Quillichew er 20 mg – Complete guide to this medication for ADHD

Quillichew er 20mg - Complete guide to this medication for ADHD

Quillichew ER 20 mg is an innovative medication that has been developed specifically to care for people diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). This disorder, which commonly affects children and adolescents but is also common in adults, can prevent concentration, organization and control of impulsivity. Quillichew ER, which belongs to the class of medications known as central nervous system (CNS) stimulants, offers an innovative treatment option with its unique formulation and extended-release mechanism.

Main characteristics of Quillichew ER 20 mg
Characteristic Benefit
Extended release formula Ensures sustained control of symptoms throughout the day
20 mg dose Provides an optimized dose suitable for moderate to severe ADHD symptoms
chewable tablet Facilitates administration and is ideal for people with difficulty swallowing

“Quillichew ER 20 mg is indicated for the treatment of ADHD in pediatric patients from 6 years of age. It should be part of a comprehensive treatment program that may include other therapies, such as psychological, educational and social measures, as considered necessary for eachindividual case. The effectiveness of Quillichew ER has been demonstrated in several clinical trials, with statistically significant improvements observed in the control of ADHD symptoms compared to placebo.”

– Clinical guidelines on the use of Quillichew ER 20mg

Quillichew ER 20 mg offers a valuable option for people with ADHD by providing sustained symptom relief. The extended release formulation ensures a constant release of the medication throughout the day, avoiding the need for frequent dosing. This feature is vital to managing the often fluctuating symptoms experienced by people with ADHD. With a 20 mg strength, Quillichew ER offers a precise dosage suitable for those suffering from moderate to severe ADHD symptoms, striking the optimal balance between effectiveness and minimizing potential side effects.

The chewable tablet presentation of Quillichew ER increases its convenience and ease of administration. This formulation is especially beneficial for pediatric patients who may have difficulty swallowing conventional tablets or capsules. By making the medication chewable, it is more accessible and less intimidating, which ultimately improves treatment adherence. Quillichew ER, as part of a comprehensive treatment program, complements other interventions, such as psychological support and educational measures, to address the complex challenges associated with the management of ADHD.

Mode of Action and Pharmacokinetics

The mode of action and pharmacokinetics of Quillichew er 20mg, a medication used in the treatment of attention deficit hyperactivity disorder (ADHD), play a crucial role in understanding its efficacy and safety profile.

Quillichew er 20mg belongs to the class of medications known as central nervous system stimulants. It contains methylphenidate, a powerful dopamine and norepinephrine reuptake inhibitor, which helps restore the balance of certain chemicals in the brain responsible for maintaining attention and reducing impulsivity and hyperactivity in individuals with ADHD.

Pharmacokinetics refers to the process by which a drug is absorbed, distributed, metabolized and eliminated from the body. In the case of Quillichew er 20mg, its pharmacokinetic profile includes:

  • Absorption: Quillichew er is designed as an extended-release formulation, allowing for a gradual, controlled release of the medication over an extended period of time. This helps provide continuous therapeutic effects throughout the day. The drug is absorbed from the gastrointestinal tract.
  • Distribution: Once absorbed, Quillichew er is distributed to various tissues and organs in the body, including the brain. The medication crosses the blood-brain barrier to exert its therapeutic effects on the central nervous system.
  • Metabolism: Methylphenidate undergoes hepatic metabolism, mainly through the activity of the hepatic enzyme CYP2D6. During metabolism, the active compound is broken down into inactive metabolites, which are then eliminated from the body.
  • Elimination: Elimination of Quillichew er and its metabolites occurs predominantly by renal excretion. The half-life of the drug is approximately 2-4 hours in adults and may vary in pediatric patients.

In summary, Quillichew er 20mg exerts its therapeutic effects through its mechanism of action as a stimulating of the central nervous system. Its prolonged release formulation allows the continuous release of the medication, providing sustained benefits throughout the day. The pharmacokinetic profile implies absorption in the gastrointestinal tract, distribution to various tissues, including brain, liver metabolism and renal elimination. Understanding the mode of action and pharmacokinetics of Quillichew Er 20 mg is important to determine its efficacy, safety and dosing regimes appropriate for individuals with ADHD.

