Jornay PM: Uses, Dosage, Side Effects, & More

What Is Jornay PM?

Jornay PM is an ADHD medication and is classified as a federally controlled substance (CII) because it contains methylphenidate. Controlled substances are drugs that are subject to strict government control because they may cause addiction or be misused. Its primary mode of action involves blocking the reuptake of certain chemicals in the brain, such as norepinephrine and dopamine. This action can increase attention while decreasing impulsiveness and hyperactivity in people six years of age and older with ADHD.^{1, 2}

How Does Jornay PM Work?

Jornay PM works by increasing the availability of certain brain chemicals, like dopamine and norepinephrine, which are essential for focus, attention, and impulse control. For people exhibiting ADHD symptoms, this can help with concentration, improved decision-making, and reduced impulsiveness.¹

Is Jornay PM the Same Thing as Ritalin?

Both Jornay PM and Ritalin contain the same active ingredient: methylphenidate. The goal of both medications is to alleviate symptoms of ADHD, helping patients concentrate, manage tasks, and make decisions more effectively. However, they have different delivery systems. Jornay PM might offer enhanced relief for those facing severe ADHD. Jornay PM comes in higher doses than Ritalin and is only available as an extended-release capsule to provide all-day relief.^{1, 3}

Is Jornay PM Better than Vyvanse?

To determine if Jornay PM is a better option than Vyvanse depends on the individual’s specific needs, responses, and any potential side effects. Both medications are designed to treat ADHD, but they have different active ingredients and release mechanisms. Vyvanse contains lisdexamfetamine and is also used to treat moderate to severe binge eating disorder in adults. Jornay PM contains methylphenidate, which helps increase attention and decrease impulsiveness and hyperactivity.^{1, 4}

What Is Jornay PM Used to Treat?

Jornay PM is an FDA-approved medication indicated for the treatment of attention deficit hyperactivity disorder (ADHD) in patients six years and older. When a medication receives approval from the FDA (Food and Drug Administration), it signifies that it has been subjected to a thorough assessment by the FDA and has been affirmed as safe and effective for its intended purpose. Jornay PM is the first delayed-release/extended-release formulation of methylphenidate.

This dosage form permits the nighttime administration of medication with an onset of action targeted for the following morning.^{1, 5} Jornay PM may also be used off-label for some conditions. Off-label use is when a prescriber uses medications to treat conditions other than those that the FDA has approved. Studies suggest methylphenidate may be beneficial in the management of fatigue in adults with cancer or other terminal conditions.^{6, 7, 8}

Side Effects of Jornay PM

Jornay PM can cause several side effects, such as decreased appetite, mood swings, and indigestion. While these effects may persist throughout treatment, they can become more manageable over time as the body adapts to the medication. Since Jornay PM contains methylphenidate, extended use can result in a higher chance of abuse and can cause physical and psychological dependence on the drug.^{1, 2}

Common Side Effects of Jornay PM

Common side effects of Jornay PM in adults include dizziness, increased heart rate, nausea, anxiety, and insomnia. In children between the ages of 6-12 years, it is known to cause restlessness, headache, mood swings, nausea, and vomiting. Although a few people might find that these effects naturally improve over time and may not need immediate medical attention, it is essential to observe their impact on your daily activities closely.

Any severe or long-lasting symptoms should be promptly addressed. It is advised to regularly communicate with a healthcare professional, such as your prescribing doctor and pharmacist, to guarantee appropriate supervision and support throughout your treatment.^{1, 5}

Common side effects of Jornay PM include:*¹

• Decreased appetite
• Trouble sleeping
• Nausea
• Increased heart rate
• Increased blood pressure
• Weight loss
• Dizziness

*All medications, including Jornay PM, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor and pharmacist about any questions you have and to understand the potential side effects and benefits of any medication.

Serious Side Effects of Jornay PM

While Jornay PM can improve symptoms of ADHD, it is crucial to stay alert to the possibility of serious side effects that might occur. These effects may require immediate medical attention and can include circulation issues, eye problems, and Tourette’s syndrome.¹ Seeking prompt medical care is vital if any of these symptoms occur to ensure appropriate intervention and safety during the course of treatment.

Serious side effects of Jornay PM may include:*¹

• Priapism (painful and prolonged erections in males)
• Circulation problems in fingers and toes: peripheral vasculopathy (reduced circulation), including Raynaud’s phenomenon (restricted blood flow)
• Slowing of growth (height and weight) in children
• Eye problems (increased pressure in the eye and glaucoma)
• New or worsening tics or worsening Tourette’s syndrome

*All medications, including Jornay PM, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor or pharmacist about any questions you have and to understand the potential side effects and benefits of any medication.

