12 doctors weighed in:

I took concerta 18 mg XL then 36 mg XL but none worked. Should i change the medication ( in kuwait we only have concerta XL and XR and ritalin (methylphenidate) ).

12 doctors weighed in
Dr. Heidi Fowler
Psychiatry
5 doctors agree

In brief: Concerta

You need to discuss this with your medical provider but you may not be on a high enough dose yet.
Some people may respond at 36mg but many will not.

In brief: Concerta

You need to discuss this with your medical provider but you may not be on a high enough dose yet.
Some people may respond at 36mg but many will not.
Dr. Heidi Fowler
Dr. Heidi Fowler
Thank
Dr. Alan Ali
Psychiatry
4 doctors agree

In brief: Concerta

Upgrading by 18 mg.
At a time, or supplementing with clonidine, Kapvay or tenex (guanfacine). Review with your doctor. Salam.

In brief: Concerta

Upgrading by 18 mg.
At a time, or supplementing with clonidine, Kapvay or tenex (guanfacine). Review with your doctor. Salam.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Shah Chowdhury
Pediatrics
3 doctors agree

In brief: ATTENTION

Starting dose of concerta: 18 mg, usually in younger kids; then titrated upward: 27, 36, 54, 72 mg.
Most common dose in school children 36 mg with symptom control. As you are 20 yr, this dose is less for you, not working. I will go up to 54 mg and wait to see whether you need 72. Other option: if 54 not good enough, i'll add Guanfacine 1-2 mg. Other many combinations there, talk to your doc.

In brief: ATTENTION

Starting dose of concerta: 18 mg, usually in younger kids; then titrated upward: 27, 36, 54, 72 mg.
Most common dose in school children 36 mg with symptom control. As you are 20 yr, this dose is less for you, not working. I will go up to 54 mg and wait to see whether you need 72. Other option: if 54 not good enough, i'll add Guanfacine 1-2 mg. Other many combinations there, talk to your doc.
Dr. Shah Chowdhury
Dr. Shah Chowdhury
Thank
Dr. Jeffrey Desarbo
Psychiatry
2 doctors agree

In brief: Careful

As you may be aware, Concerta is an extended release form of ritalin.
You may discuss with your doctor the timing of your meds and doses can go to 54mg and even 72mg in some but need to monitor for effectiveness and side effects. Some people can benefit from also adding wellbutrin (bupropion) (but again, consult your doctor). And of course, careful of addiction, misuse and dependence.

In brief: Careful

As you may be aware, Concerta is an extended release form of ritalin.
You may discuss with your doctor the timing of your meds and doses can go to 54mg and even 72mg in some but need to monitor for effectiveness and side effects. Some people can benefit from also adding wellbutrin (bupropion) (but again, consult your doctor). And of course, careful of addiction, misuse and dependence.
Dr. Jeffrey Desarbo
Dr. Jeffrey Desarbo
Thank
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