What is the normal dose for Concerta?
How long once you take it does it take to work? Any possitive stories? PLEASE HELP..
Asked by Cecil Hukill 1 month ago.
Concerta comes in 18, 27, 36, and 54 mg tablets. Most people get optimal effect taking either the 36 or 54 mg tablets, but some people respond to as low as 18 mg and get excessive side effects from 36 mg, and others need as much as 72 mg to get a therapeutic effect. Doses of stimulants are not correlated with weight or with severity of symptoms (my understanding is it has to do with things like how quickly it's metabolized in your liver how good your body is at keeping it from passing into your brain), so the only way to figure out the right dose is trial and error. You start with a low dose, and if that doesn't work you try progressively higher doses until you find one that works. If you get too many side effects, you go back down to a lower dose, and eventually you find the right balance. I remember you said in another question that you were taking 27 mg. Presumably you'll be seeing your doctor again soon to reevaluate, and adjust the dose if necessary. Your doctor won't expect you to just know if the Concerta is working or if you need a higher dose. Instead, she'll ask you to report on specific symptoms, like you did when you were first diagnosed, and see if there's any improvement. She'll also ask you about specific side effects. Try to be aware of how the Concerta makes you feel, but don't worry about what it's "supposed" to do, just if you like what it's doing. If you're not happy with how it's working for you, then you can talk to your doctor about adjusting it. It doesn't so much matter if it's doing what it's "supposed" to do as if it's doing what you *want* it to do. As a patient, your job is to provide your doctor with as much feedback as you can about how it made you feel, and how you'd like it to make you feel. Taking that information and figuring out how many miligrams you should be taking is your doctor's job. Once you've found the right dose, it starts working about half an hour after you take it. It doesn't release quite a full dose right away, so it might take a little longer to get the full benefit (for instance, 36 mg of Concerta is considered equivalent to 10 mg of immediate release Ritalin three times a day, but the first dose released by the Concerta tablet is typically more like 8 mg, so you may not be up to the blood levels equivalent to the 10 mg of Ritalin for as much as an hour or two). Once you've been taking it for a while, if you find that you're doing well on it but it takes a long time to get started in the morning, some people benefit from taking an immediate release Ritalin tablet in the morning to cover them until the Concerta kicks in. Answered by Bettye Ake 1 month ago.
Concerta Doses Answered by Valerie Konishi 1 month ago.
Concerta Dosage Answered by Marylou Findling 1 month ago.
CONCERTA (Methylphenidate) is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). The recommended starting dose of CONCERTA for patients who are not currently taking methylphenidate, or for patients who are on stimulants other than methylphenidate, is 18 mg once daily. The dose can be gradually increased to 54 mg once daily (for children aged 6-12) or 72 mg (for children aged 13-17). There is no body of evidence available from controlled trials to indicate how long the patient with ADHD should be treated with CONCERTA. It is generally agreed, however, that pharmacological treatment of ADHD may be needed for extended periods The efficacy of CONCERTA in the treatment of ADHD was established in three controlled trials of children aged 6-12 and in one controlled trial in adolescents aged 13-17. hree double blind, active- and placebo-controlled studies were conducted in 416 children aged 6 to 12. The controlled studies compared CONCERTA given qd (18, 36, or 54 mg), methylphenidate given tid over 12 hours (15, 30, or 45 mg total daily dose), and placebo in two single-center, 3-week crossover studies and in a multicenter, 4-week, parallelgroup comparison . The primary comparison of interest in all three trials was CONCERTA versus placebo. Symptoms of ADHD were evaluated by community schoolteachers using the Inattention/Overactivity with Aggression (IOWA) Conners scale. Statistically significant reduction in the Inattention/Overactivity subscale versus placebo was shown consistently across all three controlled studies for CONCERTA. Answered by Terrie Goettsche 1 month ago.
What happens if you drank alcohol with concerta?
information quick please. in need of a friend.
Asked by Lovetta Yragui 1 month ago.
Concerta® (methylphenidate extended release) is a prescription medication licensed to treat attention deficit hyperactivity disorder (ADHD) in children, teenagers, and adults. Although there is no specific interaction between Concerta and alcohol, there are some reasons why you may want to avoid the combination. Understanding the Concerta -- Alcohol Interaction Concerta may affect your ability to perform certain tasks that require complete concentration, such as driving, operating machinery, or piloting an airplane, especially during the first few weeks of treatment. Alcohol could intensify these effects, and it may be a good idea to avoid alcohol until you know how Concerta will affect you. It is never a good idea to mix alcohol with a medication you have never taken before (or that has not been prescribed specifically for you). It is also important to note that people with problems with alcohol abuse should probably avoid Concerta. Concerta is a stimulant and can be abused (see Concerta Abuse). People who have problems with drug or alcohol abuse may be more likely to abuse Concerta. Mixing Alcohol and Concerta: Final Thoughts Although there is no specific interaction between Concerta and alcohol, it is a good idea to avoid alcohol until you know how Concerta will affect you. Taking Concerta with alcohol might affect your ability to drive or operate heavy machinery. Also, it is usually not a good idea to take Concerta if you have a history of drug or alcohol abuse. Answered by Gussie Fiori 1 month ago.