Allergic Reactions to Jornay PM

Some patients may be allergic to methylphenidate or any of the other ingredients contained within Jornay PM. Patients with hypertension and structural cardiac abnormalities and pregnant patients should use caution. Commonly reported adverse reactions include stroke, myocardial infarction, skin rash, itching, flushing, and trouble breathing. Patients who notice any of these symptoms should contact their provider or pharmacist right away. If the severity of symptoms increases, call 911 immediately.¹

Allergic reactions to Jornay PM may include:¹

• Skin rash
• Swelling of tongue, mouth, or throat.
• Stroke
• Dizziness
• Rapid or irregular heartbeat
• Trouble breathing

If an individual has an allergic response to Jornay PM, it is imperative for them to seek medical care promptly. A healthcare professional will evaluate the severity of the allergic reaction and decide whether it is necessary to discontinue Jornay PM. Depending on the person’s health and requirements, alternative medications or treatment approaches can be considered to effectively address ADHD symptoms while emphasizing safety. ^{1, 2}

Jornay PM Warnings & Precautions

There are several warnings and precautions associated with Jornay PM usage. Jornay PM carries a significant risk of being abused and misused, which can ultimately result in the development of a substance use disorder, including addiction. The improper use and abuse of central nervous system (CNS) stimulants, such as Jornay PM, can potentially lead to overdose and fatal outcomes. This danger is heightened when higher doses are used or when unconventional methods of administration, like snorting or injection, are employed.¹

Sudden death has been reported in patients with structural heart abnormalities or other serious cardiac diseases who were treated with CNS stimulants at the recommended ADHD dosage. Additionally, Jornay PM can cause an increase in blood pressure and heart rate and also contribute to psychiatric adverse reactions. For patients with pre-existing psychotic disorders, caution is advised, as treatment with Jornay PM could potentially trigger a manic or hypomanic episode. Pregnant or lactating patients should consult their providers to assess the risks and benefits of using Jornay PM during pregnancy.¹

Precautions for taking Jornay PM address:^{1, 2}

• Taking Jornay PM during pregnancy or breastfeeding: Jornay PM can increase premature delivery and low-birth-weight infants. There is no evidence that Jornay PM is present in human breast milk. However, it is still important to monitor breastfeeding infants for side effects, such as agitation, insomnia, anorexia, and reduced weight gain.
• Abuse, misuse, and addiction: Jornay PM has a high potential for abuse and misuse. The use of Jornay PM exposes individuals to the risks of abuse and misuse, which can lead to the development of a substance use disorder, including addiction.
• Risks to patients with serious cardiac disease: Avoid Jornay PM use in patients with known heart issues.
• Increased blood pressure and heart rate: Jornay PM may cause an increase in blood pressure.
• Psychiatric adverse reactions: Jornay PM may worsen symptoms of behavior disturbance and thought disorder in patients with a pre-existing psychotic disorder, and it can induce psychotic or manic symptoms in patients without a prior history of psychotic illness or mania.
• Peripheral vasculopathy, including Raynaud’s phenomenon: Monitor for symptoms including cramps, muscle fatigue or heaviness (usually in the legs), worsening pain during exercise (usually in the legs), easing of pain during rest (usually in the legs), coldness of the affected body part, numbness or pins and needles feelings
• Glaucoma: Patients receiving Jornay PM who may be at risk for glaucoma should undergo regular assessments by their eye doctor
• Motor and verbal tics, and worsening of Tourette’s syndrome: Jornay PM has been associated with the onset or exacerbation of motor and verbal tics. Worsening of Tourette’s syndrome has also been reported.

Interactions With Jornay PM

Jornay PM can have dangerous drug interactions with several medications and herbs. Jornay PM may interact with medications like monoamine oxidase inhibitors (MAOIs), blood pressure medications, anesthetics, and risperidone. It is important to talk to a pharmacist to discuss concerns relative to potential drug interactions with Jornay PM.¹

4 substances you should avoid while taking Jornay PM include:¹

• MAOIs: Do not use Jornay PM in combination with MAOIs or within 14 days after discontinuing MAOI treatment. Potential outcomes include death, stroke, myocardial infarction, aortic dissection, ophthalmological complications, eclampsia, pulmonary edema, and renal failure.
• Antihypertensive (blood pressure lowering) drugs: Jornay PM may decrease the effectiveness of drugs used to treat high blood pressure.
• Halogenated anesthetics (e.g. halothane): Combined use of halogenated anesthetics with Jornay PM can increase the risk of sudden increase in blood pressure and heart rate during surgery.
• Risperidone: The combined use of Jornay PM with risperidone (Risperdal) when there is a change in dose of either or both medications may increase the risk of extrapyramidal symptoms (EPS) like feeling restless and fidgeting.

Jornay PM Dosages for FDA-Approved Treatment

Jornay PM dosage may differ significantly for each person, depending on factors like the severity of ADHD symptoms, how the individual responds to the medication, and any possible interactions with other drugs. The suggested initial dose of Jornay PM for patients aged 6 and older is 20 milligrams to be taken orally once daily in the evening. The typical dosage range for Jornay PM is around 20 to 100 milligrams per day, and dosage can be titrated (increased) in weekly increments of 20 mg. Jornay PM should not be taken in the morning. Dosage decisions consider factors such as the patient’s age, medical history, current medications, and any existing health conditions.¹

Jornay PM is FDA-approved for the treatment of ADHD. When a drug receives FDA approval, it indicates that the U.S. Food and Drug Administration has conducted a detailed assessment of its safety and effectiveness through rigorous clinical trials and scientific investigations. This approval confirms that Jornay PM complies with the FDA’s criteria for quality, safety, and suitability for its intended purpose.

