient_and_class\" >Active ingredient and class<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Uses_indications\" >Uses (indications)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#How_it_works\" >How it works<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Who_should_NOT_use_this_medicine\" >Who should NOT use this medicine<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Warnings_and_precautions_Read_before_use\" >Warnings and precautions (Read before use)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Growth_and_development\" >Growth and development<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Heart_and_circulation\" >Heart and circulation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Neurological_and_mental_health\" >Neurological and mental health<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Gastrointestinal_and_swallowing\" >Gastrointestinal and swallowing<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Laboratory_and_screening_tests\" >Laboratory and screening tests<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Sexual_health\" >Sexual health<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Concomitant_medicines\" >Concomitant medicines<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Alcohol_and_surgery\" >Alcohol and surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Driving_and_using_machines\" >Driving and using machines<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Pregnancy_planning_pregnancy_and_breastfeeding\" >Pregnancy, planning pregnancy, and breastfeeding<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Interactions\" >Interactions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#How_to_take_Step-by-step\" >How to take (Step-by-step)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Dosing_table\" >Dosing table<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Possible_side_effects\" >Possible side effects<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Serious%E2%80%94seek_urgent_help_and_stop_the_medicine_go_to_the_nearest_casualtyemergency_department\" >Serious\u2014seek urgent help and stop the medicine (go to the nearest casualty\/emergency department)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Common_reported_frequently\" >Common (reported frequently)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Less_common_reported_less_frequently\" >Less common (reported less frequently)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Frequency_not_known\" >Frequency not known<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Post-marketing\" >Post-marketing<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Storage_and_disposal\" >Storage and disposal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#What_the_medicine_contains\" >What the medicine contains<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Pack_information_and_appearance\" >Pack information and appearance<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/#Practical_FAQs\" >Practical FAQs<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Active_ingredient_and_class\"><\/span>Active ingredient and class<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Active ingredient:<\/strong> <strong>Methylphenidate hydrochloride<\/strong><\/li>\n\n\n\n<li><strong>Medicine class:<\/strong> Central nervous system stimulant (acts on certain brain pathways involved in attention and behaviour)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Uses_indications\"><\/span>Uses (indications)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Treatment of Attention Deficit Hyperactivity Disorder (ADHD).<\/strong><br>The leaflet states methylphenidate improves activity in under-active parts of the brain to support attention span, concentration, and reduce impulsive behaviour.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_it_works\"><\/span>How it works <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In ADHD, some brain pathways that manage attention and self-control can be less active. Methylphenidate increases signalling in these pathways. In everyday terms, it helps the \u201cbrakes\u201d and \u201cfocus circuits\u201d in the brain perform better so you can <strong>concentrate longer<\/strong>, <strong>resist impulsive actions<\/strong>, and <strong>organise tasks<\/strong> more effectively. The extended-release tablet releases the medicine gradually to support symptom control during the day after a <strong>single morning dose<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Who_should_NOT_use_this_medicine\"><\/span>Who should NOT use this medicine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do not take CONTRAMYL XR<\/strong> if any of the following apply:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Allergy:<\/strong> You are allergic (hypersensitive) to <strong>methylphenidate<\/strong> or any ingredients in the tablet.