$Unique_ID{BRK03270} $Pretitle{} $Title{pemoline} $Subject{Cylert Abbott Stimulant pemoline central nervous system brain spinal cord stimulant attention deficit disorders hyperkinetic syndrome hyperactivity attention span children} $Volume{} $Log{} Copyright (C) 1993 Publications International, Ltd. pemoline ------------------------------------------------------------------------------ BRAND NAME (Manufacturer) Cylert (Abbott) TYPE OF DRUG Stimulant INGREDIENT pemoline DOSAGE FORMS Tablets (18.75 mg, 37.5 mg, and 75 mg) Chewable tablets (37.5 mg) STORAGE Pemoline should be stored at room temperature in a tightly closed container. USES Pemoline is a central nervous system (brain and spinal cord) stimulant that is used to treat attention deficit disorders (hyperkinetic syndrome). It is not yet clear how pemoline works to improve behavioral disorders in children, but it seems to decrease hyperactivity and increase attention span. TREATMENT Pemoline can be taken either on an empty stomach or with food or milk (as directed by your doctor). The chewable tablet form of this medication can be either chewed or swallowed whole. If you miss a dose of this medication, take the missed dose as soon as possible, unless it is almost time for the next dose. In that case, do not take the missed dose at all; just return to your regular dosing schedule. Do not double the next dose of this medication. You may not observe the full therapeutic benefits of this medication for three to four weeks. SIDE EFFECTS Minor. Dizziness, drowsiness, headache, insomnia, irritability, loss of appetite, nausea, stomachache, or weight loss. These side effects should disappear as your body adjusts to the drug. If you feel dizzy, sit or lie down for a while; get up slowly from a sitting or reclining position, and be careful on stairs. Major. Tell your doctor about any side effects that are persistent or particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about convulsions; depression; hallucinations; palpitations; skin rash; unusual movements of the tongue, lips, face, hands, or feet; or yellowing of the eyes or skin. INTERACTIONS Pemoline should not interact with other medications if it is used according to the directions given to you by your doctor or pharmacist. WARNINGS * Tell your doctor about unusual or allergic reactions you have had to any medications, especially to pemoline. * Before starting to take this medication, be sure to tell your doctor if you now have or if you have ever had kidney disease, liver disease, or mental disorders. * If this drug makes you dizzy or drowsy, do not take part in any activity that requires alertness, such as driving a car or operating potentially dangerous machinery. Children who are taking this drug should be cautious while playing. * This medication has the potential for abuse and must be used with caution. It should, therefore, not be taken in larger doses or for longer periods than prescribed by your doctor. In addition, you should not stop taking pemoline unless you first check with your doctor. Stopping the drug abruptly can lead to a withdrawal reaction. Your doctor may, therefore, want to reduce the dosage gradually. * Your doctor may want to interrupt pemoline therapy occasionally for short periods ("drug holidays") to see if the symptoms of the attention deficit disorder have disappeared. * Be sure to tell your doctor if you are pregnant. Although pemoline appears to be safe, extensive studies in humans during pregnancy have not been conducted. Also, tell your doctor if you are breast-feeding an infant. It is not known whether pemoline passes into breast milk. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.