Indications and Approved Uses

1. ADHD treatment:

One of the main indications of Quillichew ER 20MG is the treatment of ADHD in pediatric patients from 6 years, as well as in adults. ADHD is a neurodevelopment disorder characterized by persistent patterns of lack of attention, hyperactivity and impulsivity that can significantly affect the daily functioning and quality of life of the individual. Quillichew er 20 mg, which contains methylphenidate hydrochloride, is a central nervous system (CNS) that helps reduce ADHD symptoms by affecting certain chemical substances in the brain.

Important note: Quillichew er 20 mg should be used as part of an integral treatment plan for ADHD that includes educational, psychological and social interventions. It should not be used as the only treatment option.

2. Dose and administration:

Quillichew er 20mg is presented in the form of chewable tablets that are administered orally. The prescribed dose depends on several factors, such as age, weight and individual response to medication. Normally, the recommended initial dose is 20 mg once a day in the morning, which can be adjusted by the healthcare professional based on the needs and tolerability of the patient. The tablet must chew well before swallowing it and can be taken with or without food. It is important to follow the instructions of the health professional in terms of dose and administration to ensure optimal therapeutic benefits.

Precautions: Quillichew er 20mg is a controlled substance with abuse and dependence potential. It must be prescribed and dispensed in accordance with the Drug Enforcement Administration (DEA) regulations.

Table 1: Approved uses of Quillichew Er 20mg
Condition Approved uses
ADHD in pediatric patients (from 6 years) Reduction of ADHD symptoms
ADHD in adults Reduction of ADHD symptoms

Dosage and Administration Guidelines

Dosage: The dose of Quillichew er 20mg is typically determined by the age of the individual, the weight, the severity of the symptoms and the response to the medication. It is important to note that the following dosing information serves as a general guide and can be adjusted by the medical care provider as necessary.

  1. Initial dose: The usual initial dose for children from 6 years is 20 mg once a day in the morning. The dose can be increased or reduced depending on the response and tolerability of the patient.
  2. Degree: The dose can be increased by 10 mg per week if necessary and according to the indications of the health professional. The recommended maximum daily dose is 60 mg.
  3. Maintenance dose: Once an effective dose is established, it is important to maintain the constancy at the schedule and administration of the medication to achieve optimal results.

It is important to keep in mind that Quillichew er 20mg should be taken orally and swallowed whole. The medicine should not crush, chew or divide. This medicine should be taken with or immediately after food to optimize absorption and minimize gastrointestinal side effects.

Note: Quillichew er 20mg is not recommended for children under 6 years. Safety and efficacy has not been established in this age group.

Age group Dosage
From 6 years 20 mg once a day in the morning, 10 mg can be increased per week if necessary; The maximum daily dose is 60 mg.

Common and Rare Side Effects

Frequent side effects:

  • Loss of appetite
  • Stomachache
  • Nausea
  • Insomnia
  • Headache
  • Dizziness

Uncommon side effects:

  1. Palpitations
  2. Hypertension
  3. Humor changes
  4. Serious allergic reactions
  5. Psychiatric symptoms (for example, hallucinations, paranoia)

Note: Although they are rare, it is important to immediately seek medical attention if any of these rare side effects are experienced while taking Quillichew er 20mg. These symptoms may indicate a serious reaction that requires immediate intervention.

In addition, it is essential to keep in mind that the appearance of side effects can vary from one person to another. Some individuals may experience only one or two of the common side effects, while others may not experience any. It is crucial to maintain open and regular communication with a medical care provider to discuss any concern or question regarding the side effects of Quillichew Er 20mg.