<\/li>\n\n\n\n<li><strong>Eye conditions:<\/strong> <strong>Glaucoma<\/strong> (raised pressure in the eye).<\/li>\n\n\n\n<li><strong>Adrenal tumour:<\/strong> <strong>Phaeochromocytoma.<\/strong><\/li>\n\n\n\n<li><strong>Recent or current MAOI use:<\/strong> You are taking, or have taken within the <strong>past 14 days<\/strong>, a <strong>monoamine oxidase inhibitor (MAOI)<\/strong> antidepressant.<\/li>\n\n\n\n<li><strong>Thyroid disorders.<\/strong><\/li>\n\n\n\n<li><strong>Eating disorders:<\/strong> Conditions such as <strong>anorexia nervosa<\/strong> or other anorexic disorders.<\/li>\n\n\n\n<li><strong>Serious mood or mental health problems<\/strong>, including:\n<ul class=\"wp-block-list\">\n<li>Psychopathic or borderline personality disorder<\/li>\n\n\n\n<li><strong>Schizophrenia<\/strong> or abnormal thoughts\/visions<\/li>\n\n\n\n<li>Severe mood problems, such as <strong>suicidal thoughts<\/strong>, <strong>severe depression<\/strong>, or <strong>mania<\/strong><\/li>\n\n\n\n<li><strong>Type I bipolar disorder<\/strong> (severe and episodic) that is not well-controlled<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Heart and blood vessel problems:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Current or past <strong>heart disease<\/strong>, <strong>heart attack<\/strong>, <strong>chest pain<\/strong>, <strong>heart failure<\/strong>, <strong>arrhythmias<\/strong>, or <strong>congenital heart defects<\/strong><\/li>\n\n\n\n<li><strong>Very high blood pressure<\/strong> or <strong>narrowing of blood vessels<\/strong> (can cause limb pain)<\/li>\n\n\n\n<li>History of <strong>stroke<\/strong>, brain blood-vessel problems (aneurysm, vasculitis), or blocked vessels<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Tourette\u2019s syndrome:<\/strong> Personal or family history of <strong>Tourette\u2019s<\/strong> (uncontrolled speech\/body movements).<\/li>\n\n\n\n<li><strong>Liver or kidney function disorders.<\/strong><\/li>\n\n\n\n<li><strong>Age:<\/strong> <strong>Under 6 years<\/strong>.<\/li>\n\n\n\n<li><strong>Pregnancy or breastfeeding:<\/strong> Do not use (see section on Pregnancy and Breastfeeding).<\/li>\n\n\n\n<li>If unsure, <strong>speak to your doctor or pharmacist<\/strong> before use.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Warnings_and_precautions_Read_before_use\"><\/span>Warnings and precautions (Read before use)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Before starting or while taking CONTRAMYL XR, let your healthcare provider know if any of the following apply. Your doctor may monitor you more closely, adjust your dose, or decide this medicine is not suitable.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Growth_and_development\"><\/span>Growth and development<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Children:<\/strong> Long-term use of stimulants can <strong>slow growth and weight gain<\/strong>. If a child is <strong>not growing or gaining weight as expected<\/strong>, treatment should be reviewed and may be <strong>stopped<\/strong>.<\/li>\n\n\n\n<li><strong>Duration in children\/adolescents:<\/strong> Safety and effectiveness for <strong>long-term use beyond 12 months<\/strong> have <strong>not been systematically evaluated<\/strong>.<\/li>\n\n\n\n<li><strong>Adults:<\/strong> Starting treatment or routine continuation <strong>beyond 18 years<\/strong> has <strong>not been established<\/strong>; your doctor will review the ongoing need regularly.<\/li>\n\n\n\n<li><strong>Elderly:<\/strong> Use in those <strong>over 65 years<\/strong> has <strong>not been established<\/strong> and is <strong>not recommended<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Heart_and_circulation\"><\/span>Heart and circulation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tell your doctor if you have <strong>any heart condition<\/strong> or a <strong>family history of sudden unexplained death<\/strong>.<\/li>\n\n\n\n<li>High blood pressure or cerebrovascular disorders require caution.<\/li>\n\n\n\n<li>Report symptoms such as <strong>chest pain<\/strong>, <strong>fainting<\/strong>, <strong>shortness of breath<\/strong>, or <strong>irregular heartbeat<\/strong> immediately.