Doctor insights on:
Coming Off Concerta
What can I expect coming off concerta? How is it done? I don't really see it helping and I'm not sure I have add
Consult prescriber: Concerta can be stopped, even though its long acting stimulant it is out of your system at the end of the day. You and/or people around you will realize if it was helping you within few days. It is important to have a talk with prescribing physician before doing this or if you think you don't have add. ...Read more
Side effects occur: Certain higher doses of the stimulants, or lowere doses in sensitve patients, can cause one to be 'more quiet', sullen or even depressed. You should consult with your prescribing physician and consider altering the dose of Concerta or trying another medication. ...Read more
Concerta is a long-: Acting form of methylphenidate in a tube with an oros delivery system inside to absorb water and push medication out slowly so it will last 10-12 hrs and some immediate release methylphenidate as a coating to get the effect started. It must not be cut/crushed/chewed as that will disrupt integrity and cause all to release at once. Prescriber can adjust dose and regimen to work better. Best regards. ...Read more
Quit Concerta: Concerta, like other forms of methylphenidate and the amphetamines used to treat adhd only work for the day you take the medication. Each day is a new day. Discontinuing Concerta can be done by not taking the next dose. Some find that they will experience fatigue for several days following discontinuing concerta, but this should be temporary. ...Read more
Like any other med: The Concerta is prescribed to achieve a specific therapeutic target (s). These are derived from symptoms and physical findings. At diagnosis they should have been delineated by prescribing doc. Your adhd symptoms & your executive brain functions should be normalizing, without ill effects. This is not for you to do alone. Questionnaires provide framework for expressing symptoms, not physical signs. ...Read more
Dose of concerta: You should consult your prescriber. Discuss your response to a dose of 18 mg. Moving the dose to 36 mg should be under the direction of your doctor with your reported response to each dose. ...Read more
Call poison control: The duration of symptoms after an overdose depends on the amount taken and over what time period. Also depends if the taker has been using chronically. The symptoms of overdose have no antidote but MAY REQUIRE SUPPORTIVE CARE. Call poison control or get evaluated at the nearest ER. ...Read more
Not too long: Medication like Concerta shoud show benefit for focus and attention with in a day or two. If there is no benefit or side effect, you should consult your prescribing physician for a dose adjustment. Dose is not based on height, weight, age or gender. So one must adjust to fit the patient. Most prescibers will adjust the dose to reach benefit or side effect. ...Read more
Concerta: Hi, why do you want to take Concerta? Is it for ADHD? If that so you need to take it under close supervision of an experienced Psychiatrists due to numerous and dangerous side effect of medication including: high blood pressure and therefore heart attack and Stroke, Arrhythmia and etc. ...Read more
You can determine how long the effect of your first dose lasts. You can take the next dose 1/2 hour before that.
You should consult your prescriber so that you can be monitored appropriately. ...Read more
Bisocodyl/Concerta: Nope.Get a more detailed answer ›
Depends: While smoking is a habit that needs to be broken you most likely will not experience any adverse reactions. If you do you can use that as motivator to kick the habit. If your smoking is driven at all by your adhd you may find it is easier to quit once you are on medication. Good luck. ...Read more
Concerta: Concerta is a stimulant with amphetamine properties which could have major adverse effects at any dose. Especially in individuals with underlying health problems. There is no set number that can be quoted as a per se overdose. The intent behind the ingestion is what would determine if one were trying to overdose. If you are having any thoughts at all please call a crisis hotline, 911, or go to ER. ...Read more
No problem: That means that you tolerated drug well and you're not having any side effects. It also means that you're not at a therapeutic dosage yet. The therapeutic dosage for adults is usually at least 54 mg per day and sometimes higher depending upon how you metabolize the drunk. Best wishes. ...Read more
Pos. ; Neg. Feelings: Methylphenidate (trade names concerta, methylin, ritalin, (methylphenidate) equasym xl) is a psychostimulant drug and substituted phenethylamine approved for treatment of attention-deficit hyperactivity disorder (adhd), postural orthostatic tachycardia syndrome and narcolepsy. You feel with increased concentration, attention and decrease impulsiity. May experience side effects-irritability, labile mood, sad mood. ...Read more
Challenging question: "cold tablets" covers a lot of ground. Most of the concern devolves around whether you are getting two biogenic amines that might synergize to raise blood pressure and heart rate, and possibly provoke cardiac rhythm disturbances. However, some "cold tablets" don't contain decongestant compounds, but only contain Acetaminophen and antihistamine agents. So no generalization is possible. ...Read more
Take it only if it:
Is your prescription. If you diverted it from a friend & are taking it for the first time tomorrow to improve
your performance on a test, you are going to be one sad bunny if you get anxious/agitated or have palpitations, headache &/or stomach ache. That's why we start it on weekends. If it is your prescription, take it at 7 AM. Onset of action is ~ 45 minutes-1 hour. ...Read more
What are you expect: Ing? It is important when you're taking a medication like Concerta to realize that the goal of treatment is not to feel any different. The goal is to only have improvement in your concentration and your attention span, hopefully in your impulsivity and ability to organize. If it is in those areas that it has stopped working then you should look at whether any substances you may have used over the holiday weekend have been interfering. Otherwise, discuss it with your psychiatrist and he or she will adjust the dose accordingly. Again, do not look towards this medication as a mood elevator. It is not for you to get high off of. ...Read more
You may be more: Focused or calm than usual or may experience the zombie-effect of over-medication for a few hours. Some may become agitated and irritable. Report your experience to your prescriber. Dosing Concerta requires monitoring of effect to achieve best results for focus, function, and tolerability. 2x54 mg unlikely to cause overdose symptoms of vomiting, confusion, rapid heart rate, hallucinations, etc. ...Read more
Careful decision: There is not a black & white answer to this question. A detailed history would need to be taken. There would have to be an appropriate indication for the medication & even then, potential for tolerance needs to be measured with anticipated benefits. ...Read more
Concerta major compound methylphenidate. Commonly prescribed--ADHD, treatment resistant depression.
Sp, e o, edoate effects cam be seem with first dose. It can take several weeks to attain maximum therapeutic benefit.
How it works-reduction in symptoms of ADHD-inattention, hyperactivity, impulsivity that disrupt social, school, and general functioning. ...Read more
DO NOT: Take more medication than your doctor has prescribed! This is not a recreational drug that you take when you. ...Read more
It can: Some patients do see a decrease in side effects over time as they consistently take their Concerta (or other stimulant). There are some patients who conitue to experience the side effects no matter what. If your appetite does not improve, follow up with your physician for a dose alteration or change in medication. ...Read more
Concerta usually: Produces a difference from the first dose, unless the dose is too small. ...Read more
What are the best ways to reduce Concerta tolerance? Have been taking 36 mg for almost three years.
Tolerance?: Tolerance isn't a given. You might simply not be at the dose you need. Did you switch from brand-name to generic, or from one generic to another? Their bioavailabilities may differ. It's known that one generic was simply not bioequivalent to Concerta, so patients had to go back to brand. Also, make sure you don't have obstructive sleep apnea. OSA interferes with benefits to ADD from Concerta. ...Read more
Will taking 2 18 mg concerta work well or do I need one 36 mg concerta? What will happen if I take two?
Concerta: No difference. Make sure your doctor knows if you are changing the dose. ...Read more