Common Questions about QuilliChew ER

Product Information

What is QuilliChew ERTM (methylphenidate HCl)?

QuilliChew ER is used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). It is a chewable tablet that is taken by mouth once in the morning, and should be used as part of a total treatment program for ADHD that may include counseling or other therapies.


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What does the ER stand for in QuilliChew ER?

The ER stands for “extended release.”


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Why is QuilliChew ER considered an extended-release medicine?

QuilliChew ER is a long-lasting medicine. This means that QuilliChew ER only needs to be taken once each day in the morning, and the medicine is released into the body throughout the day.


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How were the effects of QuilliChew ER measured?

The effectiveness of QuilliChew ER was assessed in a laboratory classroom study. Teachers and raters used a rating scale (SKAMP) to evaluate the efficacy of QuilliChew ER on attention and behavior in children with ADHD ages 6-12 years. QuilliChew ER was demonstrated to start working in 45 minutes and keep working for 8 hours after taking.


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What does QuilliChew ER taste like?

QuilliChew ER is cherry-flavored.


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How do I store QuilliChew ER?

Store QuilliChew ER in a safe place at 68°F to 77°F (20°C to 25°C). Keep QuilliChew ER and other medicines out of the reach of children.


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How is QuilliChew ER supplied?

QuilliChew ER is supplied as 20 mg scored, 30 mg scored and 40 mg unscored chewable tablet options.


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How to Take QuilliChew ER

How should QuilliChew ER be taken?

  • Take QuilliChew ER exactly as prescribed. Your healthcare professional may adjust the dose until it is right for you or your child
  • Take QuilliChew ER once each day in the morning. QuilliChew ER is an extended-release tablet. It releases medicine into your body throughout the day
  • QuilliChew ER can be taken with or without food.
  • From time to time, your healthcare professional may stop QuilliChew ER treatment for a while to check ADHD symptoms
  • Your healthcare professional may do regular checks of the blood, heart, and blood pressure while taking QuilliChew ER
  • Children should have their height and weight checked often while taking QuilliChew ER. QuilliChew ER treatment may be stopped if a problem is found during these check-ups
  • In case of poisoning, call your poison control center at 1-800-222-1222 right away, or go to the nearest hospital emergency room

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How often do you take QuilliChew ER?

QuilliChew ER is taken once each day in the morning.


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Duration Information

When does QuilliChew ER start working?

QuilliChew ER was demonstrated to start working 45 minutes after taking.


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How long do the effects of QuilliChew ER last?

QuilliChew ER works in 45 minutes and keeps working for 8 hours after taking.


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Safety Information

Can QuilliChew ER be habit-forming?

QuilliChew ER is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep QuilliChew ER in a safe place to prevent misuse and abuse. Selling or giving away QuilliChew ER may harm others, and is against the law. Tell your healthcare professional if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines, or street drugs.


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What is the most important information I should know about QuilliChew ER?

The following have been reported with the use of methylphenidate hydrochloride and other stimulant medicines.

Heart-related problems

  • Sudden death in patients who have heart problems or heart defects
  • Stroke and heart attack in adults
  • Increased blood pressure and heart rate

Tell your healthcare professional if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems.

Your healthcare professional should check you or your child carefully for heart problems before starting QuilliChew ER.

Your healthcare professional should check your or your child's blood pressure and heart rate regularly during treatment with QuilliChew ER.

Call your healthcare professional right away if you or your child have any signs of heart problems such as chest pain, shortness of breath, or fainting while taking QuilliChew ER.

 

Mental (Psychiatric) problems

All Patients

  • New or worse behavior and thought problems
  • New or worse bipolar illness

Children and Teenagers

  • New psychotic symptoms (such as hearing voices, believing things that are not true, are suspicious) or new manic symptoms

Tell your healthcare professional about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.

Call your healthcare professional right away if you or your child have any new or worsening mental symptoms or problems while taking QuilliChew ER, especially seeing or hearing things that are not real, believing things that are not real, or are suspicious.

 

Circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon)

  • Fingers or toes may feel numb, cool, painful
  • Fingers or toes may change color from pale, to blue, to red

Tell your healthcare professional if you have or your child has numbness, pain, skin color change, or sensitivity to temperature in the fingers or toes.

Call your healthcare professional right away if you have or your child has any signs of unexplained wounds appearing on fingers or toes while taking QuilliChew ER.


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Who should not take QuilliChew ER?

QuilliChew ER should not be taken if you or your child:

  • Are allergic to methylphenidate hydrochloride, or any of the ingredients in QuilliChew ER. See the end of the Medication Guide for a complete list of ingredients in QuilliChew ER
  • Are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor or MAOI

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Are there any health conditions I should tell my healthcare professional about?

QuilliChew ER may not be right for you or your child. Before starting QuilliChew ER tell your or your child's healthcare professional about all health conditions (or a family history of) including:

  • Heart problems, heart defects, high blood pressure
  • Mental problems including psychosis, mania, bipolar illness, or depression
  • Circulation problems in fingers and toes
  • Phenylketonuria (PKU). QuilliChew ER extended-release chewable tablets contain phenylalanine as part of the artificial sweetener, aspartame. The artificial sweetener may be harmful to people with PKU or who are allergic to phenylalanine
  • Are pregnant or plan to become pregnant. It is not known if QuilliChew ER will harm your unborn baby. Talk to your healthcare professional if you are pregnant or plan to become pregnant
  • Are breastfeeding or plan to breast feed. QuilliChew ER passes into your breast milk. You and your healthcare professional should decide if you will take QuilliChew ER or breast feed

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What medicines should my healthcare professional know I’m taking before starting on QuilliChew ER?

Tell your healthcare professional about all of the medicines that you or your child takes including prescription and nonprescription medicines, vitamins, and herbal supplements. QuilliChew ER 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 QuilliChew ER.

Your healthcare professional will decide whether QuilliChew ER can be taken with other medicines.

Especially tell your healthcare professional if you or your child takes:

  • Antidepression medicines including MAOIs
  • Cold or allergy medicines that contain decongestants
  • Know the medicines that you or your child takes. Keep a list of your medicines with you to show your healthcare professional and pharmacist

Do not start any new medicine while taking QuilliChew ER without talking to your healthcare professional first.


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