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Neurological_and_mental_health\"><\/span>Neurological and mental health<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hemiplegic cerebral palsy:<\/strong> May be used under specialist supervision.<\/li>\n\n\n\n<li><strong>Mental health changes:<\/strong> Tell your doctor if you experience or have a history of:\n<ul class=\"wp-block-list\">\n<li><strong>Aggression<\/strong>, hostility, or worsening aggression<\/li>\n\n\n\n<li><strong>Hallucinations<\/strong>, <strong>delusions<\/strong>, or <strong>paranoia<\/strong><\/li>\n\n\n\n<li>Feeling <strong>agitated<\/strong>, <strong>anxious<\/strong>, <strong>tense<\/strong>, <strong>depressed<\/strong>, or <strong>guilty<\/strong><\/li>\n\n\n\n<li><strong>Mood swings<\/strong> or <strong>bipolar symptoms<\/strong><\/li>\n\n\n\n<li><strong>Suicidal thoughts<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Tics\/Tourette\u2019s:<\/strong> Can <strong>worsen or appear<\/strong>; inform your doctor if you develop <strong>repeated movements or sounds<\/strong>.<\/li>\n\n\n\n<li><strong>Seizures\/epilepsy or abnormal EEG:<\/strong> Use with caution; report any seizures.<\/li>\n\n\n\n<li><strong>Substance use:<\/strong> If you have ever <strong>abused<\/strong> or been <strong>dependent<\/strong> on alcohol, prescription medicines, or street drugs, discuss this with your doctor. <strong>Chronic abuse<\/strong> of methylphenidate can lead to <strong>tolerance<\/strong> and <strong>psychological dependence<\/strong>.<\/li>\n\n\n\n<li><strong>Stopping treatment:<\/strong> Should be <strong>gradual<\/strong> under medical supervision; stopping suddenly can cause <strong>return of symptoms<\/strong> or <strong>depression<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Gastrointestinal_and_swallowing\"><\/span>Gastrointestinal and swallowing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If you have <strong>narrowing or blockage<\/strong> of the <strong>gut<\/strong> or <strong>oesophagus<\/strong>, or <strong>difficulty swallowing<\/strong> or <strong>swallowing whole tablets<\/strong>, tell your doctor. Tablets <strong>must not be chewed, crushed, or divided<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Laboratory_and_screening_tests\"><\/span>Laboratory and screening tests<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Drug testing:<\/strong> Methylphenidate may cause <strong>positive results<\/strong> in <strong>substance tests<\/strong>, including in <strong>sport<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Sexual_health\"><\/span>Sexual health<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prolonged, painful erections<\/strong> can occur; <strong>seek medical help<\/strong> if this happens.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Concomitant_medicines\"><\/span>Concomitant medicines <span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Serotonergic antidepressants<\/strong> (including <strong>SSRIs<\/strong> and <strong>tricyclics<\/strong>) may raise the risk of <strong>serotonin syndrome<\/strong> (confusion, restlessness, sweating, shivering, muscle jerks, fast heartbeat). Seek urgent care if these occur.<\/li>\n\n\n\n<li><strong>Clonidine<\/strong> or other <strong>centrally acting alpha-2 agonists<\/strong>: Long-term safety <strong>in combination<\/strong> has <strong>not been evaluated<\/strong>.<\/li>\n\n\n\n<li><strong>Dopaminergic medicines<\/strong> such as <strong>antipsychotics<\/strong> may interact.<\/li>\n\n\n\n<li><strong>Blood pressure medicines<\/strong> and <strong>blood thinners<\/strong> may require monitoring.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Alcohol_and_surgery\"><\/span>Alcohol and surgery<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alcohol:<\/strong> Do <strong>not<\/strong> drink alcohol while taking CONTRAMYL XR; alcohol can <strong>worsen side effects<\/strong> and some foods\/medicines may contain alcohol.<\/li>\n\n\n\n<li><strong>Surgery\/anaesthesia:<\/strong> <strong>Do not take<\/strong> CONTRAMYL XR on the <strong>day of surgery<\/strong> if a certain type of anaesthetic will be used, as it may cause a <strong>sudden rise in blood pressure<\/strong>. Tell your doctor and anaesthetist in advance.