Jornay PM Forms & Strengths

Jornay PM is typically available in capsule form and comes in various strengths, ranging from 20 mg to 100 mg capsules. The appropriate dosage is determined by assessing factors such as the patient’s age, severity of ADHD symptoms, how your body responds to the medication, and side effects. The recommended starting dosage of Jornay PM in patients six years and older is 20 mg once daily orally in the evening. Jornay PM extended-release capsules exhibit both delayed-release and extended-release properties. Jornay PM tends to start working immediately, and you may start seeing improvements after the first dose.¹

Jornay PM is available in the following forms and strengths:¹

• 20 milligrams (mg) capsules
• 40 milligrams (mg) capsules
• 60 milligrams (mg) capsules
• 80 milligrams (mg) capsules
• 100 milligrams (mg) capsules

How Long Does it Take for Jornay PM to Kick In?

Jornay PM begins to take effect upon your first dose, and you will likely observe its impact as early as the next day. It is possible to encounter mild side effects during the period when your body is adapting to the medication, but these typically decrease within the initial few weeks.¹

How Should I Take Jornay PM?

The Jornay PM capsule should not be divided. The contents of the entire capsule should be taken at the same time each day. It is important to maintain a consistent dosing time.  If you or your child is unable to swallow the whole Jornay PM capsule, it can be opened and sprinkled on applesauce. Your child should swallow all the applesauce and medicine right away. The Jornay PM capsule and its contents should not be divided or chewed.¹

What Happens If I Miss a Dose of Jornay PM?

If you miss a dose of Jornay PM, take it as soon as you remember, unless it’s close to the time for your next scheduled dose. If you recall the missed dose the following morning, you should not take that missed dose and wait until your next scheduled evening dose. Abruptly stopping or altering the dosing schedule can lead to disruptions in the medication’s effectiveness and may result in withdrawal symptoms or adverse effects. ¹

Can You Become Addicted to Jornay PM?

Yes, you can become addicted to Jornay PM. Jornay PM carries a significant risk of being abused and misused, potentially leading to the development of a substance use disorder, including addiction. Inappropriate use and abuse of stimulants, like JORNAY PM, can result in overdose and even fatal consequences.

Throughout your treatment, your doctor and pharmacist may also regularly re-evaluate your risk of abuse, misuse, and addiction and continuously monitor for any indications or signs of abuse, misuse, and addiction.¹ Medical detox or supervised medication discontinuation involves gradually reducing the medication dosage or using alternative treatments to manage withdrawal symptoms under the close supervision of healthcare professionals.

Can You Overdose on Jornay PM?

Yes, you can overdose on Jornay PM, and this may have serious consequences. Exceeding the recommended dosage may result in an accumulation of the medication in your body, which could potentially result in severe side effects or complications. An overdose of Jornay PM can result in cardiac side effects, including increased heart rate as well as high or low blood pressure.

Signs and symptoms of overdose may also include agitation, confusion, hallucinations, serotonin syndrome, seizures, and muscle pain or weakness. It is important to follow the prescribed dose and promptly seek medical help if there are any indications of a potential overdose.¹

What Should You Do If You Take Too Much Jornay PM?

If you believe there is a possibility of an overdose on Jornay PM, whether for yourself or someone else, seek immediate medical attention or contact the poison control center (800-222-1222).¹ It’s also important to inform your doctor and pharmacist about all your medications, along with an estimate of the amount ingested. Timely medical assistance is vital in managing an overdose and mitigating potential serious health consequences.

Questions to Ask Your Healthcare Provider About Jornay PM

Individuals might consider exploring Jornay PM if they’re looking for options to treat ADHD. When talking to a healthcare professional like a doctor, pharmacist, psychiatrist, or therapist, it’s important to ask about the advantages, risks, and side effects of Jornay PM. Patients should have a clear understanding of their prescribed dosage, the frequency of medication administration, and potential reactions. Online psychiatry services can provide a seamless transition by allowing you to connect with a new prescriber without significant disruptions in your treatment. Online consultations may also offer a level of privacy that may be particularly important when discussing medication changes or sensitive mental health issues.

Questions to ask your care team about Jornay PM include:

• How long will it take for me to adjust to taking Jornay PM?
• Am I at risk for more serious symptoms with Jornay PM if I am already taking medication treatments for other mental health disorders?
• What is the best dosage for Jornay PM to ensure fewer side effects?
• When should I reach out to you if I am experiencing sexual side effects with Jornay PM?
• Is there anything I should tell my therapist about Jornay PM?
• How can I tell if Jornay PM is effective at treating my ADHD symptoms?
• What are common Jornay PM side effects I should be aware of?
• Will my insurance cover Jornay PM?
• Are there any signs that would indicate Jornay PM isn’t working for me or that I need a different treatment approach?
• If I miss a dose of Jornay PM, what should I do?
• Does my medical history increase my risk of side effects with Jornay PM?
• How often should I see you for checkups while taking Jornay PM?
• How much money can I save with a Jornay coupon or discount card?