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MEDIKINET MR CAPSULE 40MG

Product Information

Registration Status: Active

SIN14840P

MEDIKINET MR CAPSULE 40MG is approved to be sold in Singapore with effective from 2015-08-31. It is marketed by HYPHENS PHARMA PTE LTD, with the registration number of SIN14840P.

This product contains Methylphenidate 40mg in the form of CAPSULE, DELAYED-RELEASE PELLETS. It is approved for ORAL use.

This product is manufactured by MEDICE Arzneimittel Putter GmbH & Co. KG in GERMANY.

It is a Prescription Only Medicine that can only be obtained from a doctor or a dentist, or a pharmacist with a prescription from a Singapore-registered doctor or dentist.

Product Reference
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Description

A central nervous system stimulant used most commonly in the treatment of attention-deficit disorders in children and for narcolepsy. Its mechanisms appear to be similar to those of dextroamphetamine.

Indication

For use as an integral part of a total treatment program which typically includes other remedial measures (psychological, educational, social) for a stabilizing effect in children with a behavioral syndrome characterized by the following group of developmentally inappropriate symptoms: moderate-to-severe distractibility, short attention span, hyperactivity, emotional lability, and impulsivity.

Mechanism of Action

Methylphenidate blocks dopamine uptake in central adrenergic neurons by blocking dopamine transport or carrier proteins. Methylphenidate acts at the brain stem arousal system and the cerebral cortex and causes increased sympathomimetic activity in the central nervous system. Alteration of serotonergic pathways via changes in dopamine transport may result.

Pharmacokinetics

Absorption
Readily absorbed in a biphasic manner when orally administered (tablets) to children diagnosed with ADHD and to healthy adults. In children and adults males, after administration of a single oral dose of Ritalin LA and Ritalin given in two doses 4 hours apart, peak plasma concentration is reached approximately 2 hours for the first phase and 5-6 hours for the second phase. The absolute oral bioavailability of methylphenidate in children was 22±8% for d-methylphenidate and 5±3% for l-methylphenidate. These low values suggest that methylphenidate is highly metabolized presystemically.
Distribution
d-methylphenidate = 2.65 L/kg; l-methylphenidate = 1.80 L/kg;
Metabolism
Methylphenidate is hepatically metabolized. More specifically, it is rapidly and extensively metabolized by carboxylesterase CES1A1. Via this enzyme, methylphenidate undergoes de-esterification to ritalinic acid (a-phenyl-2-piperidine acetic acid, PPAA), which has little to no pharmacologic activity.
Elimination

Clearance

Systemic clearance for Ritalin LA and Ritalin tablets is as follows: d-methylphenidate= 0.40±0.12 L/h/kg; l-methylphenidate = 0.73±0.28 L/h/kg;

Toxicity

Symptoms of overdose include vomiting, agitation, tremors, hyperreflexia, muscle twitching, convulsions (may be followed by coma), euphoria, confusion, hallucinations, delirium, sweating, flushing, headache, hyperpyrexia, tachycardia, palpitations, cardiac arrhythmias, hypertension, mydriasis, and dryness of mucous membranes. LD50=190mg/kg (orally in mice)

Active Ingredient/Synonyms

Methyl phenidylacetate | methyl phenyl(piperidin-2-yl)acetate | methyl α-phenyl-α-(2-piperidyl)acetate | methyl α-phenyl-α-2-piperidinylacetate | Methylphenidan | Methylphenidatum | Metilfenidato | MPH | α-phenyl-2-piperidineacetic acid methyl ester | Methylphenidate |


Source of information: Drugbank (External Link). Last updated on: 3rd July 18. *Trade Name used in the content below may not be the same as the HSA-registered product.

References

  1. Health Science Authority of Singapore - Reclassified POM
  2. Drugbank

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