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Driving_and_using_machines\"><\/span>Driving and using machines<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The medicine may cause <strong>dizziness<\/strong>, <strong>drowsiness<\/strong>, or <strong>visual disturbances<\/strong>. Only drive or use machinery when you <strong>know how it affects you<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong> CONTRAMYL XR contains <strong>sucrose<\/strong> and may affect <strong>blood sugar control<\/strong> in people with <strong>diabetes<\/strong>. If you have been told you have <strong>sugar intolerance<\/strong>, consult your doctor before use.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pregnancy_planning_pregnancy_and_breastfeeding\"><\/span>Pregnancy, planning pregnancy, and breastfeeding<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pregnancy:<\/strong> <strong>Do not use<\/strong> if you are <strong>pregnant<\/strong> or <strong>think you may be pregnant<\/strong> unless your doctor decides the benefits outweigh the risks; it <strong>may be harmful<\/strong> to the baby.<\/li>\n\n\n\n<li><strong>Breastfeeding:<\/strong> Methylphenidate can <strong>pass into <a href=\"https:\/\/rxquora.com\/en\/adco-contrometuses-dosage-side-effects-and-safety-tips\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/adco-contrometuses-dosage-side-effects-and-safety-tips\/\">breast milk<\/a><\/strong>; your doctor will help decide whether to <strong>breastfeed<\/strong> or <strong>take this medicine<\/strong>, but not both.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If any of the above applies, or you are planning pregnancy, <strong>speak to your doctor or pharmacist before use<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Interactions\"><\/span>Interactions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Always tell your doctor or pharmacist about <strong>all<\/strong> medicines you take, including over-the-counter products, traditional or complementary remedies, and alcohol use.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do not combine with:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MAOIs (monoamine oxidase inhibitors)<\/strong> or within <strong>14 days<\/strong> of stopping an MAOI, due to risk of <strong>dangerous blood pressure increases<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Use with caution and medical advice:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Antidepressants:<\/strong> <strong>Tricyclics<\/strong> and <strong>SSRIs<\/strong>\u2014risk of <strong>serotonin syndrome<\/strong> (confusion, restlessness, sweating, shivering, muscle jerks, fast heartbeat). Seek urgent help if these occur.<\/li>\n\n\n\n<li><strong>Antiepileptics:<\/strong> <strong>Phenobarbitone, phenytoin, primidone<\/strong>\u2014your doctor may monitor levels or seizure control.<\/li>\n\n\n\n<li><strong>Blood thinners:<\/strong> e.g., <strong>warfarin<\/strong> and other anticoagulants\/antiplatelets\u2014monitoring may be needed.<\/li>\n\n\n\n<li><strong>Blood pressure medicines:<\/strong> Agents that <strong>raise<\/strong> or <strong>lower<\/strong> blood pressure may interact; your doctor may adjust doses or monitor BP.<\/li>\n\n\n\n<li><strong>Clonidine and other centrally acting alpha-2 agonists:<\/strong> Long-term safety <strong>with methylphenidate<\/strong> is <strong>not established<\/strong>.<\/li>\n\n\n\n<li><strong>Dopaminergic medicines, including antipsychotics:<\/strong> Potential interactions with effects on dopamine pathways.<\/li>\n\n\n\n<li><strong>Alcohol:<\/strong> Avoid alcohol as it can <strong>worsen side effects<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Surgery:<\/strong> Inform your doctor\/anaesthetist in advance; <strong>omit dose on the day of certain anaesthetics<\/strong> due to <strong>blood pressure<\/strong> risks.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_to_take_Step-by-step\"><\/span>How to take (Step-by-step)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> Always take CONTRAMYL XR <strong>exactly as your doctor prescribes<\/strong>. Do not share it with anyone else.<\/p>\n<\/blockquote>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>When to take:<\/strong> <strong>Once daily in the morning<\/strong>.<\/li>\n\n\n\n<li><strong>How to take:<\/strong> Swallow the tablet <strong>whole with a glass of water<\/strong>.\n<ul class=\"wp-block-list\">\n<li><strong>Do not<\/strong> <strong>chew, crush, or divide<\/strong> the tablet.<\/li>\n\n\n\n<li>The tablet has score lines but they are <strong>not<\/strong> designed for splitting the dose; <strong>do not<\/strong> break and take at different times.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>With food:<\/strong> You may take <strong>with or without food<\/strong>.