Adenovirus vaccine, live (Oral)

Medically reviewed by Drugs.com. Last updated on Dec 28, 2022.

Uses for adenovirus vaccine, live

Adenovirus type 4 and type 7 live vaccine is used to prevent febrile (with fever) acute respiratory disease (ARD) caused by adenovirus type 4 and type 7. It works by causing your body to produce its own protection (antibodies) against the virus.

This vaccine is given to military personnel 17 to 50 years of age.

This vaccine is to be administered only by or under the supervision of your doctor or other health care professional.

Before using adenovirus vaccine, live

In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to adenovirus vaccine, live or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of adenovirus type 4 and type 7 live vaccine in children up through 16 years of age. Safety and efficacy have not been established.

Geriatric

Appropriate studies have not been performed on the relationship of age to the effects of adenovirus type 4 and type 7 live vaccine in the geriatric population. Safety and efficacy have not been established.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this vaccine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Receiving this vaccine with any of the following medicines is not recommended. Your doctor may decide not to use this vaccine or change some of the other medicines you take.

• Deflazacort
• Thiotepa

Receiving this vaccine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Anifrolumab-fnia
• Ansuvimab-zykl
• Atoltivimab
• Azathioprine
• Baricitinib
• Betibeglogene Autotemcel
• Canakinumab
• Certolizumab Pegol
• Deucravacitinib
• Dupilumab
• Elivaldogene Autotemcel
• Everolimus
• Fingolimod
• Golimumab
• Infliximab
• Ixekizumab
• Mycophenolic Acid
• Ocrelizumab
• Ozanimod
• Ponesimod
• Rilonacept
• Secukinumab
• Sirolimus
• Spesolimab-sbzo
• Tacrolimus
• Teplizumab-mzwv
• Tralokinumab-ldrm
• Ublituximab-xiiy
• Ustekinumab
• Voclosporin

Receiving this vaccine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Abatacept

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems

The presence of other medical problems may affect the use of this vaccine. Make sure you tell your doctor if you have any other medical problems, especially:

• Allergic reactions to this vaccine (eg, anaphylaxis), severe or
• Difficulty swallowing a whole tablet, without chewing—Should not be used in patients with these conditions.

• Diarrhea or
• Vomiting—Use with caution. You may need to wait until you feel better before receiving the vaccine.

• Weakened immune system (eg, HIV, cancer, or receiving steroid or cancer medicines)—May not work as well in patients with these conditions.

Proper use of adenovirus vaccine, live

A nurse or other trained health professional will give you this vaccine. It is given by mouth.

Swallow each tablet whole. Do not break, crush, or chew them.

Dosing

The dose of adenovirus vaccine, live will be different for different patients. Follow your doctor''s orders or the directions on the label. The following information includes only the average doses of adenovirus vaccine, live. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (enteric coated tablets):
  • To prevent febrile acute respiratory disease:
    • Adults and teenagers 17 to 50 years of age—2 tablets taken as a single dose.
    • Children younger than 17 years of age—Use and dose must be determined by your doctor.

Missed dose

Adenovirus vaccine, live needs to be given on a fixed schedule. If you miss a dose or forget to use your medicine, call your doctor or pharmacist for instructions.

Precautions while using adenovirus vaccine, live

It is very important that your doctor check your progress at regular visits to make sure that this vaccine is working properly and to check for unwanted effects.

Do not take this vaccine if you are pregnant and do not plan to become pregnant for 6 weeks after receiving this vaccine without first checking with your doctor. There is a chance that this vaccine may cause problems during pregnancy. Use an effective form of birth control to keep from getting pregnant for 6 weeks after receiving the vaccine. If you think you have become pregnant, tell your doctor right away.

This vaccine contains live viruses that are shed in the stool for up to 28 days after receiving the vaccine and can cause disease to other people if transmitted. Your doctor may recommend ways (eg, proper and frequent hand washing, especially right after bowel movements) to help prevent the spread of virus to other people.

You should avoid close contact with people at high risk for catching the adenovirus for 28 days after receiving this vaccine. People who are at risk for catching the virus are pregnant women, children younger than 7 years of age, and anyone who has a weak immune system that keeps them from fighting infections.

This vaccine contains albumin, which comes from human blood. Some human blood products have transmitted certain viruses to people who have received them. The risk of getting a virus from medicines made of human blood has been greatly reduced in recent years. This is the result of required testing of human donors for certain viruses, and testing during the manufacture of these medicines. Although the risk is low, talk with your doctor if you have concerns.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Adenovirus vaccine, live side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

• Body aches or pain
• chills
• cough
• difficulty with breathing
• ear congestion
• fever greater than or equal to 100.5 degrees F
• headache
• loss of voice
• runny nose
• sneezing
• sore throat
• stuffy nose
• unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Diarrhea
• difficulty with moving
• muscle pain or stiffness
• nausea
• pain in the joints
• upper abdominal or stomach pain
• vomiting

Less common

• Pain in the arms or legs

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Generic name: methylphenidate (oral) [ METH-il-FEN-i-date ]
Brand names: Adhansia XR, Aptensio XR, Concerta, Cotempla XR-ODT, Jornay PM, ... show all 12 brands Metadate ER, Methylin, QuilliChew ER, Quillivant XR, Relexxii, Ritalin, Ritalin LA
Drug class: CNS stimulants

Medically reviewed by Drugs.com on Dec 20, 2022. Written by Cerner Multum.

