A member asked:

Take 36mg of concerta in the morning and it wears off during the middle of my shift. is it not strong enough? is it normal to twitch on concerta?

5 doctors weighed in across 2 answers
Dr. Alan Ali answered

Specializes in Psychiatry

Concerta: Review with your doctor possibility of boosting dosage with another dose later in the day, adding a supplement, or switching to another stimulant.

Answered 5/18/2015

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Dose = duration: If the dose of Concerta is appropriate, the duration of action should be between 10 and 12 hours. If the efect is not lasting at least 10 hours, the dose may be increased. If you need the effect to last longer, consider a small dose of methylphenidate about an hour before the morning dose of Concertal loses its effect. An alternative is Vyvanse, (lisdexamfetamine) whose effect may lat 12-15 hours.

Answered 2/10/2017

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