Alcohol And Concerta Answered by Margorie Kilbourn 1 month ago.
Concerta And Alcohol Answered by Shiela Brost 1 month ago.
This Site Might Help You. RE: what happens if you drank alcohol with concerta? information quick please. in need of a friend. Answered by Anibal Arjune 1 month ago.
Concerta weight loss?
i started taking concerta forever ago (36mg) and i seemed to be losing a little weight. i got off of it (medical insurance reasons) and im back on now at 56mg and i do take it in the mornings, i weigh myself normally in the morning after i take it before school and ive noticed that on days when i remember to take...
Asked by Casey Drafton 1 month ago.
i started taking concerta forever ago (36mg) and i seemed to be losing a little weight. i got off of it (medical insurance reasons) and im back on now at 56mg and i do take it in the mornings, i weigh myself normally in the morning after i take it before school and ive noticed that on days when i remember to take it, i lose about 2-3 pounds! (and yes, i eat alot at school lunch). is that abnormal? because when i dont take it, ill gain about a half a pound or so.. also, when i do take it, im not very hungry at all and rarely eat anything other than my lunch (which, normally is the school crappy portions & mooch off of my friends. id say i eat alot concidering..) i want to do an experiment and take it everyday for a week and not eat much at lunch (maybe some wheat thins, my favorite. and a bottle of crystal light) and see what happens. Answered by Ira Blakeslee 1 month ago.
Concerta (methylphenidate) is classified as an anorexiant (meaning it causes weight loss) and it is well known to cause appetite suppression. 54 mg (there is not a 56 mg, is it 54?) is a very large dose and it is considerably more than the 36 mg you used to take so the effects will be considerably more. Why didn't you just try 36 mg again? How long have you been back on Concerta? Most likely the anorexiant effects will start to go away over time. And if you just started it within the last week the weight you are losing is not much fat. Normally when people start losing weight they lose a lot in the first week or two but most of it is basically water. So for the first few weeks of taking Concerta it is very common for significant weight loss but after some time most people people don't have more weight loss and their appetite returns to normal although some people have a smaller appetite for years. But you will stop losing as much weight as you have been and you will most likely completely stop losing weight. You said you weight yourself daily, do you continuously keep off the 2-3 lbs? Meaning if you lost 2 lbs will all that weight still be gone and another 2 lbs are gone too? Do you eat breakfast and dinner? If not you should be. When you don't take it and you gain weight part of that is possibly that you have rebound hunger, meaning you become even more hungry than you are normally (without medication at all). So some people can over eat when that occurs and that could be part of any weight gain. The other thing is you need to stop weighting yourself daily. There are a lot of reasons why but it is actually not a very accurate way to look at your weight. During the day weight changes so it is possible the 1/2 lb you gain is just part of that normal change during the day. When you weight yourself daily, even at the same time each day, it can cause some misperception because weight is somewhat cyclical and normally goes up and down and it is much better and more accurate to weight yourself, either monthly, bimonthly, or weekly. That way you see the change over a significant period of time and you can draw better conclusions. Also, and I hope you don't take this the wrong way, but part of the reason you it can be good not to weight yourself as often is because some people, especially when starting stimulants, can start to become obsessed about weight and they may try to see how long they can go without eating and in some cases that really escalates and can lead to eating disorders. I am NOT saying that will happen to you but you need to be aware of that. Don't try your experiment, I don't know why you even want to do it? If you do it you won't be eating properly at all- wheat thins is not enough, there is not even protein, and crystal light is completely devoid of nutrition. And you could very possibly feel bad, you won't be at "100%" and you could really change your weight loss situation, you may lose a dangerous amount of weight and if you stop the Concerta or it starts to wear off a bit you could easily binge eat, which is part of the rebound hunger. And the longer you go with very little food the worse and longer the rebound hunger can be. To sum up: The best thing to do it stop weighing yourself daily, making sure you eat three times daily (and a few wheat thins is not enough), if this has been going on for 3+ weeks and/or it continues then call your doctor. I don't know how much you weight but if you are starting to become underweight you really need to talk with your doctor. Answered by Angelina Artist 1 month ago.
Concerta Weight Loss Answered by Loris Penick 1 month ago.
