Daytrana Side Effects: What to Expect and When to Call Your Doctor

Updated:

February 18, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Learn about Daytrana side effects, from common skin irritation to serious reactions. Know what to watch for and when to contact your doctor.

Understanding Daytrana Side Effects

Daytrana (methylphenidate transdermal system) is a prescription patch used to treat ADHD in children aged 6-17. Like all medications, it comes with potential side effects. Whether you're currently using Daytrana or considering it as a treatment option, understanding what to expect can help you make informed decisions and know when to seek medical attention.

This guide covers the most common and serious side effects, what to watch for in specific populations, and practical tips for managing them.

What Is Daytrana?

Daytrana is a methylphenidate transdermal patch that delivers ADHD medication through the skin over a 9-hour period. It works by blocking the reuptake of dopamine and norepinephrine in the brain, which helps improve focus, attention, and impulse control.

For a comprehensive overview, see our guide on what Daytrana is, its uses, and dosage information.

Important note: Daytrana has been discontinued by its manufacturer, Noven Pharmaceuticals. This information remains relevant for patients who may still have a supply or are researching alternatives. For current options, see our guide to Daytrana alternatives.

Common Side Effects

The following side effects are relatively common with Daytrana. Most are mild and may improve over time as the body adjusts to the medication.

Skin Irritation at the Application Site

This is the most common side effect unique to Daytrana. Because the medication is delivered through a patch, redness, itching, and irritation at the application site are very common. Alternating hips daily can help reduce irritation. In clinical trials, application site reactions occurred in up to 35-45% of patients.

Decreased Appetite and Weight Loss

Like other stimulant medications, Daytrana commonly causes decreased appetite. This can lead to weight loss, which is particularly concerning in growing children. Monitoring your child's weight and growth at regular checkups is important.

Nausea and Stomach Pain

Gastrointestinal discomfort, including nausea and abdominal pain, is a frequently reported side effect. These symptoms often improve after the first few weeks of treatment.

Insomnia

Difficulty falling asleep is common with stimulant medications. With Daytrana, removing the patch earlier in the day can help, since the medication's effect is partially controlled by how long the patch is worn.

Mood Changes

Some patients experience mood swings, irritability, or emotional sensitivity while on Daytrana. These effects are typically mild but should be monitored and reported to your doctor.

Tics

Daytrana may cause or worsen motor tics (involuntary movements) or vocal tics in some children. If tics develop, inform your doctor promptly.

Serious Side Effects

While less common, the following side effects require immediate medical attention:

Chemical Leukoderma (Permanent Skin Depigmentation)

This is a unique and potentially permanent side effect of Daytrana. Chemical leukoderma causes loss of skin color (depigmentation) at and around the application site. Unlike regular skin irritation, this condition may not be reversible. If you notice areas of skin that appear lighter or have lost color, contact your doctor immediately.

Cardiovascular Effects

Daytrana carries a boxed warning about cardiovascular risks. The patch can cause:

  • Increased heart rate (tachycardia)
  • Elevated blood pressure
  • In rare cases, serious cardiovascular events

Patients with pre-existing heart conditions, structural cardiac abnormalities, or high blood pressure should be carefully evaluated before starting Daytrana.

Psychiatric Symptoms

Stimulant medications can cause or worsen psychiatric symptoms, including:

  • New or worsened psychosis (hallucinations, delusions)
  • Manic episodes
  • Aggression or hostile behavior

These symptoms are more likely in patients with a history of psychiatric disorders but can occur in anyone.

Growth Suppression

Long-term use of stimulant medications in children may slow growth. Regular monitoring of height and weight is recommended, and your doctor may suggest drug holidays to allow catch-up growth.

Peripheral Vasculopathy (Raynaud's Phenomenon)

Daytrana can cause changes in blood flow to the fingers and toes, leading to numbness, pain, or color changes (pale, blue, or red). This condition is known as Raynaud's phenomenon. Report any circulation changes to your doctor.

Serotonin Syndrome

When combined with serotonergic medications like SSRIs or SNRIs, Daytrana can contribute to serotonin syndrome — a potentially life-threatening condition. Symptoms include agitation, rapid heartbeat, high temperature, and muscle rigidity. Seek emergency medical care if these occur.

Seizures

In rare cases, Daytrana may lower the seizure threshold. Patients with a history of seizures should be closely monitored.

Side Effects in Specific Populations

Children (Ages 6-17)

Children are the only FDA-approved population for Daytrana. Growth suppression, appetite loss, and skin irritation are the most closely monitored side effects in this age group. Regular pediatric checkups should include height, weight, and cardiovascular monitoring.

Pregnancy and Breastfeeding

Daytrana is classified as Pregnancy Category C, meaning it should only be used during pregnancy if the potential benefit justifies the risk. Methylphenidate is excreted in breast milk, so breastfeeding mothers should consult their doctor before using this medication.

Patients With Heart Conditions

Due to the boxed warning about cardiovascular events, patients with structural heart defects, coronary artery disease, serious heart rhythm problems, or uncontrolled high blood pressure should generally avoid Daytrana and other stimulant medications.

How to Manage Side Effects

Here are practical strategies for dealing with common Daytrana side effects:

For Skin Irritation

  • Alternate between left and right hips daily
  • Apply the patch to clean, dry, intact skin
  • Avoid applying moisturizers or lotions to the area before placing the patch
  • If irritation persists, talk to your doctor — it may be time to switch formulations

For Decreased Appetite

  • Serve a hearty breakfast before the patch is applied
  • Offer nutrient-dense snacks throughout the day
  • Consider a larger dinner after the patch is removed
  • Track weight regularly

For Insomnia

  • Remove the patch earlier in the day — Daytrana's duration is adjustable by how long you wear it
  • Establish a consistent bedtime routine
  • Avoid screen time before bed

For Mood Changes

  • Keep a mood diary to identify patterns
  • Report significant changes to your prescriber
  • Dose adjustments may help

Final Thoughts

Every medication has potential side effects, and Daytrana is no exception. The most important thing is to stay informed, communicate openly with your doctor, and report any concerning symptoms promptly. While Daytrana is currently discontinued, understanding its side effect profile can help you evaluate alternative ADHD medications that share similar active ingredients.

If you're looking for an ADHD medication that's currently available, Medfinder can help you check pharmacy stock in your area.

What were the most common Daytrana side effects?

The most common side effects included application site redness and irritation, decreased appetite, nausea, insomnia, and mood changes. Skin reactions at the patch site were unique to Daytrana compared to oral formulations.

Did Daytrana cause skin problems?

Yes, skin irritation was one of the most frequently reported side effects. Up to 35% of patients experienced redness, itching, or bumps at the application site. Rotating the patch location daily helped minimize these reactions.

Are the side effects of oral methylphenidate different from Daytrana?

Oral methylphenidate shares most systemic side effects like appetite suppression and insomnia but eliminates skin irritation issues. Some patients find oral formulations cause more GI side effects, while others tolerate them better overall.

Were there any serious risks associated with Daytrana?

Like all stimulant medications, Daytrana carried risks of increased heart rate, blood pressure changes, and potential for misuse. A unique risk was chemical leukoderma (permanent skin lightening) at application sites, though this was rare.

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