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Some people take Concerta along with other forms of methylphenidate.
For adults and children under 65 years old who are not taking methylphenidate, the guidelines are as follows:
- Adults begin with a morning dosage of 18–36 milligrams (mg). A doctor may raise this in 18-mg increments every week, but the total dosage should be less than 72 mg per day.
- Children ages 6 and older and adolescents should begin with a morning dosage of 18 mg. A doctor may raise this by 18 mg each week, to a maximum daily dosage of 54 mg for children and 72 mg for adolescents.
People should take the drug in the morning with water. Do not crush or chew Concerta tablets.
It is not necessary to take Concerta with a meal, but a person who experiences decreased appetite may want to eat breakfast before taking it.
To ensure that a person experiences the most benefits, a doctor may recommend taking Concerta 30–45 minutes before work, school, or other daily activities that require concentration.
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What is Concerta?
Brands: Daytrana, Quillivant XR, Methylin, Aptensio XR, QuilliChew ER, Metadate ER, Cotempla XR-ODT, Ritalin, Concerta, and Ritalin LA CONCERTA® can significantly improve ADHD symptoms in adults, including focus, attention, organization, and the ability to control impulsive behavior. CONCERTA® is the only ADHD treatment that combines a medication called methylphenidate, with the unique OROS®
Common side effects of methylphenidate include difficulty sleeping, decreased appetite, anxiety, and weight loss. More serious side effects may include psychosis, prolonged erections, substance misuse, and heart problems. Withdrawal symptoms include weakness and fatigue, dysphoria, anhedonia and loss of motivation. Methylphenidate is believed to work by blocking dopamine and norepinephrine reuptake by neurons. Methylphenidate is a central nervous system (CNS) stimulant of the phenethylamine and piperidine classes.
Methylphenidate was first synthesized in 1944 and was approved for medical use in the United States in 1955. It was originally sold by Swiss company CIBA, now Novartis Corporation. It is estimated that in 2013, 2.4 billion doses of methylphenidate were taken worldwide. In 2018, it was the 45th most commonly prescribed medication in the United States, with more than 17 million prescriptions. It is available as a generic medication.
HOW TO USE CONCERTA?
Read the Medication Guide provided by your pharmacist before you start taking methylphenidate and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Taking this medication late in the day may cause trouble sleeping (insomnia).
Swallow this medication with a full glass of liquid (8 ounces/240 milliliters). Do not crush or chew this medication. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
The dosage is based on your medical condition and response to treatment. Your doctor may direct you to gradually increase or decrease your dose. Also, if you have used it for a long time, do not suddenly stop using this drug without consulting your doctor.
If you suddenly stop using this medication, you may have withdrawal symptoms (such as depression, suicidal thoughts, or other mental/mood changes). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used methylphenidate for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.
It is crucial to avoid taking Concerta alongside monoamine oxidase inhibitors (MAOIs) or within 2 weeks of taking an MAOI.
Since Concerta can raise blood pressure, it is best to talk to a doctor before taking it with any other stimulant or drug that can raise blood pressure.
Clonidine, a high blood pressure medication, and other alpha-2 agonists may cause serious side effects when a person takes them with Concerta.
Concerta may change or decrease the effectiveness of:
- anticonvulsant drugs
- blood thinners
- tricyclic antidepressants
The FDA classify Concerta and other forms of methylphenidate as pregnancy class C drugs. This means that some animal studies have shown that they present a danger to the fetus, but that there are not enough studies in humans to determine the effect.
In studies of rats, high doses of methylphenidate have caused birth defects and other negative outcomes.
In some cases, the benefits of methylphenidate may outweigh the risks, but a person must consult with their doctor before determining the best course of action.
Researchers do not know whether infants can come into contact with Concerta through breast milk.
The FDA have approved Concerta for use in children ages 6 and older, but not in younger children.