Which is a priority teaching consideration when initiating methylphenidate for narcolepsy?

• A. Nervousness and tremors may occur.
• B. Caffeine should be avoided.
• C. Avoid driving during daytime.
• D. Take the medication after meals.

Answer: (A)

The main idea here is that methylphenidate, as a CNS stimulant, often produces immediate side effects related to brain activation. When starting the medication for narcolepsy, the most important teaching is that nervousness and tremors may occur. These effects are common early on and can influence daily functioning and safety, so patients should be prepared to recognize them, monitor their intensity, and report them if they’re bothersome or persistent. Dose adjustments or timing changes under a clinician’s guidance can help mitigate these symptoms.

Other points like avoiding caffeine, taking with meals, or driving safety are relevant in certain contexts, but they’re not as central to the initiation phase as understanding and managing the potential nervousness and tremors that come with starting a stimulant.