What is Adhansia XR?

Adhansia XR is a stimulant medicine used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy.

Adhansia XR may also be used for purposes not listed in this medication guide.

Warnings

Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.

Adhansia XR may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness, or bipolar disorder.

Call your doctor right away if you have: signs of heart problems--chest pain, feeling light-headed or short of breath; or signs of psychosis--paranoia, aggression, new behavior problems, seeing or hearing things that are not real.

Adhansia XR may be habit-forming. Tell your doctor if you have a history of drug or alcohol addiction. Keep the medication where others cannot get to it.

Before taking this medicine

You should not use Adhansia XR if you are allergic to it, or if you have:

• glaucoma;

• severe high blood pressure or a heart problem;

• overactive thyroid;

• a personal or family history of tics (muscle twitches) or Tourette''s syndrome; or

• severe anxiety, tension, or agitation (stimulant medicine can make these symptoms worse).

Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:

• heart problems or a congenital heart defect;

• high blood pressure; or

• a family history of heart disease or sudden death.

Do not use Adhansia XR if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.

Tell your doctor if you also use opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson''s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. An interaction with Adhansia XR could cause a serious condition called serotonin syndrome.

Tell your doctor if you or anyone in your family has ever had:

• depression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions;

• blood circulation problems in the hands or feet;

• alcoholism or drug addiction; or

• (if you take Adhansia) and allergy to aspirin or yellow food dye.

Also, tell your doctor if you have ever had:

• problems with the esophagus, stomach, or intestines; or

• seizures, epilepsy, or an abnormal brain wave test (EEG).

Becoming dependent on Adhansia XR during pregnancy can cause premature birth or low birth weight. Tell your doctor if you are pregnant or plan to become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of methylphenidate on the baby.

Ask a doctor if it is safe to breastfeed while using this medicine. If you are breastfeeding, tell your doctor if you notice symptoms in the baby such as agitation, sleep problems, feeding problems, or reduced weight gain.

Not approved for use by anyone younger than 6 years old.

How should I take Adhansia XR?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Adhansia XR may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication where others cannot get to it. Selling or giving away this medicine is against the law.

Your dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the medicine your doctor prescribes.

Most brands of methylphenidate are taken 1 or 2 times during the day. Jornay PM is for use only at night between 6:30 and 9:30 pm.

You may take Adhansia XR with or without food, but take it the same way each time.

Swallow the extended-release capsule or tablet whole and do not crush, chew, or break it.

If you cannot swallow an extended-release capsule whole, open it and mix the medicine with soft food such as applesauce, pudding or yogurt. Swallow the mixture right away without chewing.

You must chew the chewable tablet before you swallow it.

Measure liquid medicine with the supplied measuring device (not a kitchen spoon).

Allow the orally disintegrating tablet to dissolve in your mouth without chewing.

Tell your doctor if you have a planned surgery.

Your treatment may also include counseling or other treatments.

Your doctor will need to check your progress on a regular basis. Your heart and blood pressure may also need to be checked often.

Store tightly closed at room temperature, away from moisture, heat, and light. Keep your medicine in a place where no one can use it improperly.

Do not keep leftover medicine. Ask your pharmacist about a drug take-back program. You may also mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag and throw the bag in the trash.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Adhansia XR could be fatal.

Overdose symptoms may include nausea, dry mouth, vomiting, diarrhea, anxiety, agitation, restlessness, tremor, muscle twitches, rapid breathing, confusion, hallucinations, dilated pupils, muscle pain or weakness, fever, sweating, headache, pounding in your neck or ears, fast or pounding heartbeats, feeling light-headed, fainting, seizure (convulsions), or coma.

What should I avoid while taking methylphenidate?

Avoid drinking alcohol.

Avoid driving or hazardous activity until you know how Adhansia XR will affect you. Your reactions could be impaired.

Adhansia XR side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Adhansia XR may cause serious side effects. Call your doctor at once if you have:

• signs of heart problems--chest pain, trouble breathing, feeling like you might pass out;

• signs of psychosis--hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;

• signs of circulation problems--numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes; or

• penis erection that is painful or lasts 4 hours or longer.

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Adhansia XR can affect growth in children. Your child''s height and weight may need to be checked often. Tell your doctor if your child is not growing at a normal rate.

Common side effects of Adhansia XR may include:

• sweating, increased blood pressure;

• mood changes, anxiety, feeling nervous or irritable, trouble sleeping;

• fast heart rate, pounding heartbeats or fluttering in your chest;

• loss of appetite, weight loss;

• dry mouth, nausea, vomiting, stomach pain, indigestion; or

• headache, dizziness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Adhansia XR?

Tell your doctor about all your other medicines, especially:

• a blood thinner--warfarin, Coumadin, Jantoven;

• blood pressure medication;

• an antidepressant;

• seizure medication; or

• cold or allergy medications that contain decongestants.

This list is not complete. Other drugs may affect Adhansia XR, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

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