This Site Might Help You. RE: concerta weight loss? i started taking concerta forever ago (36mg) and i seemed to be losing a little weight. i got off of it (medical insurance reasons) and im back on now at 56mg and i do take it in the mornings, i weigh myself normally in the morning after i take it before school and ive noticed that on days when i... Answered by Odell Mercy 1 month ago.
I found the book to be very informative and easy to read. I've lost 17 pounds in 12 days, I'm just concerned that I'm losing too much weight, too quickly. I will admit I haven't followed the guide exactly. I'm not sticking perfectly to the listed foods and meal plans (but mostly) and doing very little exercise, but the weight keeps flying off. It clearly works and if I'd followed it exactly I think it would scare the living daylights out of me because of the amount that I'd lose. So thanks again for the information. I've never purchased anything like this before because they are usually full of trash, but 3WD has been a pleasant surprise. Get started today! Answered by Assunta Renteria 1 month ago.
Buy the correct size. Squeezing into those skinny jeans will make your muffin top far more noticable. Answered by Jody Brazen 1 month ago.
It’s definitely not weight-loss, it’s health-gain. Think about your changes so that you can gain things, not lose them. Answered by Vivan Reinsch 1 month ago.
Music allows you to eat more. According to a work by the journal Psychology along with Marketing, soft, classical tunes encourage someone to take time over your supper, so you consume more foods. So, switch off – silence is likely to make you more aware of what you’re adding your mouth. Answered by Derick Metellus 1 month ago.
Be blue! Weirdly, azure shades have been proven to have a positive effect on your may to exercise regularly and withstand bad foods. So, wear glowing blue, eat from blue plates watching the pounds drop off! Answered by Georgette Nitsche 1 month ago.
I just had a crazy, making a roach with concerta (adhd medication) and tabaco! what do you think the side effects (both good and bad) would be? Thanks a bunch!
Asked by Anton Acerno 1 month ago.
Concerta is Methylphenidate (ritalin) but the pill is not a standard immediate release medication, so some complicated disassembly would be required before you could smoke it. The outer layer (overcoat) of a concerta pill is 20 % of the total mg value of the pill, and this dissolves immediatley upon swallowing. Once this layer dissolves, a non-drug, water permeable layer is exposed. this allows liquid in your g i system to absorb into the pill, causing a non drug "push compartment" to expand, releasing the remaining methylphenidate at a gradually increasing rate over the next 11 hours. So basically, you would not want to smoke the expanding "push" substance or the non-digestable water permeable outer layer. Also, dont try to crush and snort concerta, for the same reasons. If you really want to abuse add meds, find yourself some immediate release ritalin or adderall. BTW This is not a smart idea, can cause heart problems, liver damage, psycotic episodes, and may lead to drug dependance. Plus, it is illegal to use schedule II drugs in a manner inconsistant with the way in which they were prescibed, or by a person other than whom they were prescibed for. Answered by Lavona Net 1 month ago.
Listen to the dude above me ^^^. He is aware of what hes talking about. As for the Concerta in the event you really wanna improvement from that ish then abusing it will make it stop working. Find it irresistible'll bump up your tolerance and it won't help you center of attention anymore. If your a dumb *** and do not give a f**okay about your university career and wanna work at Mickydees the relaxation of your life and now not even be in a position to have enough money concerta then yea that you may get high off that ****. That is excellent stuff there to despite the fact that I pick adderall but w/e. Are attempting simply taking one tablet to start off with cuz you don't know how you're going to react. If you wish to have a better effect simply take 2. Do not begin snorting them yet unless you definitely know what you're entering. Consider me just taking the capsule orally is excellent ample do not tryna follow Rick James thinkin your hard. Subsequently simply research your medications earlier than you employ them so you do not emerge as harming your self. It can be referred to as damage discount. Getting high/ snorting Concerta would not make you cool so do not are trying. Answered by Warren Peaker 1 month ago.
well the chemicals in concerta would just evaporate, so smoking would have any real affeccts except like smoking plastic (TOXIC!) becase the chemicals just disappear into the air. it would be pointless...just snort the concerta if u wanna get ****** up Answered by Silas Evjen 1 month ago.
What can I say to get prescribed concerta?
I'm not diagnosed with ADHD, but I'm convinced I have it. I cannot go see a shrink for personal reasons, so I can't actually get diagnosed with it. For the record, I do not want to use the drug recreationally. I can't sit still for long, I always have to be doing SOMETHING. I had 2 quit 2 jobs...
Asked by Jarod Rafael 1 month ago.