Common side effects Rare side effects
Loss of appetite Palpitations
Stomachache Hypertension
Nausea Humor changes
Insomnia Serious allergic reactions
Headache Psychiatric symptoms (for example, hallucinations, paranoia)

Warnings and Precautions for Use

1. Cardiovascular risk: Quillichew Er 20mg should be used with caution in patients with a history of cardiovascular disease, including myocardial infarction, stroke or arrhythmias. It is essential to evaluate the patient’s cardiovascular state and assess the potential risks and benefits of the use of this medication in such individuals.

2. Psychiatric adverse reactions: The use of Quillichew Er 20mg has been associated with psychiatric adverse reactions, including new aggressiveness or worsening, hostility or suicidal ideation. Patients and their caregivers should be closely monitored to detect any change in behavior or mood, and any unusual symptom should be immediately communicated to the health professional.

Important: Quillichew er 20mg can cause adverse psychiatric reactions such as aggressiveness, hostility or suicidal ideation. Caregivers should closely monitor patients to detect any change in behavior or mood and inform of any unusual symptoms to their medical care provider.

3. Pediatric use: Quillichew er 20mg is approved for use in children from 6 years with hyperactivity attention deficit disorder (ADHD). However, caution should be taken when prescribing this medicine to children, since its safety and efficacy has not been established in younger age groups.

4. Drug interactions: Quillichew er 20mg can interact with other medications, including monoamineoxidase (IMAO) and selective inhibitors of serotonin reuptake (SSRS), giving rise to potentially serious adverse effects. It is crucial to inform the healthcare professional about all medications, supplements and herbal products that are being taken before starting treatment with Quillichew er 20mg.

  • Patients with a history of cardiovascular disease should use Quillichew er 20mg with caution.
  • Psychiatric adverse reactions may occur, such as aggressiveness or suicidal ideation, with the use of Quillichew er 20mg.
  • Quillichew er 20mg is approved for use in children over 6 years with ADHD.
  • Possible medication interactions should be taken into account before starting treatment with Quillichew er 20mg.
Warning Caution
Cardiovascular risk Consider the patient’s cardiovascular state before starting treatment
Psychiatric adverse reactions Monitor patients and caregivers in case there are changes in behavior or mood
Drug interactions Inform the doctor of all medications being taken.

Differences in Formulation and Delivery


The formulation of a medicine refers to its composition and the way it is prepared. In the case of Quillichew 20 mg, the active substance is methylphenidate, which is a stimulant that affects the chemicals of the brain and the nerves that contribute to the control of impulses and hyperactivity. However, what differentiates Quillichew from other methylphenidate formulations is its exclusive prolonged release system. Instead of being in the form of a traditional pill or capsule, Quillichew is formulated as a chewable tablet.

Quillichew 20 mg is designed to provide a controlled drug release throughout the day, ensuring a constant and consistent level of methylphenidate in the bloodstream. This sustained release not only helps control symptoms, but also reduces the need for multiple daily doses. In addition, the formulation in chewable tablets offers a comfortable and more appealing option for children and adolescents that may have difficulty swallowing tablets or capsules.


The method of administration of a medicine refers to how it is administered in the body. Quillichew 20 mg is taken orally, like other chewable tablets, simply chewing and then swallowing. The act of chewing helps decompose the tablet, which facilitates its absorption in the gastrointestinal tract. This mode of administration avoids the need for injections and eliminates possible discomforts or fears associated with needles.

  1. Quillichew 20 mg provides a comfortable and discreet method of medication administration.
  2. The chewable tablet is absorbed through the gastrointestinal tract after chewing and swallowing it.
  3. This method eliminates the need for injections and the possible anxiety related to needles.
Quillichew 20 mg advantages Disadvantages of Quillichew 20 mg
Prolonged release formula for symptoms control Possible gastrointestinal side effects
Chewable compressed to facilitate administration It can cause loss of appetite or irritability
Reduces the need for multiple daily doses Possible interference with sleep patterns

Efficacy and Safety Profiles of Quillichew er 20mg

The efficacy of Quillichew er 20 mg in the treatment of ADHD symptoms has been widely studied. Clinical trials have shown that this medicine significantly improves symptoms such as lack of attention, hyperactivity and impulsivity in children and adolescents with ADHD. This improvement in symptomatology allows individuals to focus better, concentrate and control their behaviors, which leads to greater academic performance and improvement of social interactions.

