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METHYLPHENIDATE HYDROCHLORIDE 5 mg, 10 mg or 20 mg Tablets – patient leaflet, side effects, dosage

Last updated: · Text from the MHRA, as of · About this document

Medicine status: Prescription only (POM) Controlled drug (Schedule 2) Details

Medicine strength:
20 mg
Contains active substance:

Patient leaflet - Methylphenidate Hydrochloride 20 mg tablets

1. What Methylphenidate Hydrochloride is and what it is used for

What it is used for

How it works

The medicine is given as part of a treatment programme, which usually includes:

It is prescribed only by doctors who have experience in children or young people’s behaviour problems. Although there is no cure for ADHD, it can be managed using treatment programmes.

About ADHD

It is not their fault that they cannot do these things.

Many children and young people struggle to do these things. However, with ADHD they can cause problems with everyday life. Children and young

ADHD does not affect the intelligence of a child or young person.

2. What you need to know before you take Methylphenidate Hydrochloride

Do not take Methylphenidate Hydrochloride if:

were born with a heart problem

o severe depression, where you feel very sad, worthless and hopeless

Checks that your doctor will make before you start taking Methylphenidate Hydrochloride family have a history of suicide, bipolar disorder or depression.

It is important that you provide as much information as you can. This will help your doctor decide if methylphenidate is the correct medicine for you.

Other medicines and Methylphenidate Hydrochloride

a prescription.

MAOI with methylphenidate may cause a sudden increase in your blood pressure.

buy any of these products

. Having an operation

is used. This is because there is a chance of a sudden rise in blood pressure during the operation.

Drug testing

This medicine may give a positive result when testing for drug use. This includes testing used in sport.

Methylphenidate Hydrochloride with food, drink and alcohol

cines contain alcohol.

Driving and using machines

o the medicine has been prescribed to treat a medical problem and

provided with the medicine and

o it was not affecting your ability to drive safely.

Information for children and young people

This info is to help you learn the main things about your medicine called Methylphenidate Hydrochloride.

It may help if you read small bits at a time.

Why have I been given this medicine?

This medicine can help children and young people with ‘ADHD’.

While you are taking this medicine

happen in a school holiday.

Some people cannot have this medicine

You cannot have this medicine if:

Warnings and precautions :

Hydrochloride if you:

worse. Your doctor will want to monitor how the medicine affects you.

y time. It is important to contact your doctor straight away if your erection lasts for longer than 2 hours, particularly if this is painful. If you or your child develop blurred vision or other visual disturbances contact your doctor. Your doctor may consider discontinuation of Methylphenidate Hydrochloride

If you or your child develop blurred vision or other visual disturbances contact your doctor. Your doctor may consider discontinuation of Methylphenidate Hydrochloride.

fertility'

During treatment, boys and adolescents may unexpectedly experience prolonged erections. This may be painful and can occur at an or your daughter:

Pregnancy, breast-feeding and contraception

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.

is sexually active.

is pregnant or think might be pregnant. Your doctor will decide whether methylphenidate should be taken. breast-feeding or planning to breast-feed. It is possible that methylphenidate is passed into human breast milk. Therefore, your doctor will decide whether you should breast-feed while taking methylphenidate.

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3. How to take Methylphenidate Hydrochloride

How much to take

If you do not feel better after 1 month of treatment

If you do not feel better, tell your doctor. They may decide you need a different treatment.

Not using Methylphenidate Hydrochloride properly

If Methylphenidate Hydrochloride is not used properly, this may cause abnormal behaviour. It may also mean that you start to depend on the medicine. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines or street drugs. This medicine is only for you. Do not give this medicine to anyone else, even if their symptoms seem similar.

If you take more Methylphenidate Hydrochloride than you should

If you forget to take Methylphenidate Hydrochloride

If you stop taking Methylphenidate Hydrochloride

Methylphenidate Hydrochloride.

Things your doctor will do when you are on treatment

Your doctor will do some tests

Methylphenidate Hydrochloride.

Long-term treatment

should stop treatment for a short time, this may happen during a school holiday. This will show if the medicine is still needed.

4. Possible side effects

Some side effects could be serious. If you have any of the side effects below, see a doctor straight away:

Common (affects less than 1 in 10 people)

Uncommon (affects less than 1 in 100 people)

Rare (affects less than 1 in 1,000 people)

Very rare (affects less than 1 in 10,000 people)

supply to the brain

bleed and bruise more easily

Other side effects (how often they happen is not known)

If you have any of the side effects above, see a doctor straight away.