I'm not diagnosed with ADHD, but I'm convinced I have it. I cannot go see a shrink for personal reasons, so I can't actually get diagnosed with it. For the record, I do not want to use the drug recreationally. I can't sit still for long, I always have to be doing SOMETHING. I had 2 quit 2 jobs (telemarketing) because i just couldn't sit there. I honestly did my best and I didn't make it. If i'm having a conversation sometimes I just drift off and stop paying attention. So i'll admit I'm alittle annoying and I frequently complain about these things. Well one of my friends gave me one of his concerta and it worked perfectly. I don't want my doctor to think I'm using this as recreational. What should I say to him?? I honestly think this drug would be very benificial for me. Please help me. Answered by Liliana Bessmer 1 month ago.
To get Concerta you would need to see some doctor, psychiatrist or other. And if you are in your late teens or older (which it sounds like you are) then it is highly unlikely a general practitioner will prescribe Concerta, Adderall, or any stimulants to you. It is common and acceptable for a pediatrician to diagnosis and treat ADHD and a GP might continue prescribing it but not start it. GP's/Pediatricians, neurologists, and especially psychiatrists can diagnosis ADHD so a psychiatrist does not have to diagnosis it. But typically with adults only psychiatrist diagnose and neurologists can legitimately diagnose it but don't count on it. But you are in a bad position. Unless you have a unusual general practitioner for a doctor who will prescribe Concerta you are not going to get it without going to another doctor. Most doctors set self imposed limits on prescribing and simply have a policy to never prescribe something like Concerta. I take Adderall XR for ADHD and for several other reasons and my GP who I know well, who I have a good relationship with and who knows I have no issues with substance abuse would still never prescribe anything more than an "emergency" supply for a few days if my own psychiatrist could not see me. You can certainly talk with your regular GP about Concerta and ADHD. It is possible he can provide some help or give you other ideas. I will tell you that generally a GP is far less likely to understand that you took Concerta illegally at one time but you did it to try to get better. GP's are more likely to think drug seeker. A psychiatrist will probably not be as judgmental and will likely understand what happened. It happens all of the time and psychiatrists deal with it constantly. A large part of a job of a psychiatrist is to pick out the pointless information from the relevant information. I am sorry I can't help and I do believe you but there are some things doctors simply will not do. Dermatologists would not prescribe Concerta (they legally can) because it is FAR out of their field. And a psychiatrist will not treat acne, that is out of his field. And GP's do a bit of everything but complicated things will typically be sent to a specialist. The only other thing you might keep in mind is that just because you took Concerta one time does not mean it is the best drug for you or that you have ADHD (but you probably do). It might be that Adderall or Focalin is a better fit. It is good to tell a doctor that you took Concerta and it helped but if you ask for it you have an even lower chance of getting it. Typically it is good to tell a doctor the facts and let them pick a treatment. Self diagnosis is not typically well received by any type of doctor. Good luck. But if things are as bad as you say and you refuse to see a psychiatrist you might encounter a lot of problems from ADHD. You have already lost two jobs. That is a big indicator that you need help quickly. Answered by Kiesha Life 1 month ago.
Concerta Prescribing Information Answered by Oscar Kuszynski 1 month ago.
Adderall. Concerta. ???
Ok, Tomorrow I go to the doc. Two weeks ago I was put on Concerta, however I do not really care for the side effects. He said that if I was not pleased with it, that we could try Adderall. Tomorrow I think i'm going to have him do it. What if any kind of feed back can you give me on this subject???? Anything at...
Asked by Queen Randoll 1 month ago.
Ok, Tomorrow I go to the doc. Two weeks ago I was put on Concerta, however I do not really care for the side effects. He said that if I was not pleased with it, that we could try Adderall. Tomorrow I think i'm going to have him do it. What if any kind of feed back can you give me on this subject???? Anything at all is welcome. Answered by Delaine Bertin 1 month ago.
Concerta is in the same family of drugs as Ritalin, so if you had trouble with one there is a good (but not certain) chance you'll have trouble with the other. Adderall, on the other hand, is an amphetamine salt so it's not related to Concerta or Ritalin. Based on the drug names you're dropping, I'm assuming this is treatment for Adult ADD/ADHD. In addition to Adderall, they might try to offer you Wellbutrin or something similar. Although Wellbutrin is usually used as an anti-depressant, it is often prescribed for ADD too. My experience? Ritalin worked for me until I got older (high school and onward), then it didn't do so much. I guess my metabolism changed. At that point I switched to Adderall and it helped more. I was off medication for several years after junior college, but found myself struggling with my disorder so I got back on medication, this time Wellbutrin...AWFUL stuff; Horrid side effects and it didn't help AT ALL. In fact, it seemed to make things worse. After that I tried Strattera and it had no side effects. In fact, it had no effects...period! It didn't do a damn thing, as far as I could tell. Might as well have been a placebo! Since then I've gotten back on Adderall, and it helps some, but not completely. It doesn't seem to help me as much as it did when I was younger. But anything is better than nothing, eh? Unfortunately, there simply aren't many families of drugs out there for this kind of thing, so you just have to find the one that works, even if it only works a little bit, and go with it. The only thing I'll add is that Adderall makes me a bit....hmmm, "intense" I guess, for lack of a better way to describe it. I was going to say "high strung" but it's not nearly that bad. It's more like you just go, go, go. It's not obvious or uncomfortable; in fact, I usually don't even notice unless I actually stop to think about it or someone points it out. It took my system a few days to adjust to the medication, and until I did I was a bit jittery. Again, it was not really noticable unless you stop and focus on it. The same thing happens when you quit it. Mini-withdrawals, I guess. You get a bit shaky for a day or two then it's fine. Other than that, I've never had any bad side effects or anything. So far, the only one that's really been a bad experience was Wellbutrin. Hope that helps...good luck. Answered by Annmarie Decato 1 month ago.
