My 11 yo daughter is on 36 mgs of concerta er once daily plus concerta 10mgs er once in the after noon. recently (3 days ago ) started 10 mgs of celex?

Medication effects: You are a Caring Mother! Please take your daughter to a Child psychiatrist for: • Establishing Diagnosis • Determining need for Concerta • Need for Concerta46mg/day • Lack of effectiveness with Concerta 46mg/day • Individual Therapy • Family Therapy • Collaboration with school Counselor •Risk of serious Serotonin Syndrome with addition of Celexa (citalopram) to Concerta •Regular Follow up