Precautions for Daytrana (methylphenidate transdermal) patch

Zitrana (Methylphenidate Transdermal) is a stimulant drug used to treat the symptoms of attention deficit hyperactivity disorder (ADHD) in children and adolescents between 6 and 17 years of age.

Daytrana comes in the form of a transdermal patch. A transdermal patch is a material placed on the skin to allow the medicine to be absorbed into your body through the skin.

This medication is often used in conjunction with other treatment options for ADHD, such as counseling and behavioral therapy.


Daytrana is used to help reduce the symptoms of inattention, impulsivity and hyperactive behavior in children and adolescents with ADHD.

It is usually part of the ADHD treatment plan, not the only treatment. This means that people who use Daytrana often also participate in behavioral therapy and counseling to help treat their ADHD symptoms.

Because Daytrana is a transdermal patch, it is particularly suitable for people who have difficulty taking oral medications.

Before taking

Before prescribing Daytrana to your child, your doctor will conduct a thorough physical examination of your child. They will check your child’s medical history to determine if Daytrana is the best treatment for your child’s ADHD.

Sometimes, ADHD will occur together with other diseases, such as Tourette’s syndrome and anxiety. If your child has been diagnosed with either of these two diseases, or has a family history of these diseases, you should not take Daytrana.

Methylphenidate is the active ingredient in Daytrana. If your child is allergic to methylphenidate or the silicone or acrylic adhesives that usually make up patches, you should tell your doctor about this before using Daytrana.

READ ALSO:  Uses, indications and side effects of benzodiazepines

In some cases, Daytrana has been reported to cause numbness in the fingers and toes.If your child has circulation problems in their fingers or toes, you should tell your doctor before they start using Daytrana.

Precautions and contraindications

In rare cases, stimulant drugs like Daytrana can cause heart problems, especially for people with a history of heart disease or a family history of heart disease.

If you notice that the Daytrana patch causes fainting, shortness of breath, or chest pain, you should remove the patch immediately and call your doctor. These may be symptoms of heart problems.

When wearing the patch, make sure it is not exposed to external sources, such as an electric blanket or heating pad that can heat it. When the patch is heated, the rate at which the drug is absorbed by the body will increase significantly. This can lead to an excess of methylphenidate.

People with mental illness should use Daytrana with caution. In this case, stimulant drugs such as Daytrana may aggravate thought disorder and abnormal behavior symptoms.

In rare cases, people without a history of mental illness may experience manic symptoms when using stimulant drugs, such as hallucinations, delusions, confusion, nervous speech, high mood, or extreme irritability. Once you notice such symptoms, you should stop Daytrana immediately and consult your doctor.


Daytrana comes in the form of a transdermal patch. It is usually recommended to place a patch on the buttocks two hours before you need the medicine to take effect. It should not exceed nine hours after application.

READ ALSO:  Extrapyramidal side effects of drugs

Daytrana has different patch sizes, indicating how much methylphenidate they contain. In the first week of treatment, children and adolescents usually start using a 12.5 cm patch containing 10 mg of methylphenidate.

In the second week of treatment, this may increase to an 18.75 cm patch containing 15 mg of methylphenidate. A 25 cm patch containing 20 mg of drug is usually used in the third week of Daytrana treatment.

The maximum dose that can be given is a 37.5 cm patch containing 30 mg of the drug.

How to use and store

To use Daytrana, carefully remove the patch from the pouch where it is stored, and peel off the protective liner with clean hands. Before applying the patch to the buttocks, make sure that the area is clean and dry. Then, stick the patch on the skin for about 30 seconds to ensure that the patch is firmly placed and firm.

If you are the parent or guardian of a child with ADHD, it is strongly recommended that you help them attach the patch to ensure that the patch is firmly placed.

If the pouch or protective liner appears to be damaged, discard the patch and use a new patch.

Your child or teenager should be able to perform normal activities, including swimming and bathing, without worrying about the patch falling off after proper use. When using the patch every day, alternate between the two hips.

To remove the patch, just tear it off carefully. If the patch is a bit stuck, you can apply oily products such as petroleum jelly to make it easier to remove.

READ ALSO:  How ADHD affects peer relationships

side effect

Some people may experience mild side effects when using Daytrana. These usually disappear after a period of time. However, if they persist or become more troublesome, you should consult your doctor.


The most common side effects you may encounter while using Daytrana include:

  • Redness or itching around the skin at the patch
  • no appetite
  • Nausea
  • Vomit
  • stomachache
  • Mood swings
  • twitch
  • hard to fall asleep
  • Dizziness
  • lose weight


Serious side effects have also been reported when using Daytrana. They include:

  • Seizures (if your child has a history of epilepsy, they are more likely to have seizures while using Daytrana)
  • Slow growth in height and weight
  • Priapism (a condition that causes painful and prolonged erections in boys and men)
  • Blurred vision
  • Loss of skin color

Warning and interaction

Daytrana is a controlled substance, which means you can easily become dependent on it and abuse drugs.

If your child has a history of drug abuse, you should disclose it to your doctor before prescribing Daytrana.

If your child is taking a monoamine oxidase inhibitor or just stopped using this medication. Daytrana should not be used.

Daytrana may increase your blood pressure. If you are using medications with vasopressors, be sure to pay close attention to your blood pressure levels.

If you also have high blood pressure and are being treated for ADHD, you may need to explore other stimulant or non-stimulant drug options, as Daytrana may reduce the effectiveness of your high blood pressure medications.