Concerta: Benefits and Side Effects - By Jeannine Virtue A number of ADHD medications are hitting the market, joining the old Ritalin standby. Concerta, in its relatively short existence, has already grabbed a sizeable portion of the ADHD medication market share. Although Concerta offers a number of advantages over the older ADHD medications, it also has several side effects that people with Attention Deficit and parents of Attention Deficit children should be aware of before administering this medication. Concerta medication for ADHD and ADD is a once-daily treatment and, when introduced, was the first time-release formula. A modified version of Adderall, Adderall XR, followed with a time-released delivery system. The Concerta capsule has an outer coat of medication that dissolves quickly and then two small compartments of medication inside that release gradually. The time-released system of the Concerta capsule provides up to 12-hour coverage and provides more even coverage for ADHD symptoms but there are a few drawbacks with the capsule form. _ If not taken early in the morning, manufacturers recommend skipping the dose for that day since the stimulants will affect normal sleep patterns. _ Some people find that, even with early morning dosing, Concerta significantly disrupts normal sleep patterns. _ Because of the tablet's non-deformable shell, the Concerta pill cannot be cut to decrease the dosage. This aspect causes trouble for people with Attention Deficit still working to find the best dosage levels or for those who wish to give their child a lower dose for half-days at school. Increasing or decreasing by any amount requires a new prescription. _ Parents cannot crush the tablet and mix with food for children who have difficulty swallowing pills since crushing the Concerta medication will also destroy the release mechanism. _ The Concerta shell does not completely digested and remnants of the Concerta tablet can often be seen in stools. Although most people’s digestive systems can typically pass a wide variety of very interesting articles and does not typically pose a serious health hazard, Concerta is not recommended for people with gastrointestinal narrowing and digestive problems. Concerta Side Effects: Concerta side effects seem less pronounced than Ritalin and Dexedrine side effects. Although Concerta side effects are less pronounced than the older medications’ side effects, the Concerta medication for ADD and ADHD still pose negative side effects, as do other ADHD medications. Concerta Side Effects include: _ abdominal pain _ aggravation, nervousness, hostility, sadness _ drug dependence _ dizziness _ headache _ tics _ insomnia and prolonged sleepiness _ loss of appetite _ increased coughing, sinusitis, upper respiratory tract infection _ vomiting _ allergic reaction _ increased blood pressure _ psychosis (abnormal thinking or hallucinations). Concerta should not be used by people with marked anxiety or agitation, glaucoma, or tics or during treatment with monoamine oxidase inhibitors. The stimulant methylphenidate, also used in Ritalin, is the active ingredient in the Concerta medication for ADHD and ADD. The medical community has not yet determined the long-term effects of having methylphenidate in the bloodstream for prolonged hours every day for numbers of years. In stating the potential for abuse and dependence on this drug, the Concerta manufacturer also instructs people to inform their doctor if their child has ever used or been dependent on alcohol or drugs, or if the child is now using or dependent on alcohol or drugs. Concerta, along with all other ADHD medications currently on the market, is not recommended for children under the age of six since its safety and effectiveness has not been determined. Despite ADHD drug manufacturer's own labels warning against prescribing these powerful drugs to young children, doctors increasingly prescribe ADD medications to children under the manufacturer recommended age. Parents should carefully consider the health effects of placing small children on medications for ADD and ADHD, even if the child's health care provider prescribes an medication for ADHD or ADD. The Concerta medication is about 70 percent effective in decreasing the symptoms of Attention Deficit Disorder, which is about the same level of effectiveness to Ritalin, Adderall and Strattera. Although the prevailing ADHD medications have about the same level of effectiveness on the general population, children and adults react differently to the different formulations. Ritalin might produce severe side effects while Concerta side effects might be minimal. Adderall side effects could present themselves differently than Strattera side effects. People using ADHD medications know that these little pills are never the “cure-all” answer. Attention Deficit requires a multifaceted approach which requires many different tactics and combination of tactics. What works is highly individual, depending on individual needs. Many people with Attention Deficit Disorder and parents of children with Attention Deficit Disorder find great Attention Deficit Disorder and ADHD success from diet supplementation - especially with amino acids and essential fatty acids - a shift in parenting tactics, modifying the home and school environment, biofeedback, neuro-linguistic programming, stress relief measures and exercise. The greatest successes are found by being bold and trying a combination of many measures. Adderall Side Effects Adderall is Amphetamine Adderall is a stimulant medication used in the treatment of attention deficit disorder in both children and adults. Made from a combination of four amphetamine compounds, Adderall is useful because it covers a broad range of attention deficit disorder symptoms, and because it is a "one a day" dosing. A child with attention deficit disorder usually has to take only one dose of adderall per day to get through school and get his homework done. Adderall Side Effects All stimulants have side effects, and the side effects from