<\/li>\n\n\n\n<li><strong>Dose adjustments:<\/strong> Your doctor will typically <strong>start low<\/strong> and <strong>increase gradually<\/strong> to find the right dose.<\/li>\n\n\n\n<li><strong>Duration of treatment:<\/strong> Your doctor will advise how long to continue and will <strong>review regularly<\/strong>, especially in children\/adolescents and adults over 18.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Missed dose:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If you <strong>forget a dose<\/strong>, <strong>skip it<\/strong> and take your <strong>next dose at the usual time<\/strong> the following morning.<\/li>\n\n\n\n<li><strong>Do not<\/strong> take a <strong>double dose<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Overdose:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If you or someone else takes <strong>too much<\/strong>, <strong>contact a doctor, pharmacist, poison control centre, or the nearest hospital<\/strong> immediately.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stopping treatment:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Do <strong>not<\/strong> stop suddenly without medical advice. Stopping abruptly can lead to <strong>return of symptoms<\/strong> or <strong>depression<\/strong>. Your doctor may <strong>reduce the dose gradually<\/strong> before stopping.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Practical tips<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Take at the <strong>same time each morning<\/strong>.<\/li>\n\n\n\n<li>Keep tablets in the <strong>original container<\/strong>, <strong>tightly closed<\/strong>, and <strong>out of children\u2019s reach<\/strong>.<\/li>\n\n\n\n<li><strong>Do not<\/strong> alter the tablet (no chewing\/crushing\/splitting).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Dosing_table\"><\/span>Dosing table<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Not specified in the source.<\/strong> Your doctor will individualise the dose and may adjust it gradually.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Possible_side_effects\"><\/span>Possible side effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Like all medicines, CONTRAMYL XR can cause side effects, although not everybody gets them. Some <a href=\"https:\/\/rxquora.com\/en\/relislim-uses-side-effects-precautions-and-more\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/relislim-uses-side-effects-precautions-and-more\/\">side effects<\/a> require <strong>urgent medical attention<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Serious%E2%80%94seek_urgent_help_and_stop_the_medicine_go_to_the_nearest_casualtyemergency_department\"><\/span>Serious\u2014seek urgent help and <strong>stop the medicine<\/strong> (go to the nearest casualty\/emergency department)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Severe allergic reactions:<\/strong> <strong>Anaphylaxis<\/strong>, sudden <strong>swelling<\/strong> of the <strong>skin, throat, or tongue<\/strong> with <strong>difficulty breathing<\/strong>, <strong>skin peeling<\/strong>, widespread <strong>rash<\/strong> or <strong>purplish-red patches<\/strong>.<\/li>\n\n\n\n<li><strong>Neuroleptic Malignant Syndrome-like reaction:<\/strong> <strong>Sudden high fever<\/strong>, <strong>very high blood pressure<\/strong>, <strong>severe convulsions<\/strong>.<\/li>\n\n\n\n<li><strong>Heart problems:<\/strong> <strong>Disturbed or fast heartbeat<\/strong>, palpitations, <strong>fainting<\/strong>, <strong>shortness of breath<\/strong>, signs of <strong>heart attack<\/strong> or <strong>sudden cardiac issues<\/strong>.<\/li>\n\n\n\n<li><strong>Stroke<\/strong> or other serious <a href=\"https:\/\/rxquora.com\/en\/sweating-what-it-is-symptoms-causes-and-what-to-do\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/sweating-what-it-is-symptoms-causes-and-what-to-do\/\">brain blood vessel problems<\/a>.<\/li>\n\n\n\n<li><strong>Seizures<\/strong> (fits), including <strong>grand mal<\/strong>.<\/li>\n\n\n\n<li><strong>Severe mental changes:<\/strong> <strong>Psychosis<\/strong> (seeing\/hearing things not there), <strong>mania<\/strong>, <strong>suicidal thoughts or attempts<\/strong>, <strong>severe confusion<\/strong>.<\/li>\n\n\n\n<li><strong>Severe circulation issues:<\/strong> <strong>Cold, numb fingers\/toes<\/strong> that change colour (<strong>white \u2192 blue \u2192 red<\/strong>) (Raynaud\u2019s phenomenon).