Important information:

Quillichew er 20 mg should not be used in patients with history of hypersensitivity to methylphenidate or any of the other components of the medication. It is important to inform the prescribing doctor about any existing disease, such as arterial hypertension or glaucoma, as well as on any medication or supplement that is being taken simultaneously. The dose of Quillichew er 20 mg should be individualized based on the patient’s response and his medication tolerance.

Comparison of the efficacy and safety profile
Aspect Effectiveness Security
Effect on ADHD symptoms Significantly improves lack of attention, hyperactivity and impulsivity Adverse effects may include decrease in appetite, insomnia and stomach pain
Dosage Individualized based on the response and patient tolerance Take exactly according to prescription; Do not modify the dose without medical advice
Duration of action It lasts approximately 8-10 hours No lon g-term significant security problems have been described
  • Quillichew er 20 mg has proven to be effective in reducing ADHD symptoms in children and adolescents.
  • It is important to carefully follow the prescribed dose and inform the doctor of any concomitant disease or medication.
  • The common side effects of Quillichew er 20mg include decrease in appetite, insomnia and stomach pain.

Scheduling and Timing Guidelines

Programming guidelines:

  • Quillichew er 20mg should be taken once a day in the morning.
  • It is recommended to take this medicine at the same time every day to establish a routine.
  • Patients should avoid taking Quillichew er 20 mg late in the afternoon or at night to avoid alterations in sleep patterns.

Schedule guidelines:

  1. Quillichew er 20mg should be taken before or after meals.
  2. The medicine must be taken whole and not chewed or crushed.

Note: It is essential to follow the specific instructions provided by the health professional that prescribes the medicine with respect to the administration of Quillichew Er 20mg. Compliance with prescribed schedule and calendar guidelines guarantees the best possible treatment result.

Directive Recommendation
Schedule Take once a day in the morning
Avoid taking late in the afternoon or at night
At the same time every day
Schedule Take before or after meals
Do not chew or crush

Monitoring and Reporting Efforts in the Context of Quillichew ER 20mg

An effective method to monitor the patient’s response to Quillichew ER 20 mg is through periodic assessments and evaluations. These evaluations may include a number of measures, such as physical examinations, laboratory tests, and subjective results reported by the patient. By collecting comprehensive data and analyzing the results, healthcare professionals can gain insight into how the medication is affecting the patient and whether any modifications to the treatment plan are warranted.

Important note: Periodic follow-up should include evaluation of the patient’s attention and behavior, as well as an assessment of any changes in her mood or emotional state. It is recommended to establish a baseline measurement before initiating treatment with Quillichew ER 20 mg to facilitate accurate comparisons and identify any changes over time.

Additionally, continuous information is crucial for effective collaboration between healthcare providers involved in a patient’s care. This includes regular communication and documentation of treatment progress, any side effects observed, and the patient’s response to Quillichew ER 20mg. Reporting may also involve sharing data and information with caregivers, guardians, or other members of the patient’s support system to ensure a comprehensive understanding of treatment effectiveness and any potential concerns.

  1. Monitoring: Periodic evaluations, physical examinations, and patient-reported results are essential for monitoring the patient’s response to Quillichew ER 20mg.
  2. Reporting: Effective communication and documentation of treatment progress, side effects, and medication response fosters collaboration between healthcare professionals and patients’ support systems.
  3. Baseline measurement: Establishing a baseline measurement before starting Quillichew ER 20mg helps to make accurate comparisons and identify changes over time.

Overall, by prioritizing both monitoring and reporting efforts, healthcare professionals can ensure optimal management of patients treated with Quillichew ER 20 mg. These practices allow for timely adjustments to the treatment plan as needed and facilitate the exchange of complete information between all parties involved, ultimately contributing to the overall success and well-being of the patient.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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