Adderall can be serious. Any amphetamine can be over used and result in drug addiction. Because Adderall is made from amphetamine, it can cause your child's heart to race, elevate heart rate to dangerous levels, and raise blood pressure to dangerous levels. Adderall side effects include overstimulation of the central nervous system, dizziness, difficulty sleeping, tremors, headaches, hyperactivity, and tics or Tourettes Syndrome. A common Adderall side effect is a dry mouth, a bad taste in the mouth, diarrhea, constipation, upset stomach, and loss of appetite. Children often lose weight when taking stimulants. Stimulants may reduce growth rates in children. Sexual dysfunction is a common problem in adults using stimulants. How effective is stimulant medication when compared to alternative treatments for ADHD? Clearly stimulants like Adderall work. But Adderall can also have bad side effects. Alternative medicines like ATTEND also work, but without the side effects. They only drawback to ATTEND is that it takes about 30 days to really do the job, while stimulants begin working right away. It sounds like, according to the information I sent you above, Adderall works but has more bad side effects. It would appear you should ask him about ATTEND. I myself am Bipolar. I have taken many drugs and some work and some don't. Side affects don't have to be so severe. There are more drugs out there that will do the job without as many or bad side affects. Be cautious and ask about drugs. After all, it is your body. If you don't take care of it, who will? God Bless You :) Answered by Shu Romanik 1 month ago.
What would be considered one step up and one step down from concerta?
From a pharmaceutical point of view, what would be considered one step up and one step down from concerta 18 mg. And which might be prescribed after complaining about concerta's uneven dosage distribution.
Asked by Kerri Desrevisseau 1 month ago.
Concerta is Extended Release Methylphenidate -- (Ritalin ER/XR). As I'm sure you are aware. From a pharmacological perspective -- sticking with Concerta a step *down* would be 9mg. A step up would be 27mg. That is strictly speaking out of my PDR. From experience in dosing I, and most other physicians, do not commonly make such narrow gap changes in dosing. Often I start a person on 18-36mg of Concerta -- And if they need a dosage increase then I push it up to 54mg. So in practice -- there isn't a practical step down at 18mg for an adult. This is a very low dosage.. though technically you can prescribe 9mg of Concerta. Going up to 27mg just isn't significant enough,.. thus 36mg would generally be the lowest increase most physicians would initially make when the patient complains of the medication being not completely effective. As with all stimulant medications -- frequent follow ups are necessary to adjust the dosage to get the plasma levels in the right range for the specific patient. Some are hypersensitive to stimulants and need to be titrated down.. but it is more common for tolerance to build, or the initial dose to simply not be as effective as it needs to be and a dosage increase is needed. To put it into perspective -- the guidelines when changing a patient from Ritalin IR to Concerta it goes like this: 5mg Methylphenidate BID/TID (two to three times daily) = 18mg starting dose of Concerta. 10mg Methylphenidate BID/TID (two to three times daily) = 36mg starting dose Concerta. 15mg Methylphenidate BID/TID (two to three times daily) = 54mg starting dose Concerta. 20mg Methylphenidate BID/TID (two to three times daily) = 72mg starting dose Concerta. And so on. If a patient complains that 18mg of Concerta is not doing the job throughout the day I fully expect it -- and would first start with prescribing them 18mg BID (two times daily) -- If they were taking 18mg in the morning.. I would double the number of pills, and instruct them to take one tablet/capsule in the morning upon awakening, and then take a second 6-12 hours later (as they feel they need it). This is if they patient reports the initial 18mg dose DOES indeed work for several hours but just wears off too soon. If they report it is ineffective then I would change the drug entirely. I , personally, would prescribe Vyvanse -- I prefer it over Adderall -- It has a smoother plasma level curve throughout it's dose response and a relatively lower side effect profile while being highly effective in my experience. Some patients eventually have it in their mind that Adderall is the only thing that will work for them, and if they aren't exhibiting obvious addiction issues (I try to give them the benefit of the doubt) -- I will prescribe them Adderall.. generally going with Adderall XR at 20mg and ask them to see me in 4-6 weeks to follow up. Sometimes I will need to do similar titration either upping the dose to 30mg XR,.. or have them take the same 20mg dose BID (twice a day). It just all depends on the patient, how they tolerate the medication and their reported negative side effects. For some patients (with ALL of these drugs) I may prescribe an extended release version of the medication for the morning, and an instant release of a lower dosage for the afternoon. The primary reason for this is to give them the needed addition of the drug in their system, but in an instant release formula for the second dose so it wears off in 4-6 hours rather than 8-12+ .. so they can sleep without need of an additional narcotic for sleep. It is quite common for physicians to start with an stimulant, patient raves of it's effectiveness in school or their work -- but complain of inability to sleep at night. Then physician will prescribe a sleep aid, often a benzodiazepine like clonazepam (klonopin). I prefer to avoid benzodiazepines unless absolutely necessary and avoid regular , daily use , of benzodiazepines. The withdrawal from benzo's over long periods of time is quite significant and drawn out (not to mention dangerous if not titrated down) but I digress. Hope this helps, Answered by Minnie Mendiaz 1 month ago.