Other side effects include the following. If they get serious, please tell your doctor or pharmacist:

Very common (affects more than 1 in 10 people)

Common (affects less than 1 in 10 people)

Uncommon (affects less than 1 in 100 people)

Rare (affects less than 1 in 1,000 people)

Very rare (affects less than 1 in 10,000 people)

Effects on growth

When used for more than a year, methylphenidate may cause reduced growth in some children. This affects less than 1 in 10 children.

Reporting of side effects

5. How to store Methylphenidate Hydrochloride

Do not use Methylphenidate Hydrochloride after the expiry date which is stated on the label. The expiry date refers to the last day of that month. Do not store above 25° C.

These measures will help to protect the environment.

6. Contents of the pack and other information

What Methylphenidate Hydrochloride contains

The active substance is methylphenidate hydrochloride.

The other ingredients are:

What Methylphenidate Hydrochloride looks like and contents of the pack

Methylphenidate Hydrochloride is available in three strengths: 5 mg, 10 mg and 20 mg. Tablets are white, flat and round.

Marketing Authorisation Holder and Manufacturer

This leaflet was last revised in September 2025

Some people need to talk to their doctor before they start having this medicine

How do I take my medicine (tablets)?

Possible side effects

food.

sleepy, it is important not to do outdoor sports climbing trees. You could hurt yourself and others.

If you feel unwell in any way while you are taking your medicine please tell an adult you trust straight away.

Other things to remember

do not let anyone else have it. It may help you, but it could hurt someone else. don’t

right away.

Who should I ask if there is anything I don’t understand?

Your mum, dad, carer, doctor, nurse or pharmacist will be able to help you.

Other side effects (how often they happen is not known)

stuttering

nosebleed.

increased pressure in the eye

eye diseases which may cause decreased vision due to damage to the eye nerve (glaucoma). obsessive-compulsive disorder (OCD) (including irresistible urge to pull out body hair, skin picking, having repeated unwanted thoughts, feelings, images or urges in your mind (obsessive thoughts), performing behaviours or mental rituals (compulsions)) dry eye.

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 18153/0003

Last revision stated in the text: September 2025 · MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Methylphenidate Hydrochloride 20 mg tablets

Prescription needed? Yes, prescription-only medicine (POM)
Controlled drug
Yes, Schedule 2 of the Misuse of Drugs Regulations?
  • Controlled drugs are medicines that UK law controls more strictly because they can be misused or cause dependence. The Misuse of Drugs Regulations 2001 divide them into 5 schedules: schedule 1 has the strictest rules, schedule 5 the lightest.
  • Schedule 2 is the strictest group of prescribed medicines, for example strong opioid painkillers and medicines for ADHD.
  • A prescription is valid for 28 days and usually covers up to 30 days of treatment. It cannot be issued as a repeat dispensing prescription.
  • When you collect it, the pharmacist must check whether you are the patient and may ask for ID.
  • Travelling abroad: you can usually carry up to 3 months' supply. Take your prescription or a letter from your doctor to show it is yours, and check the rules of the country you are going to (GOV.UK).
  • Never give it to anyone else.
Active substance Methylphenidate
Strength 20 mg
Pharmaceutical form Oral tablet
White, flat, round tablets, marked 'RU 20' and with a breakline on one side.
The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses.
How is it taken Oral
Excipients Calcium hydrogen phosphate dihydrate, Microcrystalline cellulose, Maize starch, Magnesium stearate.
Is it available? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life 24 months
Storage Do not store above 25°C. Store in the original package.
Drug group (ATC) Psychoanaleptics; psychostimulants, agents used for ADHD and nootropics; centrally acting sympathomimetics
  1. N Nervous system drugs
    1. N06 Psychoanaleptics
      1. N06B Psychostimulants, agents used for ADHD and nootropics
        1. N06BA Centrally acting sympathomimetics
          1. N06BA04 methylphenidate
Marketing authorisation PL 18153/0003 (first authorised 1 October 2001), PL 25298/0421 (first authorised 16 April 2026)
Marketing authorisation holder Laboratorios Rubio SA. C/lndustria. 29. Pol. Ind. Comte de Sert. 08755 Castellbisbal, Brown & Burk UK Limited
Codes BNF 04040000

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.2.0 of 19 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.