<\/li>\n\n\n\n<li><strong>Liver problems:<\/strong> <strong>Abnormal liver function<\/strong>, <strong>liver enzyme elevations<\/strong>, or signs of severe liver injury (including <strong>hepatic coma<\/strong>).<\/li>\n\n\n\n<li><strong>Prolonged, painful erections<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These are serious and may need <strong>immediate medical treatment<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Common_reported_frequently\"><\/span>Common (reported frequently)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Infections:<\/strong> Throat inflammation, upper respiratory or sinus infections.<\/li>\n\n\n\n<li><strong>Appetite and growth:<\/strong> <strong>Decreased appetite<\/strong>, <strong>weight loss<\/strong>, and <strong>reduced height gain<\/strong> with prolonged use in children.<\/li>\n\n\n\n<li><strong>Sleep and mood:<\/strong> <strong>Insomnia<\/strong>, <strong>nervousness<\/strong>, <strong>rapid mood changes<\/strong>, <strong>aggression<\/strong>, <strong>agitation<\/strong>, <strong>anxiety<\/strong>, <strong>depression<\/strong>, <strong>irritability<\/strong>, <strong>mood swings<\/strong>, reduced sexual interest, <strong>panic attacks<\/strong>, <strong>teeth grinding<\/strong>.<\/li>\n\n\n\n<li><strong>Nervous system:<\/strong> <strong>Dizziness<\/strong>, movement difficulties, sensation of movement, tingling feelings, <strong>tension headache<\/strong>.<\/li>\n\n\n\n<li><strong>Eyes:<\/strong> <strong>Focusing difficulties<\/strong>.<\/li>\n\n\n\n<li><strong>Blood pressure:<\/strong> <strong>High blood pressure<\/strong>.<\/li>\n\n\n\n<li><strong>Breathing and throat:<\/strong> <strong>Cough<\/strong>, mouth\/throat pain.<\/li>\n\n\n\n<li><strong>Gut:<\/strong> <strong>Stomach pain<\/strong>, <strong>diarrhoea<\/strong>, <strong>nausea<\/strong>, <strong>vomiting<\/strong>, <strong>dry mouth<\/strong>, <strong>indigestion<\/strong>.<\/li>\n\n\n\n<li><strong>Skin and hair:<\/strong> <strong>Rash<\/strong>, <strong>itching<\/strong>, <strong>hives-like raised areas<\/strong>, <strong>hair loss<\/strong>.<\/li>\n\n\n\n<li><strong>Muscles and joints:<\/strong> <strong>Joint pain<\/strong>, <strong>muscle tightness<\/strong>, <strong>spasms or cramps<\/strong>.<\/li>\n\n\n\n<li><strong>General:<\/strong> <strong>Fatigue<\/strong>, <strong>jitteriness<\/strong>, <strong>low energy<\/strong>, <strong>thirst<\/strong>.<\/li>\n\n\n\n<li><strong>Tests:<\/strong> <strong>Raised ALT<\/strong> (a liver enzyme) on blood tests.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Less_common_reported_less_frequently\"><\/span>Less common (reported less frequently)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Blood:<\/strong> <strong>Anaemia<\/strong>, <strong>low white cells (leucopenia)<\/strong>, <strong>low platelets (thrombocytopenia)<\/strong>\u2014may increase risk of infections and bruising\/bleeding.<\/li>\n\n\n\n<li><strong>Tics:<\/strong> Worsening or new tics.<\/li>\n\n\n\n<li><strong>Speech\/behaviour:<\/strong> <strong>Excessively rapid speech<\/strong>, increased responsiveness, <strong>sedation<\/strong>, <strong>tremor<\/strong>.<\/li>\n\n\n\n<li><strong>Vision:<\/strong> <strong>Blurred vision<\/strong>, <strong>dry eyes<\/strong>, <strong>double vision<\/strong>, difficulties focusing.<\/li>\n\n\n\n<li><strong>Vascular and skin:<\/strong> <strong>Hot flushes<\/strong>, <strong>excessive sweating<\/strong>, <strong>macular rash<\/strong>.<\/li>\n\n\n\n<li><strong>Gut and urinary:<\/strong> <strong>Constipation<\/strong>, <strong>blood in urine<\/strong>.<\/li>\n\n\n\n<li><strong>Hormonal:<\/strong> <strong>Breast swelling in men<\/strong>.<\/li>\n\n\n\n<li><strong>Chest:<\/strong> <strong>Chest pain<\/strong>.<\/li>\n\n\n\n<li><strong>Blood cell reductions:<\/strong> Decrease in <strong>red cells, white cells, and platelets<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Frequency_not_known\"><\/span>Frequency not known<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pancytopenia<\/strong> (decrease in all types of blood cells).<\/li>\n\n\n\n<li><strong>Migraine<\/strong>, <strong>dilated pupils (mydriasis)<\/strong>, restricted jaw movement, <strong>fever<\/strong>, <strong>erectile dysfunction<\/strong>, <strong>urinary frequency<\/strong> or <strong>incontinence<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Post-marketing\"><\/span>Post-marketing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nosebleeds<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What to do:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mild effects<\/strong> (e.g., reduced appetite, headache): speak to your doctor or pharmacist if troublesome or persistent.