This is a question for your psychologist. Answered by Ernestina Norrod 1 month ago.
What are kapvay and concerta?
Asked by Kieth Koenitzer 1 month ago.
Drugs for ADHD. Answered by Johnny Reasonover 1 month ago.
What is better for adhd? Concerta or strattera?
Asked by Eleanora Fogus 1 month ago.
Concerta is better for adhd. I have been taking the medication for 6 years now, and I know that it works well. I went from a C student to an A student within the first week of taking it. Also, if, later on, the concerta isn't getting the job done, speak to your doctor about Adderol, which my friends say is the best ADHD medication. Oh, and sloal, you are uninformed. ADHD isnt neccessarily acting out or being hyper (even though its one of the factors that come with many adhd kids) The primary problem with adhd is the ability to process things as fast as others. For example, I would take twice as long to do an in-class assignment, or it takes forever for me to learn new material. ADHD medications help that. It isnt lazy parents. Believe me--my dad used to never take his eyes off me. Oh, and Kyle, I would believe that concerta did hinder my creative process for a while, but I was perfectly normal- socially accepted, healthy, happy as well. Recently, my creativity has come back, and with a vengeance haha. On concerta, you can still be creative as long as you give yourself some time to draw, or write poetry, or do anything that involves the right brain. Maybe its just because i'm one of those people who are great at numbers (left brain) and just as great at creative processes (right brain). Answered by Etta Tierno 1 month ago.
Concerta Vs Strattera Answered by Moon Bullman 1 month ago.
Strattera Vs Concerta Answered by Olivia Colglazier 1 month ago.
This Site Might Help You. RE: What is better for adhd? Concerta or strattera? Answered by Alayna Babers 1 month ago.
Hey Jorie, PLEASE listen to me, I have been on Ritalin , Strattera and Concerta. Ritalin -> Great but short lasting, So I was switched to Strattera. The deal was I had to stay on it for 3 months to get a stimulant ( Concerta) I was put on Strattera 18mg for the first 2 weeks, i felt a small bit more chilled out (not carding to much,etc)... Then when the dosage started to go up (btw avg dosage) it really messed me up... -> Strattera = NO ! When I got Strattera 74mg I was a mess. All I wanted to do is go to sleep but I did not even want to go to sleep because i felt so crap.... I just wanted to sleep and never ever wake up , Strattera is awful.The only good thing Strattera does is makes your dreams better. Anyway, I am on Concerta now and it is much BETTER ! It is helping me alot, Just whatever you do please don't choose strattera. Concerta will fit you alot better, Regards, Answered by Tonita Schwuchow 1 month ago.
Actually, nothing. ADD and ADHD are the two most misunderstood phenomenons of the world. It is the brain thinking differently and society doesn't like that so they give them "dull down" pills so you can function like the rest of society. Many people such as Da vinci, picasso, van gouh, even Einstein. Schools say you are wrong for getting the wrong answer, but being wrong is just being creative. If you really want to get dulled down and kill your creativity then concerta is better, but honesty. Einstein did pretty well for himself without concerta your choice Answered by Laine Kuks 1 month ago.
Actually, they both are stimulants used to increase your focus -- they aren't designed to "dull" or "dumb down". Doctors don't really know exactly how or why they work in ADD -- or even WHAT ADD actually is. If you ask any doctor, they will tell you that each person responds differently to the drugs, so the best thing is to try and see what works best for you. Personally, I think too many kids are on these drugs. A lot of parents use them as a crutch to avoid having to discipline. Answered by Irvin Schabacker 1 month ago.
