Concerta
Generic Name: Methylphenidate
What is Concerta?
Concerta is a central nervous system stimulant used for the treatment of attention-deficit hyperactivity disorder (ADHD).What is the most important information I should know about Concerta?
Concerta has a high potential for abuse. Taking Concerta for long periods of time and in excessive doses may lead to extreme emotional and physical dependence and addiction. Tell your doctor if you have a history of drug or alcohol abuse.It is also possible to develop tolerance to Concerta so that larger doses are needed to produce the original effect. Be sure to check with your doctor before making any change in dosage; and stop the drug only under your doctor's supervision.
There are reports of serious heart-related and mental problems in people taking Concerta. These problems include sudden death in people who have heart problems or heart defects, stroke and heart attacks in adults, increased blood pressure and heart rate, new or worsening behavior and thought problems, bipolar disorder, and aggressive or hostile behavior. In addition, new psychotic symptoms have been reported. Such symptoms include hearing voices, believing things that are not true, and manic symptoms. Call your doctor right away if you or your child develops signs of heart problems such as chest pain, shortness of breath, fainting, or new mental problems while taking Concerta.
There is no information regarding the safety and effectiveness of long-term treatment in children. However, slowing of growth has been seen with the long-term use of stimulants, so your doctor will monitor your child carefully while he or she is taking Concerta.
The medication in Concerta is contained within a nonabsorbable shell designed to release the medication at a controlled rate. Do not be concerned if you notice this nonabsorbable shell in your stool.
Who should not take Concerta?
You should not take Concerta if you are very anxious, tense, or agitated.Do not use Concerta if you have an eye problem called glaucoma (high pressure in the eye), tics or Tourette's syndrome (a brain disorder characterized by involuntary movements and vocalizations called tics), are taking a medication called a monoamine oxidase inhibitor (MAOI) or have taken one within the past 14 days, or if you are allergic to any component of this drug.
What should I tell my doctor before I take the first dose of Concerta?
Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Concerta. Also, talk to your doctor about your complete medical history, especially if you or a family member have ever had heart problems including heart defects, high blood pressure, mental health problems such as psychosis, mania, bipolar disorder, or depression, tics or Tourette's syndrome, seizures or an abnormal brain wave test, and stomach or intestinal problems. Also tell the doctor if you are pregnant, plan to become pregnant, or are breastfeeding.What is the usual dosage?
The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.Patients New to Methylphenidate
Adults 18-65 years: The usual starting dose is 18 or 36 milligrams (mg) once daily. The usual dose range is 18-72 mg daily.
Adolescents 13-17 years: The usual starting dose is 18 mg once daily. The usual dose range is 18-72 mg daily, not to exceed 2 mg per 2.2 pounds of body weight daily.
Children 6-12 years: The usual starting dose is 18 mg once daily. The usual dose range is 18-54 mg daily.
Patients Currently Using Methylphenidate
Your doctor will prescribe the appropriate dosage for you.
How should I take Concerta?
Take Concerta exactly as prescribed. Do not chew, crush, or divide the tablets. Swallow Concerta tablets whole with water or other liquids. Concerta is usually taken in the morning and is released in your body throughout the day. This medication can be taken with or without food.What should I avoid while taking Concerta?
Concerta can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be awake and alert until you know how this medication affects you.What are possible food and drug interactions associated with Concerta?
If Concerta is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Concerta with any of the following: antidepressants (especially MAOIs), antiseizure medicines, blood thinners, blood pressure medicines, and cold or allergy medicines that contain decongestants.What are the possible side effects of Concerta?
Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.Side effects may include: decreased appetite, dry mouth, trouble sleeping, dizziness, stomachache, headache, nausea, anxiety, weight loss, irritability
Can I receive Concerta if I am pregnant or breastfeeding?
The effects of Concerta during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.What should I do if I miss a dose of Concerta?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not take two doses at once.How should I store Concerta?
Store in a safe place at room temperature and protect from moisture.
I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!