<\/li>\n\n\n\n<li><strong>Severe or worrying symptoms<\/strong> (especially those listed under <strong>Serious<\/strong>): <strong>stop the medicine<\/strong> and <strong>seek urgent medical help<\/strong>.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Storage_and_disposal\"><\/span>Storage and disposal<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Keep out of the reach and sight of children.<\/strong><\/li>\n\n\n\n<li><strong>Store at or below 25 \u00b0C.<\/strong><\/li>\n\n\n\n<li>Keep the <strong>container tightly closed<\/strong> and in the <strong>original container<\/strong> until use.<\/li>\n\n\n\n<li>Do <strong>not<\/strong> store in a <strong>bathroom<\/strong>.<\/li>\n\n\n\n<li>Do <strong>not<\/strong> use after the <strong>expiry date (EXP)<\/strong> shown on the carton (last day of the month indicated).<\/li>\n\n\n\n<li><strong>Return<\/strong> any unused or expired tablets to your <strong>pharmacist<\/strong>. Do not dispose of medicines in <strong>toilets<\/strong>, <strong>drains<\/strong>, or household waste.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_the_medicine_contains\"><\/span>What the medicine contains<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Active ingredient:<\/strong> <strong>Methylphenidate hydrochloride<\/strong>\u2014available as <strong>18 mg, 27 mg, 36 mg, 54 mg<\/strong> prolonged-release tablets.<\/li>\n\n\n\n<li><strong>Key excipient information:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Contains sucrose (sugar)<\/strong>\u2014see exact amounts below; important for people with <strong>diabetes<\/strong> or <strong>sugar intolerance<\/strong>.<\/li>\n\n\n\n<li>Other formulation components include common tablet and coating excipients such as <strong>hypromellose<\/strong>, <strong>ethylcellulose<\/strong>, <strong>hydroxypropylcellulose<\/strong>, <strong>talc<\/strong>, <strong>triethyl citrate<\/strong>, <strong>carmellose sodium<\/strong>, <strong>microcrystalline cellulose<\/strong>, <strong>magnesium stearate<\/strong>, <strong>colloidal silica<\/strong>, and film-coating systems (e.g., Opadry\u00ae II with polyvinyl alcohol, macrogol, talc, titanium dioxide and iron oxides).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Sugar content per tablet:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>18 mg:<\/strong> <strong>Sucrose 10,013 mg<\/strong><\/li>\n\n\n\n<li><strong>27 mg:<\/strong> <strong>Sucrose 15,024 mg<\/strong><\/li>\n\n\n\n<li><strong>36 mg:<\/strong> <strong>Sucrose 20,027 mg<\/strong><\/li>\n\n\n\n<li><strong>54 mg:<\/strong> <strong>Sucrose 30,040 mg<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Warning:<\/strong> The high sucrose content may affect <strong>blood glucose<\/strong> control.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pack_information_and_appearance\"><\/span>Pack information and appearance<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pack size:<\/strong> Bottles of <strong>30 tablets<\/strong> (HDPE bottles with child-resistant, tamper-evident caps and desiccant).<\/li>\n\n\n\n<li><strong>Appearance by strength:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>18 mg:<\/strong> <strong>Yellowish to yellow<\/strong>, <strong>round<\/strong>, <strong>biconvex<\/strong>, film-coated.<\/li>\n\n\n\n<li><strong>27 mg:<\/strong> <strong>Yellow<\/strong>, <strong>oblong<\/strong>, <strong>biconvex<\/strong>, film-coated, with <strong>break scores<\/strong> on both sides (not for dose splitting).<\/li>\n\n\n\n<li><strong>36 mg:<\/strong> <strong>White to off-white<\/strong>, <strong>oblong<\/strong>, <strong>biconvex<\/strong>, film-coated, with <strong>break scores<\/strong> on both sides (not for dose splitting).<\/li>\n\n\n\n<li><strong>54 mg:<\/strong> <strong>Reddish to red<\/strong>, <strong>oblong<\/strong>, <strong>biconvex<\/strong>, film-coated, with <strong>break scores<\/strong> on both sides (not for dose splitting).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Practical_FAQs\"><\/span>Practical FAQs <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I drink alcohol while taking CONTRAMYL XR?<\/strong><br>No. <strong>Do not drink alcohol<\/strong>, as it can <strong>worsen side effects<\/strong>. Remember that some foods and medicines may contain alcohol.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can my child under 6 years take CONTRAMYL XR?