Concerta 54 and high heart rate!?
Im prescribed Concerta 54mg extended release. I took 2 54mg concerta(surpose to have only taken 1 but accidently took 2) and I'm sitting on couch and notice my heart is beating pretty fast. Took out the Heart rate monitor and it recorded 110-120!! t can sometimes shoot up to 136 bmp! resting! I'm a pretty...
Asked by Barbera Zulfer 1 month ago.
Im prescribed Concerta 54mg extended release. I took 2 54mg concerta(surpose to have only taken 1 but accidently took 2) and I'm sitting on couch and notice my heart is beating pretty fast. Took out the Heart rate monitor and it recorded 110-120!! t can sometimes shoot up to 136 bmp! resting! I'm a pretty athletic, I monitor my heart regular during workouts. I I'm using 60-70% of my max heart rate just sitting on the couch. I'm 5'9 183 12% body fat. I cannot have my max heart rate anywhere above 100 while resting. I'll burn off all my muscle and fat just sitting! Is there a way to lower my heart rate or should I ask my doctor to prescribe me adderall or ritalin instead? will they have the same effect? Answered by Dean Robichau 1 month ago.
First -- Concerta IS Ritalin. It is methylphenidate (Ritalin) but in an extended release form. So obtaining Ritalin will obviously not change the effect other than duration. Adderall is generally more physically potent than methylphenidate and would cause a more exaggerated reaction than you are already experiencing. As for your heart rate, being healthy as you state, you are not in danger with this elevated heart rate. It isn't something you want to occur everyday -- but you aren't in any danger (with a healthy heart) at the moment. Further, you will not burn off all your muscle and fat just sitting around -- heart rate is a factor in metabolic processes but it is just one piece of the puzzle and more of a 'sign' of metabolic rate -- generally an indicator of the efficiency of cardiovascular exercise. There are plenty of obese people with elevated resting heart rates (over 100) that certainly aren't turning skinny. So you can put that worry aside. If you normally feel 'ok' and have a reasonable heart rate with 1 tablet/pill of Concerta then you have no problem. You mention this occurred when you took twice your dose. This is a predictable and expected effect of such a doubling dose of this stimulant. If , on the other hand, you experience such elevation of heart rate with your normal dose of Concerta then you need to discuss the side effect with your prescribing physician. If you are new to the medication, you should be placed on a lower dose of methylphenidate and see how it works for your intended use of it (I assume focus/concentration.. though it can be for sleep issues, fatigue etc.) Then you would slowly titrate (raise) the dose until you get the desired mental/physical effect (therapeutic effect). You didn't mention how one dose affects you, and how long you have been on this dose... or this medication for that matter. With Adderall, Concerta, Ritalin, Vyvanse, Dexedrine, and similar stimulant medications you are going to have SOME level of elevated resting heart rate. There is no getting around this side effect due to the nature of the drug and how it impacts your CNS and Sympathetic nervous system. So having a resting heart rate of 90-110 bpm resting on the medication isn't particularly dangerous and common. 136 is too high. Further, your body will adapt, and build tolerance to the drug both physically and mentally. So your heart rate will lessen from the medication the longer you regularly take it. It may never go to your non-medicated resting rate while actively in your body (ie: 1-2 hours after ingesting).. but it very well and commonly can start by elevated your heart rate the first few weeks (month) significantly (over 100bpm) and after a few months and longer fall back into the 70-90 range. This is a normal, expected, adaptive response. Blood pressure should increase slightly due to the pressure volumes and vascular tone of the stimulant induced neurotransmitters. Though this, again, should normalize, and shouldn't get into the hypertensive stage of > 140/90 -- (Figures differ..) As for lowering your heart rate.. there isn't much you can do aside from taking another medication like a benzodiazepine, sedative, or other type of narcotic (or beta blocker/bp medication). I don't recommend this. For now, just try to remain calm, and try to eat (if your appetite is suppressed , and stay well hydrated). It is advisable to visit or call your prescribing physician sooner than later and report the physical side effect extremes you are experiencing. A dosage adjustment is likely needed. Unless you are merely reporting this only occurred due to double dosing. Be safe, Answered by Milissa Encinas 1 month ago.
Prescribing another stimulant isn't going to change the fact that the drug will make your heart rate increase. Also, you took double your prescribed dose which is never a good idea. The max recommended dose is 72mg/day. Now don't let that frighten you. The half life of the extended release is ~2.5hrs to 6.5hrs My recommendation to you would be to call poison control. Especially if your heart rate is increasing/does not go down, you feel anxious, start sweating. The poison control helpline is: 1-800-222-1222 Answered by Marita Masella 1 month ago.
That is interesting Answered by Fonda Englebert 1 month ago.