<\/strong><br>No. It <strong>should not be given<\/strong> to children <strong>under 6 years<\/strong> because <a href=\"https:\/\/rxquora.com\/en\/allecet-syrup-uses-dosage-side-effects-and-safety-tips\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/allecet-syrup-uses-dosage-side-effects-and-safety-tips\/\">safety and effectiveness<\/a> have <strong>not been established<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Will this medicine affect growth?<\/strong><br>In children, <strong>long-term<\/strong> use has been associated with <strong>reduced weight and height gain<\/strong>. If growth is not as expected, treatment should be <strong>reviewed<\/strong> and may be <strong>stopped<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I drive or use machines?<\/strong><br>This medicine can cause <strong>dizziness<\/strong>, <strong>drowsiness<\/strong>, or <strong>visual disturbances<\/strong>. Only drive or use machinery when you <strong>know how it affects you<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What if I miss a dose?<\/strong><br><strong>Skip<\/strong> the missed dose and take the <strong>next dose at the usual time<\/strong> the next morning. <strong>Do not<\/strong> take a <strong>double dose<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can CONTRAMYL XR affect drug screening tests?<\/strong><br>Yes. It may cause <strong>positive results<\/strong> in <strong>substance testing<\/strong>, including tests used in <strong>sport<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Should I stop the medicine before an operation?<\/strong><br>Tell your doctor\/anaesthetist. <strong>Do not take<\/strong> your tablet on the <strong>day of surgery<\/strong> if a certain anaesthetic is being used, as it may cause a <strong>sudden rise in blood pressure<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I take it with food?<\/strong><br>Yes. It can be taken <strong>with or without food<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>May I split, crush, or chew the tablet?<\/strong><br>No. Swallow <strong>whole<\/strong> with water. Even though some tablets have <strong>break scores<\/strong>, they are <strong>not intended<\/strong> for splitting into separate doses or for chewing\/crushing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Is it safe in pregnancy or breastfeeding?<\/strong><br>Do <strong>not<\/strong> use if you are <strong>pregnant<\/strong> or <strong>breastfeeding<\/strong> unless your doctor decides otherwise. Methylphenidate may <strong>harm the baby<\/strong> and can <strong>pass into breast milk<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Are there important medicine interactions?<\/strong><br>Yes. <strong>Do not<\/strong> take with <strong>MAOIs<\/strong> (or within <strong>14 days<\/strong> of stopping an MAOI). Use caution with <strong>SSRIs<\/strong>, <strong>tricyclics<\/strong>, <strong>antiepileptics<\/strong>, <strong>warfarin<\/strong>, <strong>blood pressure medicines<\/strong>, <strong>clonidine\/alpha-2 agonists<\/strong>, <strong>antipsychotics<\/strong>, and <strong>alcohol<\/strong>. Always tell your doctor about all medicines you use.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is an extended-release form of methylphenidate hydrochloride, a medicine used to manage Attention Deficit Hyperactivity Disorder (ADHD). It works on areas of the brain that are under-active in ADHD to help improve attention, focus, and impulse control. Because it is extended-release, each tablet is taken once daily in the morning and releases medicine throughout &#8230; <a title=\"CONTRAMYL XR : Uses,Side Effects,Warnings,Precautions\" class=\"read-more\" href=\"https:\/\/rxquora.com\/en\/contramyl-xr-uses-side-effects-warnings-precautions\/\" aria-label=\"Read more about CONTRAMYL XR : Uses,Side Effects,Warnings,Precautions\">Read more<\/a><\/p>\n","protected":false},"author":5,"featured_media":2462,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"class_list":["post-2131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health"],"_links":{"self":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/comments?post=2131"}],"version-history":[{"count":0,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2131\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media\/2462"}],"wp:attachment":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media?parent=2131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/categories?post=2131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/tags?post=2131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}